Epidural Steroid InjectionAfter rest, exercise, chiropractic and physical therapy, and treatment with non-steroidal anti-inflammatory drugs NSAIDssteroid injections are one of the most commonly performed treatments for back pain. While generally considered safe, epidural steroid injection side effects can occur. Knowing what the side effects of epidural steroid injections are is the first way to reduce the risk, but there herniwted other ways ciclo winstrol stanozolol comprimido protect yourself. While herniated disc epidural injection risks more common side effects are something to be aware of and work with your doctor to avoid, herniated disc epidural injection risks are immense benefits of using epidural steroid injections for pain management. In medical school, doctors are taught the Hippocratic oath:
14 Epidural Steroid Injection Side Effects (And How To Avoid Them) - Pain Doctor
After rest, exercise, chiropractic and physical therapy, and treatment with non-steroidal anti-inflammatory drugs NSAIDs , steroid injections are one of the most commonly performed treatments for back pain. While generally considered safe, epidural steroid injection side effects can occur. Knowing what the side effects of epidural steroid injections are is the first way to reduce the risk, but there are other ways to protect yourself.
While these more common side effects are something to be aware of and work with your doctor to avoid, there are immense benefits of using epidural steroid injections for pain management. In medical school, doctors are taught the Hippocratic oath: Minor complications, such as increased pain or pain at the injection site, occurred in 2. More serious complications, including nerve injury, infection, or death have been reported, but represent a tiny fraction of those receiving this procedure.
Most of these studies found that epidural steroid injections were effective in relieving pain. You can review a list of these studies here in the Clinical Trials section of this page. Like any medical treatment, there is a right and wrong time to any intervention. The following video gives a great overview of how a balanced approach to epidural steroid injections can help you find relief, while avoiding common side effects.
These risks affect different populations at varying rates, so talk to your doctor about ways to prevent these side effects.
Again, avoiding risks is part of a balanced approach to this pain management technique. Epidural steroid injections do work, and well, for many patients. For patients with spinal stenosis , a major side effect of steroid injections may be worse outcomes and an increased chance of surgical intervention. Radcliff and his colleagues at Thomas Jefferson University in Philadelphia had another finding.
They found that patients who opted for epidural steroid injections ESI , a common treatment protocol, were worse off, noting:. Side effects of steroid injections may cause significant bone loss to the injection area in postmenopausal women, a Henry Ford Hospital study found.
A side effect of steroid injections is infection at the injection site. In , however, the U. Centers for Disease Control and Prevention began receiving reports of fungal meningitis in patients receiving steroid injections. Fifty-eight of the reported cases resulted in fatality, prompting a warning for all doctors and patients utilizing steroid injections.
However, this tragic and devastating outbreak was isolated to one pharmacy. An event like this is unprecedented in the year history of this treatment, given that over eight million epidural steroid injections are done in the U.
Thankfully, even in the year of this tragic outbreak, fewer than one in 10, epidural steroid injections led to fungal infection and fewer than one in , injections led to a fatal fungal infection. As with all medicines, the possibility for contamination exists.
Because of the area in which steroid injections are administered epidural steroid injection side effects due to this can be more serious. Read on to learn strategies for avoiding this risk. While there are risks, the evidence is also clear that epidural steroid injections can provide short-term benefits lasting several months for many patients that include reduced pain, and the ability to return to work and resume normal life. Epidural steroid injections are most useful for certain types of back pain.
When the disc protrudes to the side, it can put pressure on the nerve roots that pass through the spine. Often, this occurs in the lower back and causes pain that radiates from the lower back down the legs. This is often called sciatica or lumbar radiculitis. The research is clear that epidural steroid injections can help reduce pain for such patients, in part because these injections reduce the inflammation, relieving pressure on the nerve roots.
With the potential for such serious side effects, it might be easy to dismiss steroid injections as a pain management option. Here are five ways to prevent or avoid side effects of epidural steroid injections.
For such a delicate procedure, you want a pain doctor who is skilled and experienced in steroid injections. Ask friends and family for referrals if they have experience in this area.
You can also search the licensing boards of your state to see if your pain management specialist has been commended or censured. Using a locator tool online can help. Certain groups are more vulnerable to serious side effects of steroid injections. Postmenopausal women who are already experiencing bone loss may not want to receive steroid injections.
Other risk factors for serious side effects include:. There are three locations or types of steroid injection: Caudal injections allow the most medicine to flood the entire spinal column but are often associated with the most serious side effects.
Of the three, caudal injections also seem to offer the least pain relief in both the short- and long-term. Talk to your doctor about the type of injection she or he is proposing.
One of the best ways to minimize steroid injection side effects is to do your research and ask your doctor questions about the procedure. There is a lot of conflicting research on steroids. A comprehensive review of the studies can help you learn more about this treatment. You can find out more about epidural steroid injections and news about them by subscribing to the blog on PainDoctor. As much as possible, take steps to reduce the factors that put you at risk for more serious side effects.
Quit smoking, begin exercising as you can, and eat healthy. It can be difficult to make these changes when struggling with back pain. Exercise can be especially challenging. Work with a physical therapist to design a program of exercises that can be completed while seated to get yourself in the best shape possible.
Like any tool, once it is found useful there is a risk that it will be overused. Unfortunately, these more interventional treatments all carry risks.
This is why these treatments are used only for patients who continue to suffer from moderate to severe pain even after conservative care. Many surgical treatments have much greater risks and side effects than injection therapy. Opioids not only carry a significant risk of addiction, but also cause over 16, deaths each year.
Not every patient in pain needs an epidural steroid injection, but the right patient will likely benefit from its effects. While some people find immediate, long-lasting relief from this type of pain management, if you are worried about epidural steroid injection side effects and not convinced they will work, choosing another pain management strategy is okay. You have the final say in the treatment of your pain.
Pain management specialists have a number of different options for treating pain. A caring and compassionate doctor will work with you to find a pain management strategy that works for you. If you have tried steroid injections, did you experience any side effects?
Did the injections work? Epidural Steroid Injections Weekly updates on conditions, treatments, and news about everything happening inside pain medicine. Very well written article.
Yesterday I had an epidural most likely in the L5 area and asked the neurologist to make sure that the steroid contacted the area producing stenosis symptoms in the upper legs L3-L4. Today I can barely walk without extreme pain in the upper legs. I am hopeful that by tomorrow the pain will subside and the steroid will begin to alleviate my current and prior pain symptoms.
I would be happy to report my condition tomorrow if you contact me. Hi Robert — We definitely recommend reaching out to your doctor and discussing your side effects. Comment… I just had an operation, changing my ball and socket joint from the right leg L4. But right now, am really experiencing severe headache, when I complained to my doctor and he said it will go with time. I still feel the pain, I will be glad if you can suggest any remedy to hasten my recovery… Thanks in anticipation.
We recommend following up with your doctor or reaching out to someone for a second opinion. I had epidural injection last July and I am now experiencing elevated blood pressure and blood sugar. Is this side effect of the injection? I need your advice what to do to minimize the side effects. My experience with steroid epidurals for several herniated discs in my lower back was great!
The pain before the shots was so intense that I could barely function for a couple of months. About a week later I felt wonderful relief! Eventually I needed another round of shots but I never got anywhere near as bad as I was from the beginning.
After my 3rd set of shots, the effectiveness started to decrease. The only side effects that I experienced was a slight headache the night of each of the injections and slight weight gain. Definitely a success for me! I need help please. I had a epidural injection done on Friday, 6 October After the procedure I have been experiencing severe muscle contractions from the centre of my back straight to my neck and resulting to severe head ache.
This only happens when I stand up from a laying position. Its like as soon as I am in a vertical position these muscles all rapidly contract and pulls stiff. Its been 2days after the procedure and still no change. We recommend following up with your doctor or reaching out to another local specialist for a second opinion.
This was from an on the job injury from back in May Immediately after the procedure I was in excruciating pain and had to limp to a chair near the checkout desk.