We note these studies not to discourage you from undergoing epidural steroid injections, but rather to help foster well-rounded discussions with your doctor. These injections have been shown to provide excellent pain relief in many patients (particularly those who have had symptoms for less than 3 months, not had a previous spine surgery, are younger than 60 years, and don’t smoke). However, epidural steroid injections are not magic bullets. Before starting injection therapy, talk to your doctor about the specific risks and benefits for you.
The patient is made to lie, face down on the procedure table. In some instances, a pillow is placed under the abdomen area to ensure a curved lumbar area for easier access of the foramen. A numbing medicine of local anesthetic is given to the patient to numb the tissue and skin to be injected. Next, a contract dye comes after to make sure that the actual medication hits the correct targeted nerves. Through the guidance of an x-ray, a steroid medication is placed around the specific nerve causing the pain or the problem. The injection will be withdrawn and the patient is made to rest for 20-30 minutes for observation and feedback.