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Senior Orthopaedic Surgeon

Epidural






Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They have been used for low back problems since 1952 and are still an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.

What is the purpose of it?

Epidural reduces the inflammation and/or swelling of nerves in the epidural space. This may in turn reduce pain, tingling & numbness and other symptoms caused by nerve inflammation / irritation or swelling.

How is the injection performed?

Epidural procedure is done under local anesthesia. It is done either with the patient sitting up or on the side, or on your stomach. The skin in the back is cleaned with antiseptic solution and then the injection is carried out. It may also be done under x-ray guidance.


What should I expect after the injection?

Immediately after the epidural injection, you may feel your legs slightly heavy and may be numb. Also, you may notice that your pain may be gone or quite less. This is due to the local anesthetic injected. This will last only for a few hours. Your pain will return and you may have a "sore back" for a day or two. This is due to the mechanical process of needle insertion as well as initial irritation form the steroid itself. You should start noticing pain relief starting the 3rd day or so.

Videos about how Epidural can help:
How Spinal Injections Treat Back Pain
Epidural Steroid Injections for Back Pain and Leg Pain Video


If you have any other questions or concerns please ask our doctor:





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