Epidural
Epidural injections provide targeted and effective pain relief by delivering medication directly to the spinal nerves, reducing inflammation and discomfort at the source.
What is an Epidural?
An epidural is a specialized medical procedure in which pain-relieving medication is carefully injected into the epidural space surrounding the spine. This treatment is commonly used to manage severe or chronic back and leg pain, as well as to provide pain relief during childbirth.
The injected solution typically includes a combination of a local anesthetic to numb the area and a corticosteroid to reduce inflammation, working together to block pain signals from traveling to the brain and provide lasting comfort.
How an Epidural is Performed
During an epidural procedure at MVM Health, you will be positioned—either sitting or lying down—in a way that allows clear access to your lower back. The treatment area is then thoroughly cleaned and sterilized, and a local anesthetic is applied to numb the skin and ensure your comfort.
Using fluoroscopy (live X-ray guidance), your provider will precisely insert a thin needle into the epidural space of the spine and carefully administer the medication. This imaging technology allows for highly accurate placement, maximizing both safety and effectiveness. The entire procedure usually takes about 15 to 30 minutes to complete.
Understanding the Epidural Space
The epidural space is a soft, fat-filled area that surrounds the spinal cord and the nerves branching out from it. It lies just outside the dural sac, which protects the spinal cord and contains cerebrospinal fluid. When pain-relief medications such as local anesthetics or corticosteroids are injected into this space, they work by blocking pain signals from traveling through the affected nerves to the brain. The anesthetic provides immediate numbing of the targeted nerves,
while the corticosteroid reduces inflammation and swelling, offering both quick and long-lasting relief.This targeted approach makes epidural injections highly effective for treating conditions like herniated discs, spinal stenosis, and nerve root compression.
By addressing pain directly at its source, epidurals can significantly reduce discomfort, improve mobility, and help patients participate more comfortably in physical therapy or rehabilitation for lasting recovery.
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Next Steps After an Epidural
If pain returns after your epidural treatment, your provider at MVM Health may recommend additional epidural injections or explore other treatment options such as physical therapy or, in some cases, surgical interventions—depending on the underlying cause of your pain and how effective the initial injection was.
Pre-Op and Post-Op Instructions
PRE-OP
- Arrange transportation to and from your appointment, as you may experience temporary leg numbness or weakness after the procedure.
- Inform your physician about all current medications, especially blood thinners, as adjustments may be needed before your epidural.
- Follow any fasting guidelines provided by your healthcare team if sedation will be used during the procedure.
- Notify your doctor if you have any symptoms of infection or fever, as your procedure may need to be rescheduled for safety reasons.
Post-OP
- Rest for the remainder of the day, and avoid heavy lifting or strenuous activities for at least 24 hours after your injection.
- Mild soreness or tenderness at the injection site is normal and can be relieved with ice packs or over-the-counter pain medication.
- Watch for signs of infection or unusual symptoms, such as difficulty breathing, severe pain, or redness at the site, and contact your provider immediately if they occur.
- Attend your follow-up appointments as scheduled so your provider at MVM Health can evaluate your progress and determine whether additional treatments are needed for continued relief.
FAQ
What is an epidural steroid injection?
An epidural steroid injection is a non-surgical procedure in which a combination of a local anesthetic and a corticosteroid is delivered directly into the epidural space surrounding the spinal cord. It works by reducing inflammation and blocking pain signals before they reach the brain, providing targeted relief for back and leg pain.
What conditions can epidural injections treat?
Epidural injections are commonly used to treat herniated discs, spinal stenosis, sciatica, nerve root compression, degenerative disc disease, and chronic neck or back pain that has not responded to other conservative treatments such as physical therapy or oral medications.
Am I a good candidate for an epidural injection?
You may be a good candidate if you have persistent back or leg pain that has not improved with physical therapy or medication, and you do not have active infections, certain medication allergies, or bleeding disorders. A consultation with a pain specialist is the best way to determine whether this treatment is right for you.
How is the procedure performed?
You will be positioned sitting or lying down to allow access to your lower back. After the area is cleaned and a local anesthetic is applied, a thin needle is guided into the epidural space using fluoroscopy (live X-ray imaging) for precise placement. The medication is then carefully injected. The entire procedure typically takes 15 to 30 minutes.
Is the injection painful?
Most patients report only mild pressure or a brief pinching sensation during the procedure. A local anesthetic is applied beforehand to numb the skin and minimize discomfort, and the process is generally well-tolerated.
How long does an epidural injection take?
The procedure itself usually takes between 15 and 30 minutes from start to finish. You may spend additional time at the facility for preparation and a brief observation period before you are cleared to go home.
How soon will I feel pain relief after the injection?
Some patients notice improvements within a few days as the corticosteroid begins to reduce inflammation. The local anesthetic may provide temporary relief immediately after the procedure. Full effects typically develop within one to two weeks.
How long does the pain relief last?
The duration of relief varies from person to person and depends on the underlying condition. Many patients experience improvement lasting several weeks to several months. Your provider will monitor your progress and discuss follow-up options based on how well you respond.
How many injections will I need?
The number of injections depends on your individual response and treatment goals. Injections are generally spaced at least three months apart to limit cumulative steroid exposure. Your provider will recommend the appropriate number of sessions based on your progress.
What are the possible risks and side effects?
Epidural injections are considered safe and well-established, but as with any procedure, some risks exist. Temporary numbness, leg weakness, or soreness at the injection site are the most common side effects. Rare complications can include infection, bleeding, or a spinal headache. Your provider will review all potential risks with you prior to the procedure.
What should I do to prepare for my appointment?
You should arrange for someone to drive you to and from your appointment, as temporary leg numbness or weakness may occur. Inform your provider of all current medications – especially blood thinners – as adjustments may be needed. Follow any fasting instructions provided if sedation is used, and notify your doctor if you develop any fever or signs of infection before your scheduled date.
What can I expect during recovery after the injection?
Plan to rest for the remainder of the day following your procedure and avoid heavy lifting or strenuous activity for at least 24 hours. Mild soreness or tenderness at the injection site is normal and can be managed with ice packs or over-the-counter pain relievers. Contact your provider immediately if you experience severe pain, difficulty breathing, or any signs of infection, such as redness or swelling at the site.
Can I return to normal activities after the procedure?
Most patients can return to light daily activities the following day. Avoid strenuous exercise, heavy lifting, and high-impact activities for at least 24 hours. Your provider will give you specific activity guidelines based on your individual situation.
What happens if the injection does not provide enough relief?
If pain returns or does not adequately improve, your provider may recommend additional injections, a different type of interventional procedure, physical therapy, or, in some cases, surgical evaluation. The next steps will depend on your diagnosis, response to treatment, and overall health goals.
How do I schedule my appointment?
You can schedule your appointment by calling our office directly at (610) 936-8214 or booking through our website at https://mvmhealth.com/schedule-appointment . Our team will help you find a convenient time, answer any questions about insurance or referrals, and guide you through the next steps so your visit is smooth and stress-free.