Spinal Injection

Spinal injections are used in two ways. First, they can be performed to diagnose the source of back, leg, neck, or arm pain (diagnostic). Second, spinal injections can be used as a treatment to relieve pain (therapeutic).

Most spinal injections are performed as one part of a more comprehensive treatment program. Simultaneous treatment nearly always includes an exercise program to improve or maintain spinal mobility (stretching exercises) and stability (strengthening exercises).

Symptoms of Spinal Injections

There are many causes of shoulder pain, and they all have their own unique set of symptoms:

  • Nausea.
  • Headache.
  • Dizziness.
  • Fainting due to anxiety from the procedure causing a sudden decrease in heart rate and blood pressure (vasovagal attack).
  • Flushing of the face (redness and a feeling of warmth).

Causes & Effects

Spinal injection has various causes:

  • "Steroid flush," or flushing of the face and chest, with warmth and an increase in temperature for several days.
  • Sleeping problems.
  • Anxiety.
  • Menstrual changes.
  • Water retention.
  • In rare instances, pain that actually increases for several days after the procedure

Spinal Injection Treatments of Dr. Raviprakash

spinal injection
  • Reduce nerve pain and inflammation - Steroids decrease the production of inflammatory chemicals and reduce the sensitivity of nerve fibers to pain, generating fewer pain signals.
  • Limit oral medication - Pain relief from these injections may help limit or eliminate the need for oral medications,4 some of which may have side effects when taken long-term.
  • Continue or re-engage in physical therapy - This injection may provide sufficient pain relief to allow a patient to progress with a rehabilitative physical therapy program.
  • Postpone surgery -Pain relief experienced from lumbar epidural steroid injections may help postpone surgery, and if physical therapy is effective, it may eliminate the need for surgical intervention.


1.What can you not do after spinal injections?

Avoid heat to the injection area for 72 hours. No hot packs, saunas, or steam rooms during this time. A regular shower is OK. You may immediately restart your regular medication regimen, including pain medications, anti-inflammatory, and blood thinners.

Wait a full 24 hours after the injection to get back to your full range of daily activities. You should not be afraid just to rest and remain mostly still as you recover from the epidural, but you do want to move around every once in a while. This is as simple as taking a short walk when you feel able.

It is not considered safe to drive or operate other heavy machinery after this procedure. You should arrange for an adult to drive you home. When will I be able to eat and take my medications? You should be able to resume eating and taking your medications after the procedure.

After the cortisone shot

  1. Protect the injection area for a day or two. ...
  2. Apply ice to the injection site as needed to relieve pain. ...
  3. Not use a bathtub, hot tub or whirlpool for two days. ...
  4. Watch for signs of infection, including increasing pain, redness and swelling that last more than 48 hours.

You will probably be able to walk. But you may need to be extra careful. Take care not to lose your balance, and be sure to follow your doctor's instructions. If your injection contained local anesthetic, you may feel better right away.