General Pre/Post Instructions ■ T he level of activity can vary per individual. You may rest following the procedure or resume light activities. ■ Y ou may return to your normal level of activity the day after your procedure, including work. ■ Y ou will not be allowed to take a bath or utilize a Jacuzzi/whirlpool for 24 hours; however, showers are permitted. ■ I f you are taking any blood thinners, these will be held prior to the procedure but can be resumed the day after the procedure. Discuss with your physician. ■ I f you experience a fever of 101 degrees or more, you should contact your physician immediately. ■ I f steroids are given, these medications may cause your glucose level to temporarily rise. If you are taking insulin, you may need to talk to your physician in regards to adjusting your dosage. The effect can last up to 2 weeks following the procedure.
We will strive to provide effective diagnosis and treatment to each individual,while continuing to recognize the unique differences among individuals and tailoring our treatment accordingly to provide the most beneficial outcome.
Cervical, Thoracic, Lumbar, Caudal
■ I f you are receiving sedation, you should not drive a vehicle, operate machinery, or power tools for the remainder of the day of your procedure.
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What is a epidural steroid injection and why is it helpful?
What will happen during the procedure?
What to expect immediately after the procedure?
An epidural injection places anti-inflammatory medicine (steroids) into the epidural space. This should in turn stop inflammation of the nerve roots, hopefully reducing the pain.
You will lie face down on an x-ray table. The area of the back is cleansed with an aneseptic solution. The skin is numbed with a local anesthetic. The physician will use x-ray guidance to direct a small needle into an epidural space. Contrast dye is utilized to confirm exact placement. Finally, the physician will inject the steroid medicine. It is common to feel an odd sensation in the back or extremity during this time.
■ Y ou may feel soreness at the needle site for a short time after the procedure.
What areas of the body are included in the procedure?
This procedure will be repeated in 2 weeks. Following completion of two injections, you will need to follow up in the office to evaluate the effectiveness and to discuss further treatment.
Depending on the region of your pain will determine where the steroids are placed.
■ P atients with significant stenosis (narrowing) may have increased pain until the steroids start working. ■ S teroids usually take 2-3 days before they start working, sometimes taking as long as a week. ■ Y ou may return to your current activities after the procedure. You may also resume any medication the day after the procedure.
■ Cervical-Neck • Steroids will help shoulder, arm, and neck pain ■ Thoracic-Mid Back • Steroids will help pain in chest or abdomen ■ Lumbar-Lower Back • Steroids will help with pain in the back and both legs
Facet joint Needle
Spinal cord Nerve root
Dura mater Skin Vertebra