01 Nov How Long Do Epidural Steroid Injections Last?
How long an epidural steroid injection lasts varies from person to person. For some patients, relief may last from several weeks to several months, while others notice little or no improvement. When the steroid does help, it often begins working within a few days.
If you are dealing with nerve pain in your back, neck, or legs, understanding what may affect your results can help you have an informed conversation with your physician.
What Is an Epidural Steroid Injection?
An epidural steroid injection delivers a corticosteroid, often combined with a local anesthetic, into the epidural space around the spinal nerves. Physicians typically use imaging guidance to help place the medication near the source of inflammation. These injections may be considered for:
- Sciatica and other pain that travels down the leg
- Herniated or bulging discs
- Spinal stenosis, or narrowing of the spinal canal
- Cervical radiculopathy, or pinched nerves in the neck that cause arm pain
How Soon Does an Epidural Steroid Injection Start Working?
Some patients notice short term relief from the anesthetic, which usually wears off within hours. The steroid often begins to take effect within a few days, though it can take up to two weeks. It is common for pain to return for a short time before the steroid takes effect.
How Long Does Relief Last?
Results vary. Some patients experience relief for several weeks or months, some for a shorter time, and some do not experience meaningful relief. Staying active and following any rehabilitation plan your physician recommends may help support your recovery.
What May Affect How Long Results Last?
- The cause, type, and severity of your condition
- How long you have had symptoms
- Your activity level and participation in recommended therapy
- Overall health factors such as weight and smoking
- Whether the injection targets the actual source of your pain
How Many Epidural Steroid Injections Can You Have?
Because repeated steroid exposure can affect bone health, blood sugar, and other aspects of your health, physicians generally limit how often epidural steroid injections are given in the same area. The appropriate number depends on your health and your response to previous injections, and your physician will help determine what is appropriate for you.
What If the Injection Does Not Help?
If an injection does not provide relief, that information can still help your physician narrow down the source of your pain. Next steps may include other evaluations or treatments, such as facet joint injections, medial branch blocks, or radiofrequency ablation. For neck related options, see our guide to chronic neck pain treatment without surgery.
Is an Epidural Steroid Injection Right for You?
Epidural steroid injections are not appropriate for everyone. Your physician will consider your diagnosis, medical history, current medications, and other health conditions before recommending one. Ask about the potential benefits, risks, and alternatives so you can make an informed decision.
Frequently Asked Questions
Does an epidural steroid injection hurt?
Experiences vary. Many patients report pressure or mild discomfort during the procedure. A local anesthetic is typically used to numb the skin.
Are there side effects or risks?
Possible side effects include soreness at the injection site, facial flushing, trouble sleeping, and a temporary rise in blood sugar. Less commonly, more serious complications such as infection, bleeding, headache, or nerve injury can occur. Your physician will review the risks that apply to your health history.
Does timing affect what I pay?
It may. If you have met your deductible, care received before your plan resets may cost less. Learn more in Met Your Deductible? Why December Is a Smart Time to Schedule Pain Treatment.
Get Answers About Your Pain
A specialist can evaluate your condition, explain the potential benefits and risks of an epidural steroid injection, and discuss whether it or another option may be appropriate for you.
Schedule a consultation with Principal Spine to talk through your options.
Disclaimer: This article is for general educational purposes only and is not medical advice. It does not replace an evaluation by a qualified healthcare provider. Treatment options, risks, and results vary from person to person. Please consult your physician about your specific situation.