Specializing in Spine, Sports & Physical Medicine

I Have a Pinched Nerve and My Doctor Wants to do an Epidural. Why?

Treatment for a Pinched Nerve

Epidurals are done for a condition known as radiculopathy. It is more commonly referred to as a pinched nerve or sciatica. A nerve in the lower back or neck can get irritated by a disc bulge, a bone spur or a combination of the two. There are a number of different ways to treat someone with an inflamed nerve. One of the most effective is an epidural. This is an injection done in the neck or lower back under x-ray guidance. Corticosteroids, also known as cortisone is placed right next to the pinched nerve. This can be provide significant relief of pain that radiates into either the arm or leg. Up to three of these injections can be done over a several week period. If you do not suffer from pain that radiates below the neck or low back then an epidural is unlikely to provide much relief of your pain.
Other treatments that may be effective to treat a radiculopathy include physical therapy, anti-inflammatory medication and other drugs such as certain antidepressants and the anti-seizure drugs Gabapentin and Lyrica.

 

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