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Epidural Injections | Conditions & Treatments | UCSF Health

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The procedure may also be used to treat a variety of painful conditions affecting the spine, trunk and limbs.</p> </div> </div> <div class="article-info right-col"> </div> </div> </div> <div class="component content container"> <div class="component-content"> <div class="page-content"> <div class="component column-layout col-2-66-33 col-xs-12"> <div class="component-content"> <div class="left-col"> <div class="component rich-text paragraph1 col-xs-12"> <div class="component-content"> <p>The degree of pain relief delivered by epidural injections depends on the patient and condition. In some cases, injections significantly reduce pain, improving the patient鈥檚 underlying condition, and pain never returns.</p> <p>When injections are used regularly for pain management, in most cases, the patient must experience a 50 percent improvement for at least one to two months in order to repeat the injections every three months. Sometimes patients do not get this degree or duration of pain relief, even after one to three injections. In these cases, injections are stopped.</p> <p>Epidural injections may also be called epidural steroid injection, interlaminar epidural steroid injection, transforaminal epidural steroid injection or selective nerve root block, depending on the technique and target.</p> <h2>Preparation</h2><ul><li>Please arrange to have someone drive you home after the procedure, as you will not be able to drive or operate machinery for at least 24 hours after the procedure.</li><li>Do not eat or drink anything after midnight the night before the procedure, except for a small amount of water if needed to take medications on the day of the procedure. </li><li>If you have diabetes and use insulin, you must adjust the dosage of insulin the day of the procedure. Consult the doctor who manages your insulin or diabetes medication for any necessary adjustments. Bring your diabetes medication with you so you can take it after the procedure. </li><li>If you take any blood thinning medications or antiplatelet medications, these must be stopped with the permission of your doctor who manages these medications.</li></ul><h2>Procedure</h2><p>During the procedure, you will lie on your stomach. Your doctor will numb a small area of skin around the injection site with an anesthetic. At this point, you may feel a small amount of burning or stinging. Sedation is typically not used during epidural injections. </p> <p>Your doctor will then use X-ray guidance to direct a special needle to the targeted area and administer steroids. You may feel a small amount of back, neck, arm or leg pressure. If so, your doctor will administer the medication more slowly so you remain comfortable. Afterward, the needle is removed and the skin cleaned and bandaged. </p> <p>Your entire appointment will take approximately one hour, but the procedure itself takes about 20 minutes.</p> <h2>Recovery</h2><p>After the procedure, you may experience soreness in the targeted area for a few days. In some cases, the usual pain you experience may increase, as it can take three to seven days for the injections to take effect. </p> <p>We recommend that you rest the day of the procedure, but you may resume regular activities the following day.</p> <p>Rare complications include infection, bleeding and nerve damage.</p> </div> </div> <div class="component disclaimer col-xs-12"> <div class="component-content"> <div class="field-ucsf-health-text"><p><em>UCSF Health medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.</em></p></div> </div> </div> </div> <div class="right-col"> <div class="component clinic-cards cards-component col-xs-12"> <div class="component-content twoOrLess"> <div> <h2 class="heading1 title-anchor"> Clinics we work with </h2> <div class="view-all"> </div> </div> <div class="cards"> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/clinics/center-for-pain-medicine" target="_self" class="phantom-link" title="Center for Pain Medicine"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/clinic/street/2255-post-street-2x.jpg?h=376&amp;w=974&amp;rev=21a73a74ba0e4570a802d48e3e5253af&amp;hash=EF21DC41069993C9DC3F28AD0FCB044C" alt="" width="2880" height="1112"/> <div class="field-icon"> <a href="https://www.google.com/maps/place/520 Illinois St.+San Francisco+CA+94158" target="_blank"> <span class="icon-ui-location"></span> </a> </div> <p class="font-larger"> Center for Pain Medicine </p> <p class="eyebrow">Bayfront Medical Building</p> <p> 520 Illinois St. <br> San Francisco, CA 94158 </p> <div class="field-read-more-link"> <div class="font-smaller"> <span class="icon-ui-phone"></span>(415) 885-7246 </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="component article-cards cards-component col-xs-12"> <div class="component-content"> <div> <h2 class="heading1 title-anchor"> Related treatments </h2> <div class="view-all"> </div> </div> <div class="cards"> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/treatments/ct-guided-spinal-injections" class="phantom-link" title="CT-Guided Spinal Injections"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/treatment/hero/ct-guided-spinal-injections-2x.jpg?h=376&amp;w=974&amp;rev=a83a61b59d094535bcee66fe149849f5&amp;hash=7D62FD5E3FC3EDD3477675F02EB8F92F" alt="" width="2880" height="1112" /> <p class="font-larger"> CT-Guided Spinal Injections </p> <p> Recent advances in imaging technology now allow neuroradiologists to more accurately pinpoint the source of patients&#39; back or neck painLearn more here. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/treatments/intrathecal-drug-delivery" class="phantom-link" title="Intrathecal Drug Delivery"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/treatment/hero/intrathecal-drug-delivery-2x.jpg?h=376&amp;w=974&amp;rev=71dbf1c602e14f9d987ae7689c125050&amp;hash=FF38369D03575559B40696FE285D04D9" alt="" width="2880" height="1112" /> <p class="font-larger"> Intrathecal Drug Delivery </p> <p> Intrathecal drug delivery, also known as the &quot;pain pump,&quot; uses a small pump to deliver pain medication directly to your spinal cord. Find more information here. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/treatments/joint-injections" class="phantom-link" title="Joint Injections"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/treatment/hero/joint-injections-2x.jpg?h=376&amp;w=974&amp;rev=a91d0fc1bcef4e73a95091c479408e05&amp;hash=30CA28AAF27570638360485AF7AD9992" alt="" width="2880" height="1112" /> <p class="font-larger"> Joint Injections </p> <p> Injury to the joints can cause pain in the legs, lower back, groin, buttocks, knees, shoulders and hips. Pain may occur from injury, simple wear and tear, etc. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/treatments/nerve-blocks" class="phantom-link" title="Nerve Blocks"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/treatment/hero/nerve-blocks-2x.jpg?h=376&amp;w=974&amp;rev=02ad1eb21855427ab60935cacd8325c1&amp;hash=1C00D32BA3B54A7D483D65F188839659" alt="" width="2880" height="1112" /> <p class="font-larger"> Nerve Blocks </p> <p> Your doctor may suggest a nerve block if other treatments, such as anti-inflammatory medicines, rest and physiotherapy were unsuccessful.Learn more here. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/treatments/radiofrequency-ablation" class="phantom-link" title="Radiofrequency Ablation"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/treatment/hero/radiofrequency-ablation-2x.jpg?h=376&amp;w=974&amp;rev=291402a277284b049ec0988bfdd1edb1&amp;hash=33FBC8FEC150294180DD0990205579C4" alt="" width="2880" height="1112" /> <p class="font-larger"> Radiofrequency Ablation </p> <p> RFA typically targets pain from the facet and sacroiliac joints, which can contribute to chronic pain in the neck or lower back. Find more information here. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/treatments/spinal-cord-stimulation" class="phantom-link" title="Spinal Cord Stimulation"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/treatment/hero/spinal-cord-stimulation-2x.jpg?h=376&amp;w=974&amp;rev=c02977573e0c4d7b9f67fb1c77579604&amp;hash=00F4026103523E64402EA2366E2E381F" alt="" width="2880" height="1112" /> <p class="font-larger"> Spinal Cord Stimulation </p> <p> Spinal cord stimulation delivers mild electrical impulses to the spinal cord that interrupt pain signals to the brain, replacing them with a tingling sensation. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> </div> </div> </div><div class="component doctor-results col-xs-12"> <div class="component-content"> <h2 class="heading1 title-anchor"> Our experts </h2> <div class="doctor-results-wrapper custom-scrollbar-container"> <ul> <li> <a href="/providers/dr-christopher-r-abrecht"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-chris-abrecht-md-5903-320x320-2x.jpg?h=526&amp;w=526&amp;rev=ef2264eba70048bba932ce374e2b5b18&amp;hash=DC5AD633709FC163DFCCFEBCDA4C1A49" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> Christopher R. Abrecht </h3> <p class="font-larger doctor-class"> MD </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> <li> <a href="/providers/dr-mario-de-pinto"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-mario-de-pinto-md-320x320-2x.jpg?h=526&amp;w=526&amp;rev=f75fc1f4d89b4b2781d8d8765d9f61aa&amp;hash=12435B84A94BA65ABF879506B0B962D7" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> Mario De Pinto </h3> <p class="font-larger doctor-class"> MD </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> <li> <a href="/providers/dr-zhonghui-guan"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-zhonghui-guan-md-8675-320x320-2x.jpg?h=526&amp;w=526&amp;rev=c04cbfdb4be74afc91b3e96925d9c290&amp;hash=7FEB7A435E5A027613B7FFA3B1F42C3D" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> Zhonghui Guan </h3> <p class="font-larger doctor-class"> MD </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> <li> <a href="/providers/dr-melanie-m-henry"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-melanie-henry-md-9897-320x320-2x.jpg?h=526&amp;w=526&amp;rev=1854e0e349404224ad97f31764081f3f&amp;hash=197E78EFBCFB4F221E831FF0E0726216" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> Melanie M. Henry </h3> <p class="font-larger doctor-class"> MD, MPH </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> <li> <a href="/providers/dr-david-j-lee"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-david-j-lee-md-320x320-2x.jpg?h=526&amp;w=526&amp;rev=f9ba3906c4614470a327615be4a75206&amp;hash=DDA7E214322DE07C387A7EDD65E3FD5E" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> David J. Lee </h3> <p class="font-larger doctor-class"> MD </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> <li> <a href="/providers/dr-george-w-pasvankas"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-george-pasvankas-md-35215-320x320-2x.jpg?h=526&amp;w=526&amp;rev=e31708abe99648409bdb9c48d4d0a7ba&amp;hash=90F44DF08A1C3DA5E2AC3912BE33E4BB" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> George W. Pasvankas </h3> <p class="font-larger doctor-class"> MD </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> <li> <a href="/providers/dr-thoha-pham"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-thoha-pham-md-8643-320x320-2x.jpg?h=526&amp;w=526&amp;rev=29a7d6f00f264937a567c544169de870&amp;hash=9ED753C85281224D015BEAFFB9B5556A" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> Thoha M. Pham </h3> <p class="font-larger doctor-class"> MD </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> <li> <a href="/providers/dr-xiaobing-yu"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-health/doctor/card/dr-xiaobing-yu-md-320x320-2x.jpg?h=526&amp;w=526&amp;rev=2e7abd29b86d4dc08d6fffb0d6f78373&amp;hash=B1F7E52E923AE31EEABEDC78DF5E0027" alt="" width="640" height="640"> <div> <h3 class="doctor-name"> Xiaobing Yu </h3> <p class="font-larger doctor-class"> MD </p> <span class="doctor-simple-title"> Pain medicine physician and anesthesiologist </span> </div> </a> </li> </ul> </div> </div> </div></div> </div> </div> </div> </main> <!-- /#content --> <!-- #footer --> <footer> <div id="footer" class="container"> <div class="component footer-values col-xs-12"> <div class="component-content"> <div> <div class="component ucsf-values col-xs-12"> <div class="component-content"> <div class="container"><div class="title eyebrow field-eyebrow-text">Did you know?</div><h2 class="heading1 field-quote-text">In 2016, UCSF became the first U.S. hospital to perform osseoanchored prosthesis surgery. 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With the implant firmly anchored in the right place, patients are spared pain, pressure sores and other complications of traditional prosthetics.</h2><a href="https://www.ucsf.edu/news/2016/05/402621/osseointegration-surgery-ucsf-first-its-kind-us" rel="noopener noreferrer" data-variantitemid="{F1963BFE-118E-41DD-929A-AD5FA7899D4A}" data-variantfieldname="Link" target="_blank">Learn more</a></div> </div> </div> </div> </div> </div> <div class="component footer-content col-xs-12"> <div class="component-content"> <div class="container"><div class="top-row"> <div class="component image file-type-icon-media-link logo"> <div class="component-content"> <img src="/-/media/project/ucsf/ucsf-health/images/logos/logowhite.png?h=26&amp;iar=0&amp;w=141&amp;rev=7a07669440bb454d9c7c3ef29f025f8b&amp;hash=F3B696610C78F98E03B340A55F44AC06" alt="UCSF Health" width="141" height="26" data-variantitemid="{43F4CA98-D35D-4B36-8558-CADA034604A7}" data-variantfieldname="Image" loading="lazy" /> </div> </div> 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