Injections can treat common pain problems:
radiating arm pain
reflex sympathetic dystrophy
various cancer related pains
Common Pain Management Injections include:
epidural steroid injections
selective nerve root blocks
medial branch blocks
facet joint blocks
hypogastric plexus blocks
celiac plexus blocks
stellate ganglion blocks
intercostal nerve blocks
An epidural steroid injection is delivery of steroid and local anesthetic into the epidural space of the spine to provide relief from pain. 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.
Temporary or prolonged pain relief. 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.
An epidural injection is one of many methods doctors use to relieve pain, 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.
While complications from these procedures is not common, some of the risks associated with Epidural Steroid Injections include:
With injections to the neck more serious complications can occur, such as:
Your doctor will commonly use X-Ray to guide the needle to minimize these risks.
Dr. Paul D. Weir does not currently practice pain management or perform epidural steroid injection.