Lumbar Steroid Injection
Kyphosis refers to the forward curvature of the spine. Kyphosis is actually a normal term. The transition to kyphosis is being transformed from the humpbacked and accompanying kyphos.
Epidural steroid injections (ESIs) are a common treatment option for many low back and leg pain conditions. They have been used for decades. They are considered an integral part of the non-surgical management of sciatica and low back pain.
The injection is called an epidural steroid injection because it involves injecting local anesthetic and steroid medication directly into the epidural space surrounding the spinal cord and nerve roots.
It can be safely applied in the presence of scopy in low back and lower back leg pain due to herniated disc, canal narrowing, calcifications in the waist.
Purposes of Epidural Steroid Injection:
- Control pain by reducing inflammation in and around the nerve roots
- Improves mobility and function in the lower back and legs
- Allows the patient to participate and progress in a comprehensive physical therapy and rehabilitation program
- An epidural steroid injection may be recommended after a number of nonsurgical treatments such as medications and physical therapy have been tried and before surgery is considered.
Epidural Injection Approaches
This type of injection can provide acute and significant pain relief, as it delivers a steroid medication with potent anti-inflammatory effects directly to the painful area near the spinal nerve(s). An epidural injection can be done using any of the following approaches:
Transforaminal route: This technique provides a gentle delivery of steroid solution into the epidural space near the area where the nerve is likely to be irritated. This injection technique targets specific nerve roots to control inflammation and pain.
Interlaminar route: In this technique, the needle is inserted from the back of the spine and the drug is released into the epidural space. This method is less precise because it does not release the drug near the target nerve root and the steroid solution is free to diffuse within the epidural space.
Caudal route: This is a general approach, easy to apply, but the drug does not go directly to the source of the pain in the epidural space and around the nerves. The caudal approach may be less effective, but is considered safer and easier to implement. This method can help control widespread or widespread pain.