How will you benefit?
An injection is not a cure for pain but can reduce pain, break the pain cycle, and help you tolerate activities that could not be performed before. Some people may feel more relief from an injection than others. The main goal of the epidural injection is to shrink the swelling in bulging or herniated discs and to decrease any inflammation that surrounds the disc and may be pressing on a spinal nerve.
How do I prepare before the injection?
- Do not eat or drink anything 6 hours before injection.
- Arrange for a responsible adult to drive you home afterward.
- Please inform us if you are taking any blood thinners or aspirin.
What will happen during the injection?
- The injection takes approximately 15 minutes but extra time is needed to get ready.
- You may be given medicine before the injection to help you relax.
- Your blood pressure, pulse, and respiration will be monitored.
- You will be asked to lie on your stomach.
- The injection is done under sterile technique.
- Fluoroscopy (x-ray) will be used to determine injection site.
- A local anesthetic and anti-inflammatory will be injected.
What are the risks and complications?
- Spinal headache
- Bleeding (rare)
- Infection (rare)
- Numbness to legs (temporary)
What do I do after the injection?
If there is improvement from the epidural, it likely will occur over the next several days to two weeks and should not be expected immediately. You are advised to rest on the day of the epidural but you may walk around at home if you feel you are up to it. By the next day, previous activities can be resumed. You also may be referred to have physical therapy if significant improvement is achieved. Avoid activities that may strain your back.
