How Safe Are Epidural Steroid Injections for Pain Management?
Epidural steroid injections are generally considered a safe and minimally invasive procedure for managing certain types of pain. They have been used for decades to help alleviate pain caused by conditions such as spinal stenosis, herniated discs, and sciatica. However, like any medical procedure, there are potential risks and side effects associated with ESIs. Common side effects include temporary discomfort at the injection site, headaches, or dizziness. In rare cases, more serious complications such as infection, bleeding, or nerve damage may occur. The risk of these complications is typically minimized by ensuring the procedure is performed by a trained specialist under imaging guidance.
Another consideration regarding the safety of ESIs is the long-term use of corticosteroids. Repeated injections over time can lead to side effects such as bone thinning (osteoporosis), muscle weakness, or suppression of the body’s natural hormone production. For this reason, most physicians limit the number of steroid injections a patient can receive within a year. Patients should have a thorough discussion with their healthcare provider about the risks and benefits to determine if an epidural steroid injection is an appropriate and safe treatment for their condition.
