CERVICAL EPIDURAL STEROID INJECTIONS


GENERAL INFORMATION:  An epidural steroid injection may be used to
help reduce the pain caused by a number of spinal disorders.  The
medicine used in the injection is usually a combination of local
anesthetic, saline, and a steroid.  The patient may be positioned sitting
up or lying laterally or prone on a bed.  The physician may or may not
use an x-ray machine called a fluoroscope to determine the positioning
of the needle during the procedure.

POTENTIAL SIDE EFFECTS:  There is a very small risk of stroke
associated with cervical epidural injections.  Although the complication
rates are extremely low, the spinal cord and major arteries are located
near the injection site which increases the risk for stroke from injections
in the neck area.  Numbness or weakness in the arms and hands can
occur during or after the procedure.  In addition to blocking the nerves
that cause pain, the local anesthetic placed in the epidural space can
block other types of nerves as well.  This generally only lasts a few
hours.  You should notify your physician immediately of symptoms
lasting more than 24 hours.  Post-dural puncture headache is a type of
headache that is caused when the dura is punctured causing the spinal
fluid to leak.  This headache is characterized by exacerbation when the
patient raises his or her head above the lying position.  It may last for
several days or longer.  It can be resolved with treatment.  If this
happens, please contact your physician immediately or go to the
emergency room.  Steroid administration can cause side effects such as
flushing in the face or chest, elevated blood pressure, and elevated
blood sugars (especially in diabetic patients).  Bleeding and infection are
also known to be potential side effects.

ADDITIONAL INFORMATION:  Your pain may become worse for 24-48
hours.  The medication used to treat your pain has been deposited into a
tight space and this may cause increased swelling and irritation around
already inflamed nerves in the epidural space.  You may have soreness
at the injection site for 24-48 hours.  Avoid applying heat to the area
during this time as this will increase swelling.  Use ice 20 minutes on and
20 minutes off as needed until the soreness subsides.  If any redness or
fever occurs, contact your physician immediately.  Additional injections
may be needed to get your pain under control initially.  You may be
asked to repeat the injection in as soon as 7-10 days.  If you still have
pain one week after you have received an injection and you do not have
an appointment scheduled, contact your physician for instructions.  The
amount of steroid each patient may safely receive each calender year
varies.  Your physician will determine what amount is appropriate for you
and alert you if you are reaching the maximum dose you may receive.


OUR GOAL:  At Pinkerton Pain Therapy, our goal is to use interventional
pain management to get you comfortable so that you are able to
EXERCISE and do your daily activities.  We believe that exercise is an
important part of maintaining a healthy lifestyle and has been shown to
be extremely beneficial for patients suffering from back pain.
www.pinkertonpain.com
Phone: 417-781-PAIN (7246)
Pinkerton Pain Therapy, LLC
3126 Wisconsin Avenue
Joplin, MO 64804
PINKERTON PAIN THERAPY, LLC
We want to get you Back in the Game  of life!
This website is not intended as medical advice.
CERVICAL EPIDURAL STEROID INJECTION