Saturday 13 August 2011

Epidural steroid injections

An epidural injection, or epidural steroid injection, may be used to help reduce the pain caused by a herniated disc, degenerative disc disease, or stenosis (cervical spinal stenosis or lumbar spinal stenosis). These spinal disorders often affect the cervical (neck) and lumbar (lower back) areas of the spine.
The medicine used in the injection is usually a combination of a local anesthetic (e.g. bupivacaine) and a steroid (e.g. triamcinolone). The technique and risks of the procedure are similar to those for standard epidural analgesia. The effects of an epidural steroid injection vary, but permanent benefit is unlikely.[18] The technique is believed to work by reducing the inflammation or swelling, or both, of the nerves in the epidural space.
Some patients who have some residual pain after the first injection may receive a second or third epidural steroid injection. Patients who do not receive any relief from the first injection are unlikely to benefit from a second injection.

2 comments:

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