An epidural injection
provides long-lasting relief for pain or inflammation in the spine or arms and
legs. If you have an appointment for epidural injection at the pain management
clinic in Utah, your pain specialist will
tell you how to prepare and advise you of any changes in your regular
medication plan. The doctor may ask you to not eat or drink anything for
several hours before the procedure. Talk to your pain management
specialist of the risks and precautions if you are
pregnant.
What Is An Epidural Injection?
An epidural injection
is an injection of medications taken around the spinal cord. This space is
known as the epidural space. The epidural injected around this space provides temporary
or prolonged relief from pain or inflammation. If you do not know about the
epidural space; it is basically the outermost part of the vertebral canal.
Steroids, anaesthetics and anti-inflammatory medications are usually given by
epidural injection.
The injection itself
is given with a syringe very similar to the one used for a routine vaccine. The
doctor fills the syringe with medication taken from a small vial. The type of
medication used depends on the individual needs of each patient. The injection can
reduce pain and swelling in and around the nerve roots of the spine, and around
damaged nerves that may heal over time.
Fluoroscopy (multiple
x-ray images) or computed tomography (CT or CT scan), can be used to help
the pain management specialist place the needle precisely in
the right place to target the specific area that is causing the pain.
What Are Some Common Uses Of This Procedure?
An epidural injection
is one among many methods used by pain management
specialist to relieve pain, along with physical therapy, oral medications
and surgery, when a patient is not responding to conservative treatments.
An Epidural Injection Can Be Used To Relieve Pain Caused By:
- A herniated or swollen disc that compresses nerves
causing pain
- Vertebral stenosis (narrowing of the spinal canal)
- Postoperative surgical syndrome of "failed
back" (chronic back or leg pain after spine surgery)
- Other injuries to the vertebral nerves, the vertebra
and surrounding tissues
- Bone spurs
- A herniated or swollen disc that compresses nerves
causing pain
How Should I Prepare?
You will receive specific
instructions on how you should prepare, including any changes that should be
made in your usual medication schedule.
- You may be asked not to eat or avoid drinking any
liquid for several hours before the procedure, to avoid stomach problems
after the injection, or because in some centers they may offer sedation
during the procedure.
- You will have to wear a hospital gown during the
procedure.
- You will probably be asked to go to the bathroom before
the procedure.
- Then one stays face down or sideways on special
fluoroscopy or CT table that provides the doctor with easy access to
inject.
- A nurse and / or a technologist will help you feel as
comfortable as possible, during and after the procedure.
- Ask someone to take you home once the procedure is
over.
Benefits
- Temporary or prolonged pain relief
- Temporary or prolonged reduction from inflammation in
the spine that causes pain
- Improved ability to perform daily life activities
without the restrictions previously caused by pain
- It can help confirm the origin of pain
- It could reduce the need for invasive procedures.
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