Lumbar epidural steroid injection painful

Lumbar steroid injections actually have two primary functions. These include pain management and the ability to be used as a diagnostic tool. In particular, if medication is injected into a specific region (. lumbar region) and the pain stops, then the cause of the pain can be accurately identified. This also indicates that the pain was the result of inflamed nerves. Based on the therapeutic results, a physician will then decide whether to recommend additional injections, physical therapy, or refer the patient to a surgeon for a more thorough evaluation if the injection did not produce positive outcomes.

Next, the physician uses a special real-time x-ray, known as a fluoroscope, to guide the needle to the correct location. This helps deliver the steroid medication as closely as possible to the aggravated and inflamed nerve root. Once the contrast dye is injected to locate the exact area, the physician will then inject a combination of anesthetic and a long-lasting steroid medication into the epidural space of the lumbar area. At the conclusion of the procedure, a band-aid is placed on the area of the injection. The procedure takes approximately fifteen minutes. Patients typically feel the pain-relieving benefits within a couple of days after the injection.

A local anesthetic will be injected into your skin to make it numb. The epidural needle will be inserted through the numbed skin and slowly advanced into the epidural space using fluoroscopy (live X-rays) to guide the needle. Once the needle is in the epidural space, a small amount of contrast will be injected under live X-ray to ensure that the medication will spread properly. After this, the corticosteroid will be slowly injected into the epidural space. Once the injection is complete, the needle will be withdrawn and a dressing will be placed over the injection site.

Sciatica is merely a symptom of a problem—of something compressing or irritating the nerve roots that comprise the sciatic nerve—rather than an actual medical diagnosis or medical disorder. This is an important distinction because it is the underlying diagnosis that often needs to be treated so that sciatic nerve pain can be eliminated. Common causes of sciatica are spinal stenosis, degenerative disc disease, lumbar herniated disc or spondylolisthesis. Sciatica occurs most frequently in people between 30 and 50 years of age. Most often a particular event or injury does not cause sciatica.  Sciatica tends to develop as a result of usual wear and tear on of the lower spine and its structures.

Lumbar epidural steroid injection painful

lumbar epidural steroid injection painful

Sciatica is merely a symptom of a problem—of something compressing or irritating the nerve roots that comprise the sciatic nerve—rather than an actual medical diagnosis or medical disorder. This is an important distinction because it is the underlying diagnosis that often needs to be treated so that sciatic nerve pain can be eliminated. Common causes of sciatica are spinal stenosis, degenerative disc disease, lumbar herniated disc or spondylolisthesis. Sciatica occurs most frequently in people between 30 and 50 years of age. Most often a particular event or injury does not cause sciatica.  Sciatica tends to develop as a result of usual wear and tear on of the lower spine and its structures.

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