YOU MUST ALWAYS ARRANGE FOR SOMEONE TO ACCOMPANY YOU FROM HOSPITAL AFTER THE PROCEDURE AND TO BE AVAILABLE FOR YOUR CARE FOR 24 HOURS AFTERWARDS
- Morning appointment - nil food by mouth for six hours
- Afternoon appointment - you may have breakfast
Patient information leaflet no. 1
Epidural Steroid Injection
Epidural steroid injections provide diagnostic information and pain relief by using a small needle to deliver local anaesthetic and anti-inflammatory steroid medications onto the surface of the spinal column.
This procedure may reduce inflammation, resulting in long-term pain relief; it also provides valuable information on the source of your pain.
You will be asked to lie flat on your front and a pillow will be placed under your pelvis.
You will receive deep intravenous sedation during the procedure and I will also numb the skin and deeper tissues with a local anaesthetic prior to inserting the needle into the epidural space at the bottom of your spine. The procedure is done under X-ray control in order to increase its accuracy and routinely inject a radio-opaque dye.
It is very important to tell me if you are allergic to Iodine or to seafood, as in these cases, it would be safer not to inject the dye.
The medications will be injected next, which may create a brief pressure-like sensation.
Due to the effects of certain medications, your driving reflexes may be impaired, consequently you will need someone to drive you home after the procedure, so please make the necessary arrangements in advance.
- If you are on specific blood thinning medications (e.g. Warfarin or Plavix), Aspirin or Anti-inflammatory drugs (e.g. Ibuprofen, Diclofenac) you should ensure that you let my secretary know as soon as possible on 020 8504 4816
Possible complications include infection, drop in blood pressure (treated by intravenous fluids) and inability to pass urine for a few hours (treated by inserting a catheter).
Your legs may be numb and heavy for a few hours - this is normal and harmless!