Back, Muscle and Joint Pain Specialists

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Epidural Injections

Epidural Injections

This is an anti -inflammatory cortisone injection into the lower part of the back known as the lumbar spine. Epidural injections can be between the vertebrae (interlaminar epidural), near the tailbone (caudal epidural) or around the nerves (nerve block, nerve root injection or transforaminal epidural injection).   The purpose of the injection is to carry the steroid mixed with saline or local anaesthetic to the epidural space where the disc or joint is causing pressure or irritation of the nerves.  The drug will work to reduce swelling and pain.

What are Epidural Injections used for?

Epidural injections are for low back pain particularly when the pain is felt in your leg or foot. Research has shown the benefit of epidural steroid injections in reducing pain and swelling around irritated nerves in the back. Once the pain is under control a graduated programme of exercises under the supervision of our practitioners will optimise your long-term recovery.

Frequently asked questions about Epidural Injections

You will have a thorough assessment to see if this treatment is appropriate and the treatment will be explained to you.  You will be taken to our fluoroscopy theatre so the doctor can use the x ray or ultrasound equipment for guidance in placing the needle. You may lie on your front, side or be asked to sit on the side of the couch. You may feel some pressure as the local anaesthetic and steroid is injected. You will need someone to take you home after the procedure as you should not drive for the rest of the day.

In the majority of cases it is not a painful procedure. You may experience some feelings of pressure as the fluid is pushed in. The doctor can administer extra pain relief if you do feel pain and will ask you throughout the procedure if you are ok and coping with the treatment. You will be monitored closely at all times and will rest for at least 20 minutes before going home.

If the pain relief is short lived but significant the epidural may be repeated to give a longer lasting effect so do not be too disappointed if the pain relief is incomplete or eventually returns after the first injection. It can be repeated after three weeks and occasionally after that if necessary.

You may experience pain relief straight away which could last for a few hours. This is due to the anaesthetic. It usually takes the steroid about a week to take effect. The pain relief should allow you to gradually increase your activities and you will need to come for physio at Blackberry Clinic within two weeks of your injection so your progress can be monitored.

Clinicians offering Epidural Injections

  • All
  • Aberdeen
  • Brighton
  • Croydon
  • Exeter
  • Guildford
  • Fareham
  • Ipswich
  • Lichfield
  • Milton Keynes
  • Oxford
  • Birmingham
  • Worcestor
All
  • All
  • Aberdeen
  • Brighton
  • Croydon
  • Exeter
  • Guildford
  • Fareham
  • Ipswich
  • Lichfield
  • Milton Keynes
  • Oxford
  • Birmingham
  • Worcestor
simon petrides

Dr Simon Petrides

Medical Director, Musculoskeletal & Sports Medicine Doctor
Milton Keynes

Dr Tom Saw

Musculoskeletal & Sports Medicine Doctor
Oxford & Birmingham

Dr Jeff Foster

Consultant in Sport, Exercise & Musculoskeletal Medicine
Fareham

Dr Ramy Mansour

Consultant Radiologist
Oxford

Dr Meera Tewani

Musculoskeletal & Pain Medicine Consultant
Milton Keynes & Birmingham

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