Preparing for Spinal Injections

Spinal injections are administered in the office using a local anesthetic. A corticosteroid may be used to decrease inflammation and reduce pain or discomfort.

Well in advance of any epidural steroid injection, let us know if you take blood thinner medications. You may need to stop taking these medications for several days prior to the injection to help reduce the risk of bleeding or bruising. Some dietary supplements also have blood thinning effects. Afterward, you may immediately restart your regular medication regimen.

Arrange for someone to drive you to and from your appointment, and keep in mind that you may not drive for 12 hours after your injection.

It can take as long as ten days to feel the full benefit of the injection. You may have slightly increased pain after your injection before the medication takes effect. It is common to experience mild soreness at the injection site for 24-48 hours. The best remedy is to apply ice for 20 minutes at a time, several times a day as needed.

A regular shower is permitted following your injection. However, you should avoid heat to the injection site for 72 hours. Do not use hot packs, hot tubs, baths, or saunas during this time.

Temporary side effects from corticosteroids can occur, including but not limited to: flushing/redness, hot flashes, mild palpations, insomnia, water retention, feeling anxious/restless, headaches, edema (swelling), increased appetite, and increased blood glucose levels. These usually resolve after several days.

While it is extremely rare to get an infection after a spinal injection, please call our office immediately at 352-794-6868 if you experience any of the following symptoms: fevers/chills, severely increased pain, nausea/vomiting, redness at the injection site, or drainage from the injection site.