An Epidural steroid injection is an injection of cortisone, long-lasting steroid, administered in the Epidural area. Epidural steroid injection or epidural injection is generally used to minimize the pain caused by a herniated disc, spinal stenosis, or degenerative disc ailment.
It has been scientifically proven that such injections minimize the inflammation and swelling of nerves in the Epidural Area. ESIs, that take only a few minutes for administering, are considered to be one of the most common options for varying forms of leg and low back pain.
It is believed that epidural injections are low-risk and non-surgical tools to help a patient stay healthy against problems such as radicular and back pain, which are caused by inflammation. If a patient who has been administered with an epidural steroid injection complains of a painful headache while performing routine works such as walking, sitting or standing then he may rush to seek medical intervention as there can be a probability of dural puncture. A patient suffering from swelling of nerves in the epidural area or leg, low back pain can take a maximum of three ESI injections in a year.
Though the ESI injections are quite safe in the general parlance, yet there always remain some adverse reactions of epidural steroid injections. A wet tap may occur due to penetration of dural sac into the Cerebral Spinal Fluid (CSF) by the medical needle. Apart from the above-mentioned side effects, the list of side-effects may include facial flushing, increase in localized pain, non-positional headaches, sleeplessness, anxiety, restlessness, and fever on the day of injection, transient fall in the level of body immunity, high blood sugar, cataract, stomach ulcer, sever arthritis of the hips etc.


The list of adverse reaction of epidural steroid injections includes a temporary numbness of the bladder and bowels, bacterial meningitis, conus medullaris syndrome, aseptic meningitis, and arachnoiditis.
However, it should not be forgotten that the ESIs must be administered only after a medical advice.
If a patient is administered with the epidural injections then the severity of pain can be minimized to a considerable extent.
In short, the epidural steroid injections are effective non-surgical tools for patients who are suffering from acute back or radicular pain. Epidural Area refers to the area that surrounds the spinal cord and the nerves coming out of the cord.
These three spinal ailments are often the reasons behind pain observed in the neck (cervical) and lower back (lumbar) areas of the body spine. These relief activities help in reducing tingling, pain, numbness, and other symptoms due to swelling, nerve inflammation, and irritation. It is essential for a patient to take a MRI Scan before being administered with an epidural steroid injection to avoid the risk of being suffering from a painful tumor or infection. However, it should be noted that most of these complications arise only after multiple subarachnoid injections over a period of time. This can help in effective management of pain felt by a patient, which needs to be assessed and addressed on an immediate basis.


The treatment can help him perform routine activities of life such as walking, sitting, and standing along with performance of other activities and work responsibilities without any pain. Even though there is very little pain associated with administering the ESI injection, a patient can ask the doctor to use the local anesthetics, intravenous sedation, or analgesia to reduce the pain further. Furthermore, the usage of ESIs has been as an integral and important part in the non-surgical management of low back pain and sciatica. Complete relief from pain can be expected after third day from the day when the injection was administered. There may be risks of spinal punctures, infections, bleeding inside epidural area with damage to nerves, headaches, retention of water in the body, suppression of natural produced cortisone, and a rise in the level of body sugar to name a few. One can even experience an infection into the epidural area after being administered with an ESI injection.



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