Close
Your Cart Is Empty
$500 and above Free Shipping

What is The Success Rate of Epidural Steroid Injections?

What is The Success Rate of Epidural Steroid Injections?

What is The Success Rate of Epidural Steroid Injections?

Epidural steroid injection, in its current form, is a non-surgical interventional pain treatment application used to relieve pain caused by nerve compression and stimulation in the neck, arm, waist and leg regions.  It is used to control or alleviate pain in cases such as disc herniation, lumbar and neck hernia, slipped disc and narrow spinal canal. With epidural injection, a drug mixture containing a long-lasting depot steroid and a local anesthetic is applied around the damaged spinal nerve through the epidural space to provide relief in the early period and prevent reflex activity afterward. The main purpose of epidural steroid injection is to relieve the pain, to ensure that the patient returns to his normal life and to participate in the physical therapy and exercise program painlessly, if necessary. After epidural steroid administration, the effect varies from patient to patient. In addition, interventions made within the first six months after the onset of the problem provide improvement in 85-90% of patients with newly started symptoms and do not require further treatment; In later cases, 55-70% of patients provide relief for 2 months to 1.5 years or more. Epidural steroid injection may be known as. The injection contains a long-acting depot steroid and an agent that can be used as a local anesthetic. Through the epidural space, the drug reaches the pinched or affected spinal nerve and relieves pain by reducing or even eliminating the inflammation and edema in that area, eliminating pressure and interaction on the nerve. Epidural steroid injection is the administration of cortisone-type drugs with strong anti-inflammatory effects into the spinal canal. It is a procedure that has been used in the treatment of various pains originating from the spine for 40 years in the world, providing good results and minimal side effects. Epidural steroid injection is performed under completely sterile and aseptic conditions in operating room conditions by anesthesiologists who have received pain management training, who are capable of performing epidural and transforaminal interventions under the control of C-arm fluoroscopy and performing all medical follow-up.
In a small number of patients who do not improve, the procedure can be repeated. The generally accepted amount is that the procedure can be applied 3 times in a few months. The procedure is performed under local anesthesia and also by giving sedation drugs to the patient. The patient does not feel pain during the procedure. If you have flu, sinusitis or a similar infection that started on the day of the intervention or started before, or if you have a high fever even if the cause has not been determined, be sure to inform your doctor before the intervention. Anticoagulant drugs used in special cases should also be discontinued at least 1 week in advance, after you consult the physician who recommended you to use these drugs and get the physician's approval. The improvement in low back pain complaint after the application takes place in a few days to two weeks after the procedure. Bed rest is recommended the day after the procedure. The improvement should not be expected to occur immediately as soon as the action is taken. Generally, patients show improvement enough to be able to perform many challenging activities that they could not do before. Being completely hungry and dehydrated from 5 hours before the intervention; you must not have taken any solid-liquid food, water and tea. Otherwise, side effects may occur. If you have heart, diabetes or blood pressure medicine and similar medicines that you need to use continuously, you should definitely talk to your doctor and ask how you should take the medicines. The purpose of epidural steroid injection is to deliver the drug to the closest point to the area that causes pain. The procedure is performed completely sterile and aseptically in the operating room and operating conditions, under continuous imaging with a C-arm fluoroscopy. There is no need for general anesthesia, that is, for the patient to be put to sleep with narcosis during the procedure. However, this may change depending on the situation or demand. The application takes approximately 15 – 45 minutes. First of all, the patient should be prepared for this intervention. This injection is an outpatient procedure, meaning that most patients do not need to be hospitalized before or after the injection. The patient is prepared for the injection by coming 15 minutes before the intervention time. Blood pressure and blood oxygen levels are constantly monitored by the anesthesiologist through monitors. The patient is sedated with sedatives and anti-anxiety medications by the anesthesiologist. After that, the injection is applied. The area to be operated is numbed with a thin needle. After that, the area where the skin injection is planned is entered with a special needle under continuous imaging with computer-assisted C-arm fluoroscopy. And the needle is advanced into the epidural space under continuous monitoring. After this injection is performed, the patient rests for a long time in the recovery room for 1.5 - 3 hours. After the injection, there may be pain in the lower back and temporary numbness and pain in the leg where the intervention was made. Pain that subsides or goes away after the intervention may start again within 5-6 hours. The reason for this situation is that the effect of local anesthesia has disappeared. The main effect of the long-estered steroid reaches the desired level within 24-48 hours and the patient's pain begins to disappear within 12-24 hours. It is recommended to rest on the day of practice. On other days, movements that will force the waist and neck excessively should be avoided. A positive response is obtained in 75-90% of the patients whose complaints started within months and who were intervened in the early period at the end of this situation. And in a high part of it, the complaints can disappear completely. Depending on the patient's response, the injection can be repeated after 2 weeks. However, a maximum of 2 injections per month is recommended. In patients, well-being can be achieved for a period of 6 months to 2 years or more. Much stronger and relaxing effects are seen in patients who protect their waist and neck after the injection and do exercise and physical therapy movements.