Epidural steroid injection

What is an Epidural Steroid Injection

An Epidural Steroid Injection (ESI) is a medical procedure used to treat pain and inflammation in the spinal cord and nerve roots. The procedure involves injecting a combination of corticosteroid and/or local anesthetic into the epidural space, the area surrounding the spinal cord, and nerve roots. The injection is typically performed under fluoroscopic guidance, which uses X-ray technology to ensure the needle is placed in the correct location. The corticosteroid in the injection works to reduce inflammation and swelling in the affected area, which can help to relieve pain. The local anesthetic provides immediate pain relief by numbing the area. ESI is commonly used to treat a variety of conditions, including herniated discs, spinal stenosis, and degenerative disc disease. The benefits of ESI can last for several weeks or even months, and the procedure is considered safe and effective. Overall, ESI is a minimally invasive procedure that can provide significant relief for patients with spinal conditions.


Procedure Process

The Epidural Steroid Injection (ESI) procedure typically begins with the patient lying face down on an X-ray table. A special type of needle is then inserted into the epidural space under fluoroscopic guidance, which uses X-ray technology to ensure accuracy and safety. Once the needle is in place, a combination of corticosteroid and/or local anesthetic is injected into the epidural space. During the procedure, patients may experience some mild discomfort or pressure in the injection site, but it should not be painful. In some cases, patients may be given sedation to help them relax during the procedure. After the injection, patients may experience some numbness or weakness in the legs, but this typically resolves within a few hours. Overall, the ESI procedure is considered safe and effective, with few complications or side effects. The procedure usually takes 15-30 minutes to complete, and patients are able to go home the same day. 


Recovery Process

After an Epidural Steroid Injection, patients may experience some mild discomfort or pain at the injection site. This can typically be managed with over-the-counter pain medication and should resolve within a few days. Patients are typically advised to avoid strenuous activities for a few days following the injection, but can gradually return to their normal activities as their pain improves. In some cases, patients may experience temporary side effects such as numbness or weakness in the legs, headaches, or nausea. These side effects are usually mild and resolve on their own within a few hours or days. However, patients should contact their healthcare provider if they experience severe or persistent symptoms. Patients should keep track of their pain levels and report any changes or worsening symptoms. Overall, the recovery process after an ESI is typically quick and uncomplicated, with most patients experiencing significant pain relief within a few days of the injection. By following our providers' instructions for aftercare, we can help to ensure a smooth and successful recovery.


Benefits of an Epidural Steroid Injection

The Epidural Steroid Injection (ESI) procedure can provide several benefits for patients with spinal conditions. One of the primary benefits is long-lasting pain relief, as the corticosteroid in the injection helps to reduce inflammation and swelling in the affected area. This can result in a significant reduction in pain, allowing patients to enjoy improved mobility and function. For patients who are not candidates for surgery or who wish to avoid surgical intervention, ESI can provide a safe and effective temporary alternative. Additionally, ESI can help to improve the overall quality of life by reducing pain and allowing patients to return to their normal activities. This can be particularly important for patients who have been living with chronic pain and limited mobility, as ESI can provide a significant improvement in their daily functioning. Overall, ESI is a minimally invasive and effective treatment option for many spinal conditions, offering significant benefits for patients seeking relief from pain and improved quality of life.


Consultation and Preparation

If you are considering getting an Epidural Steroid Injection (ESI) at the Lighthouse Spine Centre, the first step is to schedule a consultation with our physicians. During this consultation, we will review your medical history and perform a physical examination to determine if ESI is the right treatment option for you. You may be asked to provide information about any previous treatments you have received, as well as any medications or supplements you are currently taking, to help us develop a personalized treatment plan that meets your unique needs. 

Before your ESI procedure, you will be given instructions on how to prepare for the injection. This may include avoiding certain medications or foods in the days leading up to the procedure, especially blood thinning medications, as well as arranging for someone to drive you home after the injection. Lighthouse Spine Center will provide you with detailed instructions and answer any questions you may have about the procedure.


Conclusion 

At the Lighthouse Spine Centre, we are dedicated to providing personalized care and effective treatment options for our patients. If you are experiencing pain or mobility issues related to a spinal condition, we encourage you to schedule a consultation with our medical staff to learn more about how an epidural steroid injection can help you. Don't let pain hold you back from living your best life - contact Lighthouse Spine Center today to book an appointment or consultation. 

What to expect on the day of the procedure:

Please arrive 15 minutes prior to your scheduled time to allow enough time for preparation
You will be escorted to the procedure room, and positioned on the procedure table, usually in a face-down position
Procedure will be carried out with local anesthesia (numbing)
Procedure should take 10-15 minutes, but please allow extra time for recovery
Some patients might experience temporary numbness in their legs, so please have a driver with you or arrange transportation
Please check with your physician if you need to fast before the procedure
Please notify us if you are on any type of blood thinners, as some of them will need to be stopped several days prior to the procedure, especially for the procedures in the neck.