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Back needle : Epidural steroid injections for lumbar spinal stenosis


Back needle : Epidural steroid injections for lumbar spinal stenosis

Back needle : Epidural steroid injections for lumbar spinal stenosis

Treatment goal

Doctors may try an injection in the " epidural " area in the herniated disc, when there is no benefit from other non-surgical treatment methods, in order to relieve severe pain in the legs, resulting from narrowing of the spine in the lumbar region (region Near the waistline).

The corticosteroids in the injection can be effective in relieving leg pain, by reducing swelling and inflammation.

Topical anesthetics provide relief, but they do not treat the inflammation or reduce its size. Lidocaine might relieve pain very quickly, before the corticosteroids take effect.

what is the cure?

An epidural injection of a herniated disc (ESI) contains a combination of corticosteroids and a medication for local anesthesia and pain relief. Local anesthetic relieves pain in an instant, while corticosteroids (which are powerful anti-inflammatory drugs) relieve pain (by treating inflammation) in the long term.

Corticosteroids take more time to take effect.

Treatment course:

The injection is inserted into the "epidural" area within the cavity surrounding the spinal cord and the nerve roots (the epidural cavity). Without penetrating the membrane (the sac of the sac) that contains the spinal cord and nerve roots.

An epidural injection of a herniated disc is sometimes used to treat pain and inflammation caused by pressure on the spinal cord. Often times, doctors do not attempt epidural injection of steroids unless there are symptoms indicating a narrowing of the lumbar spine, and they have not responded to treatment with other methods.

Imaging tests, such as magnetic resonance imaging (MRI), computerized tomography (CT) or x-ray imaging (X-RAY), may be done before the injection is received. These tests are used to determine the exact location where the nerves are being pressed. Often, during the injection, an X-ray machine (X-RAY - Fluoroscope) is used to help the medical team locate the needle.

side effects:

ESI should be administered with extreme caution. The treatment provides pain relief in the short term only, while the long-term effect has not been well studied yet. Most experts recommend not receiving more than three ESI injections over a period of two to ten months.

If there are side effects, they are usually minor, and they may include:

  •  Back pain and sensitivity in the place where the injection was given, for two to four days.
  • Feeling deep nausea and sometimes vomiting.
  • Vertigo (dizziness).
  • Headache.

The more serious side effects of ESI are rare, but they are rare. They include: bleeding, infection, nerve root damage, and meningitis.

People at high risk of injection complications (such as those with diabetes or those with immune system problems) may be at high risk of receiving an epidural injection (ESI) as well.

People who suffer from mental disorders can also be at high risk of complications from this treatment.