Some side effects associated with spinal puncture include bruising, bleeding, infections, headaches, and blood clots. Cortisone side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. Epidural steroid injections can provide diagnostic and therapeutic benefits. ESIs have been endorsed by the North American Spine Society and the Agency for Healthcare Research and Quality of the Department of Health and Human Services. Discuss this procedure with your friendly and caring doctor at the Florida Spine Institute to determine whether it is the right treatment for you.
I use a mixture of % Chirocaine which is a local anaesthetic that has two roles. It helps to numb the shoulder (which explains why sometimes your pain can go pretty much straight away) and it increases the volume of the injection to 10mls which helps spread the steroid across the whole of the tendon area. The steroid I use is called Depomedrone and I use 80 mg. That is only 2mls in volume and given by itself could just disappear into the fat or other tissues unless it is absolutely in the exact spot and that’s why I add the local anaesthetic – to get a bigger volume which is much more effective.
General pre/post instructions
Patients can eat a light meal within a few hours before the procedure. If a patient is an insulin dependent diabetic, they must not change their normal eating pattern prior to the procedure. Patients may take their routine medications. (. high blood pressure and diabetic medications). Patients should not take pain medications or anti-inflammatory medications the day of their procedure. Patients have to be hurting prior to this procedure. They may not take medications that may give pain relief or lessen their usual pain. These medicines can be restarted after the procedure if they are needed. If a patient is on Coumadin (blood thinners) or Glucophage (a diabetic medicine) they must notify the office so the timing of these medications can be explained.