Epidural steroid injections are most commonly used in situations of radicular pain, which is a radiating pain that is transmitted away from the spine by an irritated spinal nerve. Irritation of a spinal nerve in the low back ( lumbar radiculopathy ), such as from lumbar spinal stenosis , cervical spinal stenosis, herniated disc , and foraminal encroachment, causes back pain that goes down the leg. Epidural injection is also used as a minimally invasive procedure to treat nerve compression in the neck (cervical spine), referred to as cervical radiculopathy , which causes pain.
If you want to know how to inject steroids , the first thing you need to know is how to prepare for the injection. You know you need to stick it into the muscle tissue, and we’ll go into the specifics of that later on, but there’s more to it than that. There are eight specific steps you need to follow when injecting anabolic steroids, and while that may sound like a lot the whole process shouldn’t take but a minute. Failure to follow these eight remarkably simple steps can result in complications such as infections or simply very uncomfortable injections, and an unnecessarily sore injected area.
Steroids are used to fight inflammation and speed healing. For injuries, this treatment may be a good idea, but for most back pain scenarios, I always ask, where is the inflammation? As Dr. Sarno has pointed out time and time again, there is rarely evidence of any inflammatory process in the majority of chronic pain complaints. Even in cases where inflammation exists, steroids are not a very good option, since they are often completely ineffectual or only provide short term benefits, sometimes only due to the placebo effect.