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Epidural steroid injections

The term ‘epidural steroid injections’ is defined as injections of long lasting steroid into the epidural space. The epidural space is the outermost part of the spinal canal and is made up of spinal nerve roots, small arteries, lymphatics, loose fatty tissue, and the epidural venous plexus.

During epidural steroid injections, an x-ray is sometimes utilized. When x-ray is used during epidural steroid injections, the patient is asked to lie flat and face down on x-ray table. The use of x-ray in epidural steroid injections aids in the accuracy of the procedure.  The session typically lasts for about 15 to 20 minutes and, if needed, light sedation may be used. This therapy is usually carried out in a series of injections, usually three injection sessions with each injection spaced a week apart.

Epidural steroid injections may be administered by different health professionals. Neurologists, anesthesiologists, orthopedic surgeons, and interventional radiologists are trained to carry out epidural steroid injections.

Epidural steroid injections are generally safe, and the most common complications arising from this kind of therapy are bleeding and infection. Bleeding has a high probability of occurring during epidural steroid injections if the patient has pre-existing bleeding disorders or is using blood-thinning medication. Infection may arise if the procedure is carried out under unsterile technique.