Epidural injection for back pain
epidural injection · epidural steroid injection · spinal block · spine injection for pain · epidural block
The doctor injects an anti-inflammatory medicine next to a nerve in the spine. This reduces back and leg pain.
For back pain that spreads into the leg or arm, for example with a slipped disc, when pills and exercise help little.
⏱ Duration: the procedure usually takes 15 to 30 minutes, with about 30 to 60 minutes of observation afterward
Be sure to tell your doctor
How to prepare
- Images. Bring your spine MRI or CT, which the doctor uses to choose the injection site.
- Food. Usually you can have a light breakfast. If sedation is planned, check with the clinic.
- Ride. It is better to have someone take you home, since your leg may be temporarily numb.
What to bring
- The referral and your MRI or CT images
- An ID
- A list of your medicines
How it goes
- You lie on your stomach or sit
- The skin on your back is cleaned and numbed
- Under X-ray or ultrasound, the doctor inserts a thin needle
- A little contrast is given to check the spot
- The medicine is injected, the needle is removed, and a plaster is put on
What you'll feel
- The numbing injection stings
- Pressure or fullness in the back, sometimes spreading into the leg
- Your leg may temporarily go numb or weak
Afterwards
- Take it easy today, and it is better not to drive
- The effect usually comes in a few days
- Sometimes the pain is even a little worse in the first days
- Keep doing your exercises as your doctor advised
Contact a doctor straight away if
- A severe headache that eases when lying down
- A fever over 38°C (100.4°F), or redness at the injection site
- Growing weakness in the legs or numbness in the groin: call emergency services
- You cannot pass urine or hold it: call emergency services
Common questions
How long does the effect last?
It varies, from a few weeks to months. For some people the effect is weak.
How many of these injections can I have?
The number is limited. Your doctor decides based on the result.