Lumbar Epidural Injection

What is Lumbar Epidural Injection?

The epidural cavity is the space surrounding the spinal cord, which extends from the skull to the tailbone, and consists of fat, nerves and blood vessels. Nerves in this space can be blocked by injecting an anesthetic, or a constricted nerve can be relieved of pain and inflammation by injecting a steroid medication into the epidural space. Lumbar epidural back injections are administered at the spinal segments of the lower back and tail bone. The injection can also be used as a diagnostic tool to ascertain the location of pain caused by a nerve pinched by vertebral bone herniation or bone spurs.

Indications of Lumbar Epidural Injections

Caudal epidural injections are recommended to treat conditions such as:

  • Sciatica: weakness or pain caused by irritation of the nerve root originating from the lower back
  • Herniated/bulging disc: vertebral discs extend beyond the vertebrae, pinching the neighboring nerve
  • Degenerative lumbar spinal stenosis: nerve impingement caused due to narrowing of the spinal canal
  • Caudal  injection is contraindicated in those allergic to anesthetic or steroid medication.

Procedure of Lumbar Epidural Injection

You will lie on your abdomen on an X-ray table. Your doctor will administer intravenous medication to help you relax. Your lower back area will be numbed using local anesthesia. Your doctor then inserts a needle into your back guided by X-ray imagery. A contrast dye is injected to confirm the epidural space. Following this, your doctor injects a mixture of anesthesia and steroid medication which spreads throughout the epidural space to treat and relieve the inflammation and pain. The procedure takes about 15 minutes and you will be discharged on the same day.

Recovery

After your procedure, you will be advised to rest and not drive for the next 24 hours. You can commence your normal activities after 24 hours. The effect of the medication starts working after a week, however, if you do not experience improvement within10-14 days, please consult your doctor.

Risks and complications of Lumbar Epidural Injection

During the injection procedure, you will be placed on your stomach, on the X-ray table. Your physician will clean the intended site on your back with antiseptic and cover it with a sterile drape. A local anesthetic is then used to numb the skin. You may feel a stinging or burning sensation for a few seconds.

A needle is directed into the Epidural Space under X-ray (fluoroscopy) guidance. Following this, a local anesthetic with or without steroid will be slowly injected through the needle. The needle is then removed and a bandage is placed to cover the injection site.

What Will You Experience Following a Epidural Skin Injection

Complications from caudal epidural injections are very rare. There is a risk of bleeding or infection at the site of the injections and sometimes headache in case of a puncture of the dura (outer membrane of the spinal cord). You may also have allergic reactions to the medication administered.

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Rating & Review

Melinda Bess
Melinda Bess
2024-02-14
Dr. Iqbal is the best pain management doctor I have ever had and will have. She does her homework first which I think makes the difference in diagnosis. She is the total package, a very smart and beautiful doctor, wife, and mother. Hand on Bible she changed my life, and I will forever be in debt to her. I can't say thank you enough. I appreciate her staff; they are all awesome as well. I laughed and cried in her office, but her smile and staff always made me feel welcome like part of their family. I would and will drive across country to see her. The referral to a new knee surgeon to fix a bad knee replacement was the best. I got a new knee, and it has been a huge blessing as well. Thank you, Dr. Iqbal and staff you all are 5 stars, in my life.
Nikin Mehta
Nikin Mehta
2024-02-13
Brian Knopf
Brian Knopf
2024-02-13
Dr. Iqbal and her staff are fantastic! I couldn’t have asked for a better experience. I highly recommend her and her team
Brenda Jones
Brenda Jones
2024-02-02
I visited this facility in January for severe back pain I was experiencing. The whole ordeal from beginning to end was amazing. I wish I had known about this place years ago before suffering from so much pain. Dr. Mehreen Iqbal, her assistant Michealle Dooley and their staff is the best. I had a procedure done on 1/17/24 and I no longer suffer from back pain and I'm able to walk again. I highly recommend this facility, 10 Stars!!!
Ann Adkins
Ann Adkins
2024-02-01
Wonderful experience with Dr. Iqbal & her staff! She is amazing! She listens to her patients & immediately developed a plan to address my back & neck pain. I already feel SO much better and am confident that her plan for me will mean continued improvement. Her staff is wonderful too - friendly, helpful & responsive. I highly recommend Dr. Iqbal & her team!
Camille Adams
Camille Adams
2024-01-22
The staff are very kind and helpful, and Dr. Iqbal is very good at what she does. Would recommend to all my friends and family.
Noor Malik
Noor Malik
2024-01-02
My PCP recommended Dr. Mehreen and she was wonderful through out the entire injection process. She took her time explaining everything and was patient through out the process. In my opinion, she is the best pain management doc around.
Jessie Wilson
Jessie Wilson
2023-12-08
I love Dr. Iqbal and her staff, I couldn't be any luckier to have found her practice. Dr. Iqbal listens well and explains in detail any procedures. She is honest, caring, and down to earth. She and her staff are the greatest. I would recommend her to any of my friends or family.
Shimmerynight Skies
Shimmerynight Skies
2023-12-08
My mother is a patient here and the staff is super nice, fun, and sweet! I highly recommend coming here for friendly service
M
M
2023-12-04
Excellent doctor. Dr. Iqbal explained every thing in detail and laid out a very clear plant to treat the problem/pain.