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| ![]() How does an epidural help back or neck pain? By Forrest Burke, MD
He was sent for an MRI, which showed that his pain was due to a disc herniation at the lowest disc level. Because of the disc herniation, I recommended an epidural to help the disc to heal. This is a procedure in which steroid medications are injected directly into the epidural space, the space surrounding the nerves within the spinal canal, to ease sciatica pain. Sciatica pain is also known as disc pain or radiating leg pain. Acute sciatica is described as low back pain that extends below the knee for six weeks or less. Often, it is caused by nerve irritation from discs in the lower back. Once my patient was comfortable with an explanation of how the epidural would help him, he agreed to it. Using X-ray guidance, his epidural was completed at the location where the MRI indicated his disc problem was. After everything was properly positioned, the procedure took about five minutes. The patient felt improvement the same day we did the epidural. He went to physical therapy to strengthen his back and improve body mechanics to prevent a return of symptoms. He also bought a snow blower -- so he will be ready for the next winter storm to hit his neighborhood. Key features of epidurals
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