Epidural Injections Specialist Q&A
If you are suffering from chronic back pain then visit Advanced Pain Management in Oklahoma City, OK. Our professionals are experts in treating chronic back pain with epidural injections. We are conveniently located at 5252 N Meridian Suite 101, Oklahoma City, OK 73112. For more information, please call us or schedule an appointment online.
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Dura mater is a thick, protective layer of connective tissue that surrounds the spinal cord as well as the brain. It is the outermost layer of this connective tissue, encompassing both the arachnoid mater and pia mater. For decades, anesthesiologists have administered pain-relieving medication into this region of the spinal column, which is known as an epidural (‘epi-‘ meaning ‘upon,’ and ‘dural’ referring to ‘dura’).
Epidural injections are used to treat back pain stemming from a number of different causes, including sciatica, a herniated disc (slipped disc), spinal stenosis, and lumbar radiculopathy. Corticosteroids are strong anti-inflammatory medications that can significantly reduce back and leg pain and discomfort caused by inflammation around an irritated nerve. Epidural injections can also treat the following conditions:
– Pinched nerve
– Pain radiating from the spine
Epidural steroid injections deliver an anti-inflammatory medication to the area of concern in the spine. Injected medications can vary in volume and concentration on an individual basis and may include local anesthetics, steroids, and/or saline.
In the lumbosacral spine, three routes may be used for epidural injections:
– caudal (near the tailbone)
– interlaminar (also known as translaminar)
Based on the diagnosis and history of prior surgeries, the administering physician will choose which method is right for the patient.
– A caudal injection is the simplest method to enter the epidural space, however it is also the least specific. This route can be useful if post-surgical changes prevent other approaches or if multiple areas of the spine are involved.
– An interlaminar (or translaminar) injection can treat multiple levels at once, can be targeted to one side or the other, and delivers the medication directly into the epidural space at the affected level.
– A transforaminal injection is the usual first choice approach for an epidural injection as it delivers the medication to the area where the specific affected nerve root exits the spine.
The efficacy of an epidural injection varies from patient to patient and depends on several factors, such as the condition being treated; the severity of the condition being treated; the location of the pain; and what treatments have been effective in the past. Epidural injection for back pain may have some of the following benefits, including Effective pain reduction (50–83% improvement in pain); Decrease in the surgical intervention (in up to 80% of patients); Decrease functional disability.
Epidural injections may not be right for everyone; individual results will vary and are not guaranteed, even if these injections have provided relief in the past.
Epidural injections can provide immediate relief. Instant relief is provided by the local anesthetic, which quickly reduces pain. To reduce inflammation in the area caused by the condition, the corticosteroids in the injection will work within a couple of days to a week. If patients begin their physical therapy program shortly after pain relief has been achieved, the lumbar epidural steroid injection recovery time is reduced. If an individual experience worsening pain after the injection, to help relieve this pain they are advised to use anti-inflammatory medication and apply cold and ice packs to the injection site. If you are experiencing back pain and other treatment methods have failed to provide relief, come to Advanced Pain Management today. Our kind and caring professionals specialize in administering epidural injections and can help you find relief from your pain. Call us today to book an appointment to meet with our epidural injection specialist, or visit our clinic conveniently located at 5252 N Meridian Ave Suite 101, Oklahoma City, OK 73112. We serve patients from Oklahoma City OK, Valley Brook OK, Del City OK, Midwest City OK, Nichols Hills OK, Moore OK, and Smith Village OK. We look forward to serving you!