Epidural Steroid Injections

The one word there I’m sure you understand is Injections, medicine pushed in with a syringe. You need to know a little more.

“Epidural” means outside the Dura. That is the thick, tough, fibrous tube that surrounds the spinal cord and the nerves inside the spine. In adults the spinal cord ends at the upper edge of the second lumbar vertebral body (high in the small of the back) and a loose bundle of nerves descends below it. All of this is inside the spine, in the spinal canal. The epidural space is just outside the dura. Medicines injected there either diffuse through the dura one molecule at a time, or spread around it to get to the nerves.

Steroid means a corticosteroid drug, something with effects like cortisone.

These injections are done under local anesthesia and usually under x-ray guidance. When the needle is properly placed the medicine is injected and the needle is removed. dbol canada That’s all for that day.

The biggest problem with these injections is that they often don’t relieve your pain. Some doctors recommend a series of three of these, fairly close together, perhaps a week apart.

I have a problem with that idea. My experience has shown me that if the first injection doesn’t work, the second or third is not likely to work either. I personally think that physicians who recommend these injections in series of three are more interested in their bank accounts than in patient benefit.

When they work, they’re wonderful. When they don’t, don’t keep doing them!

The danger of these injections is usually very little. In diabetics they can mess up blood sugar control for a couple of weeks. The steroid drugs do cause an increase in appetite. They can also raise your blood pressure some. Fortunately, these effects usually go away after a couple of weeks.

Leave a Reply

Your email address will not be published. Required fields are marked *