Some patients suffering from acute and chronic back pain may be offered an option of epidural steroid injections as a means of pain management. These patients have generally tried more conservative treatments first but have not received significant pain relief. Over-the-counter pain relievers, muscle relaxers, and physical therapy may not be enough, particularly in managing pain from irritated spinal nerves. At this point, epidural steroid injections may be recommended.
What are epidural steroid injections?
These are corticosteroid medications used to treat inflammation. Injections can be placed in the cervical, thoracic, or lumbar spine, depending on the location of the pain. They are injected into the epidural spaces of the spine at the site of nerve impingement. This is the point at which the vertebrae and discs surround the spinal cord and the nerves branching from it. Injecting into the epidural spaces reduces inflammation and pressure around the nerve that is causing the pain.
What conditions can be treated with epidural steroid injections?
These injections are commonly used to treat pain and inflammation caused by herniated discs, radiculopathy, spinal stenosis, sciatica, degenerative disc disease, and facet and synovial cysts.
How long do injections last?
The desired duration would be 3-6 months of pain relief. Some patients enjoy permanent relief from their pain. However, patient response varies, and some people may see as little as 1-3 months of pain relief. Injections can be repeated 3 to 6 times per year, as needed.
Advantages of Epidural Steroid Injections
Many patients receive temporary pain relief which enables them to participate in physical therapy treatments. They may be able to enjoy a better quality of life as they return to daily activities. Epidural steroid injections may decrease the need for surgery. These injections have very few side effects.
Cons of Epidural Steroid Injections
The benefits of the injections vary among individuals. Many people are helped long-term, while others receive only very temporary pain relief. Another drawback is the potential damage with repeated use. The risk of developing osteoporosis increases, which can lead to brittle bones and the increased risk of bone fractures.
Are the injections appropriate for all patients?
There are medical conditions that make epidural steroid injects inappropriate for some people. This includes people with anemia, asthma, bleeding disorders, kidney disease, severe spinal abnormalities, and those with allergies to the medication being administered. Epidural steroid injections are not recommended for women who are pregnant or breastfeeding, due to potential complications. The steroid can also enter the breast milk, possibly affecting the baby’s growth.
Atlanta Brain and Spine Care
The neurosurgeons at Atlanta Brain and Spine Care are experts in the diagnosis and treatment of back pain. Contact us to schedule an appointment with a spine specialist.
