The doctor will start by performing a physical exam to rule out any other underlying conditions. Then, the patient will receive local anesthesia and be placed in the appropriate position for the injection, and we only begin once we are sure you are fully comfortable and ready. The injection itself is usually done with fluoroscopy (a type of imaging scan) to ensure accuracy, reducing the risk of the treatment overall. Once the epidural space is injected with medication, the procedure is complete. In many cases, the entire process takes well under half an hour, but the results can last for days to weeks and beyond. The process can vary slightly across thoracic epidurals, lumbar epidurals, and cervical epidurals, but overall it mostly remains the same.
Most patients experience immediate pain relief after the injection, though it can take up to a week for the full effects of the medication to take effect. During this time, patients are advised to limit their activities and get plenty of rest, though you do not specifically need complete downtime. Your specialist at Paragon Health Group will provide you with full information about your individual recovery instructions. For some patients, they may need to fully refrain from activity for a few days, while others may engage in light activity, depending on their condition and treatment modality.