"Epidural Steroids: Patient’s guide to pain relief" When it comes to managing pain, especially chronic back or neck pain, sciatica, slipped disc, it is crucial to explore various treatment options that can improve your quality of life. One of these options is epidural steroid injections. What Are Epidural Steroid injections (pain block/ root block)? Epidural steroids are a common medical procedure used to relieve pain and inflammation in the spine. The term "epidural" refers to the outermost part of the spinal canal, where the injections are administered under X ray or sonography guidance by pain specialist. These injections contain a combination of a corticosteroid medication and a local anaesthetic. How Do Epidural Steroids Work? Epidural steroids work by reducing inflammation in the affected area of the spine. Inflammation is often a leading cause of pain, and by targeting this inflammation, epidural steroids can provide relief. The corticosteroid in the injection helps to suppress the immune system's response, which can contribute to inflammation. Local anaesthetic numbs the area temporarily to relieve pain. Who Can Benefit from Epidural Steroids? Epidural steroid injections are typically used to treat conditions such as: 1. Herniated discs 2. Spinal stenosis 3. Sciatica 4. Degenerative disc disease 5. Radiculopathy 6. Post-surgery pain Benefits of Epidural Steroids: 1. Pain Relief: Epidural steroids can provide significant relief from pain, allowing patients to resume daily activities and improve their overall quality of life. 2. Non-Surgical Option: They offer a non-surgical alternative to managing spinal pain, which is particularly appealing for those who want to avoid surgery. 3. Improved Function: By reducing pain and inflammation, epidural steroids can help patients regain better mobility and functionality. Risks and Considerations: While epidural steroids can be effective, it is important to be aware of the potential risks and considerations: It is important to note that steroids act as double-edged sword. If used in correct doses it can cause wonders in the form of pain relief. But if used frequently in high doses, it can cause weight gain, high sugar levels, weak bones, irregular menses in women. Oral steroids cause more harm and are not advisable. Conclusion: Epidural steroids can be a valuable tool in managing pain and improving the quality of life for individuals suffering from spinal conditions. However, it's essential to have a thorough discussion with spine and pain specialist to assess whether this treatment is appropriate for your specific condition. Remember that it is just one piece of the pain management puzzle, and a holistic approach which includes medicines, dry needling, physiotherapy etc may be necessary to achieve the best results. Always stay informed and ask questions to make the best decisions for your health and well-being. Dr Priya Rathi MD, DNB, FCPM, FAIPM Consultant Spine And Pain Specialist