Epidural Steroid Administration

In the method we call epidural steroid application, disc disorders (lumbar and cervical disc herniation), slipped disc or spinal stenosis diseases are treated interventionally. A mixture of long-acting depot steroids and local anesthetics is injected into the epidural space around the degenerated spinal nerves. Afterwards, the patient feels relief, but this relief effect varies from patient to patient. When epidural steroid injection is applied to a patient whose symptoms have just begun, up to 90% pain relief or improvement is achieved. In more advanced cases, up to 70% relief is achieved for approximately 1 year. The purpose of epidural steroid injection treatment; Our aim is to control the pain and carry the patient to advanced physiotherapy applications, if necessary, in a better quality way.

If you feel pain, especially in the waist, neck, shoulder or leg areas of your body, it is possible to benefit from epidural steroid injection treatment. It can be done in the following cases;

  • Disk fıtıkları olarak adlandırılan diskin içinde yer alan jelimsi yapının dışarı doğru çıkıntı oluşturarak sinirlere bası yapması durumunda
  • Omurgada kırılma ya da zedelenme sonucunda spondilozis tablosu yaşayan hastalarda
  • Spinal stenoza bağlı sinir basısı sonucu yürümede zorluk çeken kişilerde…

If you feel pain, especially in the waist, neck, shoulder or leg areas of your body, it is possible to benefit from epidural steroid injection treatment. It can be done in the following cases;

  • Disk fıtıkları olarak adlandırılan diskin içinde yer alan jelimsi yapının dışarı doğru çıkıntı oluşturarak sinirlere bası yapması durumunda
  • Omurgada kırılma ya da zedelenme sonucunda spondilozis tablosu yaşayan hastalarda
  • Spinal stenoza bağlı sinir basısı sonucu yürümede zorluk çeken kişilerde…

Epidural steroid injection can be performed in a sterile manner under operating room conditions by physicians who have specialized in the algology sub-branch of the anesthesia department.

You should not use blood thinners such as aspirin or anticoagulant medications such as coumadin for at least a week before the procedure.

You should not consume solid or liquid food for 5 hours before the injection.

There should be a companion to stay with you and bring with you the results of your last MRI or X-ray.

The purpose of this injection is to administer steroids closest to the area of pain. The procedure is completely performed under operating room conditions and must be performed by a specialist, under the guidance of C-arm scopy. Although there is no need for general anesthesia, the entire procedure takes approximately 30 minutes. The patient is then rested for 2 hours. The patient’s pain level disappears completely in approximately 24-48 hours.

3 şekilde uygulanır;

  1. Transforaminal Epidural Enjeksiyon: Radiküler ağrı tedavisinde sık kullanılan bir yöntemdir. En sık görülen komplikasyonu ise Adamkiewicz arter oklüzyonu sonucu ortaya çıkan iskemidir. Lomber bölgede yer alan disklerde hernileşme sıkıntısı yaşayan hastalar bu yöntemden daha çok fayda sağlamaktadır.
  2. İnterlaminar Epidural Enjeksiyon: Enjeksiyonda kullanılan ilaç omurga ortasında bulunan epidural aralığa girilerek yapılır. Enjekte edilen ilaç sinirlerin çevresine dağılarak ağrı kontrolünün sağlanmasına neden olur.
  3. Kaudal Epidural Enjeksiyon: Omurganın kaudal parçasında yaşanan darlıklar sonucunda bel fıtığı ya da spinal stenoz hastalarına etkili bir şekilde uygulanan tedavi yöntemidir.
  • In patients with infection
    In women who are pregnant or about to become pregnant
    People with bleeding or clotting problems
    Injection is not performed on patients who do not want the procedure to be performed.

People who receive epidural steroid injection and also have diabetes may need to be given additional medication to regulate blood sugar regulation.

In rare cases, headache complaints may be experienced and an uncommon edema may develop in the body.