Epidural steroid shot recovery

Unfortunately, steroid medications also have an ugly side that limits their use. Too many injections with steroids can lead to serious problems in the surrounding tissues. Ligaments and muscles become weakened by long-term exposure to steroids. Additionally, steroids can cause some serious hormonal problems in the body. Because of the temporary and limited benefits of epidural steroid injections, other types of treatments are necessary in conjunction with this quick-fix for neurogenic pain. Even with an injection, one cannot avoid the necessity for regular exercise, good nutrition, and good health. But, those things take time to relieve pain. With spinal injections, a person can buy enough time to get the slower-acting treatments in place. For now, epidural steroids will continue to be a mainstay treatment for neurogenic pain because the realized and potential benefits continue to outweigh the costs and risks.

What is cortisone?
It is a hormone produced by a small gland on top of the kidney called the adrenal gland. It is essential to the proper functioning of your body, particularly when under stress. Its absence is known as Addison's Disease, which without treatment is fatal. Cortisone is a normal body product therefore; there are no allergic reactions. In cases of people with severe allergies, it is one of our most effective treatment tools. Cortisone by itself is rarely used today as it is relatively short acting and of low potency. Semi-artificial cortisone derivatives, such as DepoMedrol, Celestone, Kenalog, and a number of others, are used with increased benefits and fewer side effects.

As mentioned above, there may be more than one spinal structure causing your spine pain.  Sometimes, there are multiple causes for your spine pain or radiculopathy.  In this case, Dr. Lee may recommend alternative treatment options or steriod injections.  For example, if your sciatica/leg pain or hand pain improves with epidural steroid injection but you still have low back pain or neck pain, you may benefit from facet joint injections.  But, whatever the case, you will need further evaluation by Dr. Lee to decide on further treatment.  Remember that there are multiple treatments available now for pain and just because one method yielded partial or no response DOES NOT necessarily mean you will “just have to live with the pain”!

Radiculopathy occurs when something irritates a spinal nerve—say a “slipped disc” causing a pinched nerve. This is also called sciatica . There are resident stem and other cells in the local tissues everywhere in our body. Many live around blood vessels. These are obviously also present in the disc and nerves in the epidural space and they usually play an important role in suppressing inflammation and repairing damage. We know, based on a copious in vitro (lab) data, that the high-dose steroids used in epidural injections can kill these cells. So the progression of the series of epidural steroid injections looks a little something like this:

Epidural steroid shot recovery

epidural steroid shot recovery

Radiculopathy occurs when something irritates a spinal nerve—say a “slipped disc” causing a pinched nerve. This is also called sciatica . There are resident stem and other cells in the local tissues everywhere in our body. Many live around blood vessels. These are obviously also present in the disc and nerves in the epidural space and they usually play an important role in suppressing inflammation and repairing damage. We know, based on a copious in vitro (lab) data, that the high-dose steroids used in epidural injections can kill these cells. So the progression of the series of epidural steroid injections looks a little something like this:

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