Thoracic epidural steroid injection side effects

The typical stem cell procedure provider uses an automated one-size-fits-all centrifuge to prepare cells. At Regenexx, our processing allows us to custom tailor our regenerative mixtures for your condition and our patented two-tier processing results in 10 to 20 times more stem cells available for your treatment. While some practices add platelet rich plasma to their stem cell concentrate, we use a proprietary super concentrated platelet mix. By mixing our second generation, lab prepared Platelet Rich Plasma (which contains slow release growth factors) and our third generation platelet lysate (immediately available growth factors), we were able to get adult stem cells to grow many times more than just PRP or platelet lysate alone.

The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.

The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.

The steroid injected reduces swelling and inflammation of nerves, which may reduce pain, tingling, numbness, and other symptoms caused by nerve inflammation, irritation, or swelling. The steroid we use is betamethasone (Celestone-Soluspan).  The procedure is performed under live x ray (fluoroscopy) and with the use of x ray dye to ensure accuracy and precision. The procedure involves cleaning your skin with an antiseptic solution. The skin and deeper tissues are numbed with a local anesthetic using a very thin needle prior to inserting the Epidural needle. The procedure is done under local anesthesia, so you are not “put out” for the procedure. The procedure is performed while you are lying on your stomach. You are monitored with a blood pressure cuff and a blood oxygen monitoring device which monitors your oxygen levels and heart rate. Immediately after the injection, the skin is cleaned and a band-aid is applied. You may experience some “pressure” at the injection site and this may last up to an hour.  Your pain may return and you may have some soreness at the injection site for a day or two.  This is due to the mechanical process of needle insertion as well as initial irritation from the steroid itself. At about day #3 you should start noticing pain relief.  It may take up to 2 weeks to notice an improvement from the steroids.  Generally speaking, the procedure is safe; however, with any procedure there are risks, side effects, and possibility of complications.  The most common side effect is pain- which is temporary. The other risks involve spinal puncture with headache (post dural headache), infection, bleeding inside the epidural space with nerve damage, worsening of symptoms. The other risks are related to the side effects of cortisone, which include weight gain, increase in blood sugar (mainly in diabetics), water retention, and suppression of the body’s own natural production of cortisone.

Thoracic epidural steroid injection side effects

thoracic epidural steroid injection side effects

The steroid injected reduces swelling and inflammation of nerves, which may reduce pain, tingling, numbness, and other symptoms caused by nerve inflammation, irritation, or swelling. The steroid we use is betamethasone (Celestone-Soluspan).  The procedure is performed under live x ray (fluoroscopy) and with the use of x ray dye to ensure accuracy and precision. The procedure involves cleaning your skin with an antiseptic solution. The skin and deeper tissues are numbed with a local anesthetic using a very thin needle prior to inserting the Epidural needle. The procedure is done under local anesthesia, so you are not “put out” for the procedure. The procedure is performed while you are lying on your stomach. You are monitored with a blood pressure cuff and a blood oxygen monitoring device which monitors your oxygen levels and heart rate. Immediately after the injection, the skin is cleaned and a band-aid is applied. You may experience some “pressure” at the injection site and this may last up to an hour.  Your pain may return and you may have some soreness at the injection site for a day or two.  This is due to the mechanical process of needle insertion as well as initial irritation from the steroid itself. At about day #3 you should start noticing pain relief.  It may take up to 2 weeks to notice an improvement from the steroids.  Generally speaking, the procedure is safe; however, with any procedure there are risks, side effects, and possibility of complications.  The most common side effect is pain- which is temporary. The other risks involve spinal puncture with headache (post dural headache), infection, bleeding inside the epidural space with nerve damage, worsening of symptoms. The other risks are related to the side effects of cortisone, which include weight gain, increase in blood sugar (mainly in diabetics), water retention, and suppression of the body’s own natural production of cortisone.

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