Epidural injections can be performed from several different approaches; these include a caudal, interlaminar, or transforaminal approach. The approach your provider chooses is based on each individual patient’s clinical presentation, the personal preference and experience of the provider performing the injection, the desired outcome, and most importantly, the risks versus benefits of performing one type of epidural over another. Clinically, the purpose of all epidural injections is to place a mixture of steroid and local anesthetic at the source of the problem to decrease inflammation causing pain, and to promote healing and clinical improvement. The epidural steroid injection involves placing steroid medication in the inflamed area and significantly reduces nerve irritation thus improving pain. This treatment option has the potential to completely resolve pain and ultimately may prevent operative treatment.
If you suffer from plantar fasciitis, you might think perhaps you should rest your feet, but it’s actually better for you to keep on the move. Plantar fasciitis affects the band of tissue connecting your heel bone to your toes, and can cause stabbing pains when walking. A treatment for it is to keep moving, but make sure you don’t overdo it. Keep your mileage and speed down if you begin experiencing pain, and place an ice pack under your foot for 15 minutes after you’ve finished walking. An alternative is to roll a frozen bottle of water under your foot for 10 to 15 minutes instead. Adding support to your foot can also help, so using an insole in your shoe or wrapping your foot with athletic tape is also recommended. To find out more about this, read this guide to Walking With Plantar Fasciitis .
Physicians limit the number of epidural steroid injections to a maximum of three to avoid systemic side effects of the steroids. Side effects are minimal and consist mainly of mild tenderness in the area of injection which disappears in 1-2 days. Success is dependant on the cause of the pain and how long the pain has existed. The sooner the treatment is instituted, the better are the chances of getting well. This treatment, along with analgesics and physical therapy has brought relief to thousands of patients, avoiding , in the majority of cases, the need for surgery.