Epidural Steroid Injections

Epidural steroid injections are generally safe, but like any medical procedure, they come with potential risks. Some people experience increased soreness at the injection site, or a temporary flare-up of pain afterward. Rarely, more serious complications—such as infection, bleeding, or nerve damage—can occur. Talking openly with your doctor about your health history helps reduce these risks.

A “cortisone shot” commonly refers to a steroid injection into a joint (like the knee or shoulder) to reduce inflammation. An epidural steroid injection involves placing a steroid solution into the epidural space around your spinal cord. Both aim to lower swelling and pain, but an ESI targets spinal nerve roots that may be irritated by conditions like herniated discs or spinal stenosis.

Relief varies from person to person. Some people feel improvement for a few weeks, while others might experience benefits that continue for months. Factors like your overall health, the severity of your condition, and how your body responds to the steroid all play a role. Usually, ESIs are most effective when paired with other treatments, such as physical therapy.

A lumbar ESI generally involves only mild discomfort. Before the shot, a local anesthetic numbs the area. You might feel some pressure or a brief pinch when the needle is placed. Afterward, minor soreness can last for a day or two, but most people find the procedure tolerable.

Yes, most individuals can walk right after the procedure. You might be asked to rest for a short period in the doctor’s office or surgical center to monitor for any reactions, but you can typically return to light activities the same day. Avoid heavy lifting or strenuous exercise immediately after your injection.

The answer can differ from person to person based on pain tolerance and the location of the injection. In general, many people find steroid injections in inflamed or tight spaces to be more uncomfortable. For epidural injections, doctors often use X-ray or ultrasound guidance plus numbing medication to lessen any potential pain.

Light sedation can be offered if you’re especially nervous or sensitive to pain. However, many people only need local anesthesia. This means you stay awake, but the injection site is numbed to minimize discomfort. If you do receive sedation, you’ll need someone to drive you home afterward.

Both treatments help reduce pain, but they target different issues. An epidural steroid injection is delivered into the space around your spinal cord, while a nerve block is placed near a specific nerve or group of nerves. Your doctor will suggest the best option based on your diagnosis and overall health.

If you don’t experience relief, your pain management specialist may suggest other treatments like additional physical therapy, radiofrequency ablation, or possibly surgery. Every patient’s situation is unique, so it often takes a combination of approaches to find what works best for you.