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Lumbar Epidural Steroid Injections
Les Payne
September 11, 2023
The #1 Treatment for Sciatica and Pinched Nerves in the Low Back
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Here is what you can expect from today’s edition:
Lumbar Epidural Steroid Injections Explained
What to expect when you get a lumbar epidural steroid injection
News: Chronic pain is more common than diabetes or depression
Lumbar Epidural Steroid Injections Explained
Lumbar epidural steroid injections (LESIs) are a medical procedure commonly used to manage various types of lower back pain, especially when it is associated with inflammation or irritation of spinal nerves. These injections are typically performed by an interventional pain specialist, such as an anesthesiologist or a pain management physician.
Lumbar epidural steroid injections relieve pain and inflammation in the lower back, typically in the lumbar region of the spine. They can be effective for a range of conditions, including herniated discs, spinal stenosis, sciatica, and radiculopathy. The injection contains a corticosteroid medication, such as dexamethasone or methylprednisolone. These steroids have powerful anti-inflammatory properties and can help reduce swelling and inflammation around the nerves of the spine. This alleviates pressure on the nerves and improves painful symptoms in the back and legs.
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What to Expect When You Get a Lumbar Epidural Steroid Injection
Procedure:
A lumbar epidural steroid injection is typically an outpatient procedure that takes about 15 minutes to complete. Sedation is often offered for the procedure. The patient typically lies on their stomach or side on an X-ray table. The skin over the lower back is cleaned, and a local anesthetic is administered to numb the area. Using X-ray guidance (fluoroscopy) to ensure precise needle placement, a thin needle is inserted into the back in the lumbar region and the medication is injected. The injected medication spreads throughout the desired treatment area, bathing the affected spinal nerves and reducing inflammation.
Duration of Relief:
The effects of a lumbar epidural steroid injection can vary from person to person. Some people experience significant pain relief for several weeks to months, while others may get only temporary relief or no relief at all. An average response is typically about 3-4 months.
Risks and Side Effects:
While lumbar epidural steroid injections are generally considered safe, there are potential risks and side effects. These risks and side effects are rare but include infection, bleeding, nerve damage, temporary increases in pain, or allergic reactions to the medications used.
Post-Injection Care:
After the procedure, patients may need to rest for a short period and they should avoid strenuous activities for a day or two.
It's important to note that lumbar epidural steroid injections are not a permanent solution for back pain and sciatica but can be a valuable part of a comprehensive pain management plan. The effectiveness of these injections may vary from person to person, and their use should be carefully considered in consultation with a healthcare provider, taking into account the individual's specific condition and medical history.
Ask your doctor if you are a candidate for a Lumbar Epidural Steroid Injection for treatment of your low back pain or sciatica pain in the leg.
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About the Author
Les is an invaluable member of the team! He is the Lead Writer for the Field Guide to Back and Neck Pain newsletter. However, Les Payne is just a Pen Name to protect the identity of our expert Lead Writer who is an actively practicing, board-certified expert in the treatment and prevention of back and neck pain as well as other acute and chronic pain conditions. He has years of experience in this field and has treated over 15,000 patients with pain of all kinds!
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