Epidural steroid injections and diabetes

The best reason to have an epidural steroid injection is not for the relief of back pain, but rather for the relief of leg pain caused by spinal nerve compression. Often called sciatica , leg pain caused by nerve irritation is the best reason to have an epidural. These symptoms can be caused by disc herniations or spinal stenosis . We know very well, that general low back pain symptoms are not well treated with an epidural steroid injection, and this should be avoided as a treatment for this type of pain. Back pain is not a good reason to have an epidural injection. 

Cervical epidural steroid injection procedures are injections administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine. Conditions such as herniated discs, spinal stenosis or arthritis can compress and pinch nerves, causing inflammation and pain. The cervical epidural steroid injection procedure involves injections into the surrounding area that help with pinched nerve pain management and decrease the swelling of the inflamed or pinched nerve(s), in addition to reducing inflammation. Although rare, risks of the cervical epidural steroid injection procedure may include infection, allergic reaction to the medication, spinal headache, nerve damage, and prolonged increase in pain.

Those patients who still have some residual pain after the first injection should receive a second and third injection and patients who did not get any benefit from the first injection should not receive another one. Patient selection is very important in deciding on the type of injections patients should receive. Transforaminal injections (different approach to the epidural space) may produce longer pain relief and may also predict whether a patient might benefit from surgery or not (for details, see review McLain et al, Spine Journal 2005). For patients with the diagnosis of lumbar canal stenosis, improvement after such injections may be longer lasting than it was initially thought (Kapural et al., 2005).

Some side effects associated with spinal puncture include bruising, bleeding, infections, headaches, and blood clots. Cortisone side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. Epidural steroid injections can provide diagnostic and therapeutic benefits. ESIs have been endorsed by the North American Spine Society and the Agency for Healthcare Research and Quality of the Department of Health and Human Services. Discuss this procedure with your friendly and caring doctor at the Florida Spine Institute to determine whether it is the right treatment for you.

An epidural steroid injection (ESI) is a procedure that can be done to help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. An epidural steroid injection can be performed to relieve pain due to spondylolysis, spinal stenosis, or disc herniation. Medicines are delivered to the spinal nerves through the epidural space, the area between the protective covering of the spinal cord and vertebrae. Steroid injections can reduce inflammation and are effective when delivered into the painful area. Epidural steroid injections can also help determine if surgery might be beneficial for pain associated with a herniated disc. Many patients experience pain relief from multiple injections. Pain relief from injections may last for several days or even several years. There are 4 areas an ESI can be performed on. A cervical epidural steroid injection is performed for pain associated with the neck, shoulder, and arms. A thoracic epidural steroid injection can be performed to gain relief from pain in the mid-back or the rib cage. A lumbar epidural steroid injection is done for many forms of low back pain and leg pain. The caudal epidural steroid injection is located at the base of the spine, above the tailbone. It is also performed to alleviate low back pain and leg pain. The caudal approach is especially useful in those patients who have previously undergone low back surgery. This approach is also optimal in patients who are anti-coagulated. With few risks, epidural steroid injections are considered an appropriate non-surgical treatment.

Epidural steroid injections and diabetes

epidural steroid injections and diabetes

Some side effects associated with spinal puncture include bruising, bleeding, infections, headaches, and blood clots. Cortisone side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. Epidural steroid injections can provide diagnostic and therapeutic benefits. ESIs have been endorsed by the North American Spine Society and the Agency for Healthcare Research and Quality of the Department of Health and Human Services. Discuss this procedure with your friendly and caring doctor at the Florida Spine Institute to determine whether it is the right treatment for you.

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