Spinal steroid injections and weight gain

Caudal epidural steroid injections involve injecting a steroid into the epidural space, where the irritated nerve roots are located. The caudal injection is performed through the sacral opening and is used to treat low back pain. This injection includes both a long-lasting steroid and an anesthetic (lidocaine, bupivacaine). The steroid reduces inflammation and irritation, while the anesthetic interrupts the pain-spasm cycle and nociceptor transmission (Boswell 2007). The medicines spread to the most painful levels of the spine, reducing inflammation and irritation. The entire procedure usually takes less than 15 minutes.

Epidural injections are often used to treat radicular pain, also called sciatica , which is pain that radiates from the site of a pinched nerve in the low back to the area of the body aligned with that nerve, such as the back of the leg or into the foot. Inflammatory chemicals (. substance P, PLA2, arachidonic acid, TNF-α, IL-1, and prostaglandin E2) and immunologic mediators can generate pain and are associated with common back problems such as lumbar disc herniation or facet joint arthritis . These conditions, as well as many others, provoke inflammation that in turn can cause significant nerve root irritation and swelling.

Discography, an invasive procedure, is performed using fluoroscopy (similar to x-ray, except in real time). To help you relax during the procedure, mild sedation may be administered. However, we cannot completely sedate, or put you to sleep, as you need to be alert enough to report what you feel to our team during the injection. An antibiotic may also be given intravenously before and after. You may be positioned, with pillows for support and comfort, on your side, or in another position. The injection sites are cleansed using an antiseptic and an anesthetic numbs the skin.

Sacroiliac (SI) joint pain is easily confused with back pain from the spine. The SI joint is located between the sacrum and pelvic bones. Sometimes injecting the SI joint with lidocaine may help your doctor determine whether the SI joint is the source of your pain. If the joint is injected and your pain does not go away, it is probably coming from somewhere else. If the pain goes away immediately, your doctor may also inject cortisone into the joint before removing the needle. Cortisone is added to treat inflammation from SI joint arthritis. The injection usually gives temporary relief for several weeks or months.

Spinal steroid injections and weight gain

spinal steroid injections and weight gain

Sacroiliac (SI) joint pain is easily confused with back pain from the spine. The SI joint is located between the sacrum and pelvic bones. Sometimes injecting the SI joint with lidocaine may help your doctor determine whether the SI joint is the source of your pain. If the joint is injected and your pain does not go away, it is probably coming from somewhere else. If the pain goes away immediately, your doctor may also inject cortisone into the joint before removing the needle. Cortisone is added to treat inflammation from SI joint arthritis. The injection usually gives temporary relief for several weeks or months.

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