Epidural injections can be performed from several different approaches; these include a caudal, interlaminar, or transforaminal approach. The approach your provider chooses is based on each individual patient’s clinical presentation, the personal preference and experience of the provider performing the injection, the desired outcome, and most importantly, the risks versus benefits of performing one type of epidural over another. Clinically, the purpose of all epidural injections is to place a mixture of steroid and local anesthetic at the source of the problem to decrease inflammation causing pain, and to promote healing and clinical improvement. The epidural steroid injection involves placing steroid medication in the inflamed area and significantly reduces nerve irritation thus improving pain. This treatment option has the potential to completely resolve pain and ultimately may prevent operative treatment.
This is awful,and you need to understand that it’s not you. My belief from what you described is there is real damage to you cord, muscles, and nerves at the location. I personally went in for a C4-5 bone graft, and was woke with a C4,5,6,7 cage installation, 2 different neck cuts to access the site, and in pain as if the surgery was still being 4th day of refusing to leave,unable too. On 5th day I was able to stand and walk loaded with alot of IV pain discharged me that evening, 9 days later I barely made it in for visit,4 weeks later i found myself being dismissed when unable to walk, speak, lose control of my urine. In short it was the beginning of nothing else I can do, to i won’t see you again, and had me removed using the police. This was back in Dec3,2013, now I’ve got narrowing of the spinal cord at every level of the c2,3,4,7, now same at the L1,2,3,4,and S1. Since this I’ve been provoked to no pain meds, always u need pain pump,i injections, and suffering until insane. If I had the chance to go back in time, I’d went to assisted living where they had to manage the pain, and rest until I got better. In short I went to Florida, done nothing but rest for 7 months before I got to this point of variable pain. They are slow killing is, and don’t care what you go through as they dont even remember you doctor visits. It was hard to except. My point is, Everytime I listen to them instead of my body, I was just a pitiful mess. You need to get with the best spine people and pray they can fix it, but don’t worry about getting back to normal or even the simplistic things as it will take you back to hell and it takes longer Everytime you have flare it up. I laid like a vegetable for 18 months before I figured it out. Now I’m in bad shape and they are offering only injections, I’m thinking really hard, shame they are not made to get you better. This is what’s going on with society today, they’ll have to answer one day. But you make sure your not stubborn like I was and demand treatment it takes and the proper care. I’m praying for you, and I hope we get this country on the right track again as well as the compassion for others comes back
As mentioned above, there may be more than one spinal structure causing your spine pain. Sometimes, there are multiple causes for your spine pain or radiculopathy. In this case, Dr. Lee may recommend alternative treatment options or steriod injections. For example, if your sciatica/leg pain or hand pain improves with epidural steroid injection but you still have low back pain or neck pain, you may benefit from facet joint injections. But, whatever the case, you will need further evaluation by Dr. Lee to decide on further treatment. Remember that there are multiple treatments available now for pain and just because one method yielded partial or no response DOES NOT necessarily mean you will “just have to live with the pain”!