Epidural steroid injection knee pain

A lumbar epidural injection (aka lumbar epidural steroid injection or LESI) is a safe, effective, and minimally invasive treatment. LESIs have been used to treat certain types of low back pain, buttock pain, leg pain and sciatica for decades. It is a procedure very similar to the epidural a woman will receive to deal with the pain associated with childbirth. With a lumbar epidural injection your doctor will place a small amount of anti-inflammatory medication into the epidural space NEAR the spine – not on it or in it. This will relieve swelling, inflammation but most importantly – PAIN.

Radiculopathy occurs when something irritates a spinal nerve—say a “slipped disc” causing a pinched nerve. This is also called sciatica . There are resident stem and other cells in the local tissues everywhere in our body. Many live around blood vessels. These are obviously also present in the disc and nerves in the epidural space and they usually play an important role in suppressing inflammation and repairing damage. We know, based on a copious in vitro (lab) data, that the high-dose steroids used in epidural injections can kill these cells. So the progression of the series of epidural steroid injections looks a little something like this:

The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.

Epidural steroid injection knee pain

epidural steroid injection knee pain

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