Lumbar Epidural Steroid Injection
Lumbar extradural steroid shot is performed for chronic pain in grim back as well as both or one of the two lower extremities . Chronic pain may be lower-ranking to platter herniation , disc bulge , or spinal stenosis . continuing pain is also called radiculopathy if associated with tingling and numbness and failing in the extremity .
annoyance is handle with medication , physical therapy , injection treatment or surgery . Lumbar extradural steroid injection is one of the pick of the intervention for lumbar radicular pain or sciatica pain .
Patient is bring in to the operating elbow room awake , alert , and oriented and is asked Trygve Halvden Lie in prone position . The subroutine is done in nonindulgent aseptic environment to prevent any infection . The skin is prepped with antiseptic solution as indicate by surgical core or joint delegacy . The space where epidural injection has to injected is take by clinical examination as well as x - ray . figure intensifier is used prior to the function to check the distance where the injection is the given . Local anaesthesia used is 1 % , Lidocaine full amount injected is 1 to 2 cubic centimeter in subcutaneous tissue paper as well as skin . After the injectant of local anaesthesia , the extradural needle is used to inject the medication in to the epidural space . The epidural needle is passed through the skin , subcutaneous tissue paper as well as into acanthoid ligament into the epidural distance using Adam - light beam ( AP and lateral view ) .
There are two technique involved : 1 ) Using the atmosphere in the syringe 2 ) Using normal saline in the syringe to do the injection . The needle placement once within the epidural blank , dyestuff is injected . After confirming a satisfactory paste of the dyestuff in cephalic just toward the head or caudal which is toward the branch , then the medicament are injected . medicinal drug injected are corticosteroid , normal saline and occasionally local anesthetic agent . Corticosteroid used mostly is Depo - Medrol or Kenalog , the amount injected is 40 to 80 mg though in some centers high dose or lower dosage may be used . Normal saline is used for dilution of the cortisone , the full amount after the dilution may be between 4 to 8 cc depending on the level and the cause of the hurting .
After the procedure affected role is transferred to the recovery way and observe for any complicatedness or failing . Most of the affected role go home within 30 second to 45 minutes .
