Epidural Injections

Epidural Injections consist of injecting anti-inflammatory medication around the spinal cord to help reduce back pain and inflammation.  Before this procedure, a CT Scan or MRI may be performed to isolate the cause of pain and inflammation. Fluoroscopy or x-ray guidance is also used to help guide the needle.  This allows for greater accuracy in locating specific areas along the spinal cord for needed treatment, such as a pinched nerve. The injection can be performed under conscious sedation and the area of the injection is numbed before the procedure.  After the procedure, mild tenderness may be felt for the first few days following the injection.
Conditions that an Epidural Injection may help treat are:

  • Spinal stenosis: A narrowing of the spinal canal and nerve root canal that can cause back and leg pain.
  • Spondylolysis: A weakness or fracture between the upper and lower facets of a vertebra in the spine.
  • Herniated disc: A disc is a jelly like material encased within a harder exterior. When the disc ruptures, it causes the jelly like substance to push through the exterior, irritating nerves causing pain and/or numbness.
  • Degenerative disc: A deterioration or wearing down of discs between the vertebrae, leading to pain and reducing the shock absorption in the back.
  • Sciatica: Pain that flows along the sciatic nerve pat down your lower back and through hips, buttocks and legs. This may cause inflammation and numbness.

 

Things to know before your procedure:

We require that you have a driver with you for after your procedure. It is helpful for patients to stop taking medication such as Plavix, Coumadin, and Aspirin (that delay the body’s coagulation ability prior to the procedure with your physician’s approval up to three days before the procedure.

Please tell the intake staff if you have any of the following:

  1. Abnormal bleeding time, or you are on blood thinners
  2. If you are pregnant
  3. If you have a skin infection over the site of the procedure
  4. Any medicine allergies
  5. If you have had this procedure before
  6. Any muscular weakness

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