The success of the epidural steroid injection in relieving pain is due to the potency of the anti-inflammatory medication introduced into the epidural space. Cortisone is a powerful anti-inflammatory medication which reduces nerve irritation, thus reducing pain. As you may have heard, cortisone is sometimes associated with side effects such as puffy face, brittle bones, etc. These side effects typically occur in patients who are taking cortisone by mouth for long periods of time. With epidural injection, the cortisone acts locally on the nerves and herniated disc and systemic reactions are very rare.
HOW SHOULD I PREPARE FOR THE PROCEDURE?
You will receive instructions from staff at the interventional radiologist's office at least a day before the procedure. Make sure to let the staff know if you have any allergies to medications or to contrast material which may be used during this procedure. If you are on any blood thinners such as aspirin, Coumadin, Lovenox, Heparin, or Plavix please let the staff know. You may have blood drawn for pre-procedure testing at either the hospital or clinic. Staff will advise you if changes in your regular medication schedule are necessary. Make sure someone will be available to drive you home afterwards.
HOW IS THE PROCEDURE PREFORMED?
Steroid injections of the hip, sacral iliac joints, epidural space, or spinal facets is a non-surgical treatment that can help relieve neck, low back, hip and leg pain (sciatica) from inflammation or irritation of the nerves. It is an injection of both a long lasting steroid "cortisone" and an anesthetic numbing agent. The steroid reduces inflammation and will usually start taking effect in 22-48 hours. With spinal facet injections the medication is injected either inside the joint capsule or in the tissue surrounding the joint capsule. In epidural steroid injections the medication is injected into the epidural space within the spinal column. The lidocaine "numbing medication" works immediately and lasts from two to six hours depending on the type and concentration used.
WHAT WILL I EXPERIENCE DURING THE PROCEDURE?
Local anesthetic if injected will start working immediately and last for approximately two to six hours then pain may return until the steroid medication starts working in 24-48 hours. After injection return home and limit your activity as instructed.
Small-bowel changes infrequently occur in chronic pancreatitis. Displacement and stretching may occur as a result of pseudocysts. Small-bowel changes may occur as a result of exudation of pancreatic enzymes during the early stages of chronic pancreatitis, when the pancreatic secretory function is still intact. The enzymes may affect the mesenteric vessels at their roots, causing small-bowel ischemia, fibrotic stricture, and malabsorption pattern. As a result of the close anatomic relationship between the transverse colon and the pancreas, the pancreatic enzymes have direct access to the colon.