Information: Pain Management

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  An epidural steroid injection is delivery of steroid and local anesthetic into the epidural space of the spine to provide relief from pain. Pain management specialists are frequently anesthesiologist who provide pain control for patients with spine problems.  Steroids and anesthetics are delivered into the epidural space. The injection may reduce pain and swelling in and around the spinal nerve roots, as well as around damaged nerves which in time may heal. Xray guidance, fluoroscopy, is used to help the doctor place the needle in exactly the right location so the patient can receive maximum benefit from the injection.  These procedure can be done in West Hills, CA.

  Temporary or prolonged pain control. Better ability to function in daily life without restrictions previously caused by pain. It may help confirm the exact site of the pain generator. This is often a problem in patient with more than one possible cause of the pain. Pain management anesthesiologist can help.

  An epidural injection is one of many methods anesthesiologist use to offer pain control in a pain management practice, along with physical therapy, oral medications and surgery if a patient is not responding to conservative treatments. An epidural injection may be performed to alleviate pain caused by: Herniated/bulging disk, Spinal stenosis, Post-operative "failed back" surgery syndromes (chronic back or leg pain after spinal surgery). Other injuries to spinal nerves, vertebrae and surrounding tissues.  West Hills, CA.

While complications from these pain management procedures is not common, some of the risks associated with Epidural Steroid Injections for pain control include:

• Increase in pain 
• Headache, rare but possible 
• Reaction to the medication: temporary hot flashes, rash, mood changes or sleep disturbances 
• Infection or Bleeding 
• Injury to the nerves resulting in temporary or permanent pain
• Temporary paralysis of the nerves leading to the bladder or bowel causing temporary bladder or bowel dysfunction 

With injections to the neck more serious complications can occur, such as:

• spinal cord injury 
• stroke
• death

Your anesthesiologist pain management physician will commonly use X-Ray to guide the needle to minimize these risks.  

 Dr. Paul D. Weir, an anesthesiologist,  does not currently practice pain management in West Hills, or perform epidural steroid injection.