Epidural Steroid Injections: Radiculopathy Treatment in Singapore
What Is Radiculopathy / Sciatia?
Radiculopathy is a condition that results from pressure or irritation on a nerve root in the spine. This can lead to a variety of symptoms, including sharp or dull pain, weakness, tingling, or numbness that radiates from the spine down through the affected nerve's pathway.
Common causes of radiculopathy include:
- Herniated discs that press against nerve roots
- Spinal stenosis (narrowing of the spinal canal)
- Degenerative disc disease due to aging
- Injuries or trauma to the spine
Radiculopathy can manifest in different parts of the body depending on the affected area of the spine:
- Cervical Radiculopathy: Involves nerve roots in the neck region. Symptoms often include neck pain, shoulder discomfort, and radiating pain or numbness that travels down the arms, hands, and fingers.
- Lumbar Radiculopathy: Occurs in the lower back and can lead to symptoms such as sciatica (pain that radiates down the leg), lower back pain, or numbness that extends to the feet and toes.
If you experience these radiating symptoms of radiculopathy, an Epidural Steroid Injection (ESI) offers a targeted, non-surgical solution to relieve the underlying nerve inflammation and manage your discomfort. Consulting a backache specialist can help ensure you receive the right diagnosis and treatment for lasting relief.
What Is an Epidural Steroid Injection?
An Epidural Steroid Injection (ESI) is a non-surgical procedure used to treat radiculopathy. It involves precisely injecting a powerful anti-inflammatory medication (corticosteroid) into the epidural space of the spine, directly targeting the irritated nerve root to reduce inflammation and relieve pain.
The typical steps of the procedure are as follows:
- The patient is positioned either lying on their stomach or side, depending on the target area.
- The injection site is sterilized to reduce the risk of infection.
- Using imaging techniques such as X-ray or ultrasound, the doctor guides a fine needle into the epidural space near the affected nerve.
- Once the needle is correctly placed, the corticosteroid and local anesthetic are injected, reducing inflammation and numbing the area.
The entire process is quick, usually lasting between 15 to 30 minutes. Since it’s minimally invasive, most patients can go home on the same day.
How Long Does It Take to Feel Relief?
While the anesthetic used during the injection may provide immediate pain relief, it’s important to note that the corticosteroid typically takes a little longer to have its full effect. Many patients begin to feel relief within 2 to 3 weeks as the steroid reduces inflammation in the affected area. However, it’s possible that you may experience some discomfort as the anesthetic wears off before the steroid begins to take full effect.
How Much Pain Is Involved in the Procedure?
The level of discomfort associated with an Epidural Steroid Injection can vary. While the needle insertion may cause a brief pinch or mild pressure, the area is numbed with local anesthesia beforehand to minimize discomfort. Most patients find the procedure tolerable, and the discomfort is usually short-lived. Some may feel a slight pressure or mild discomfort as the medication is administered, but this generally fades quickly.
In fact, even those with a fear of needles often tolerate the procedure without much difficulty.
In fact, even those with a fear of needles often tolerate the procedure without much difficulty.
Are There Risks or Side Effects?
While Epidural Steroid Injections are generally safe, some patients may experience temporary and mild side effects. Here’s a breakdown of what you need to know:
Common Side Effects (short-term):
- The patient is positioned either lying on their stomach or side, depending on the target area.
- The injection site is sterilized to reduce the risk of infection.
- Using imaging techniques such as X-ray or ultrasound, the doctor guides a fine needle into the epidural space near the affected nerve.
- Once the needle is correctly placed, the corticosteroid and local anesthetic are injected, reducing inflammation and numbing the area.
Find Lasting Relief from Radiculopathy
If you are in Singapore and struggling with the persistent, radiating pain of radiculopathy, know that effective options are available. The most crucial step towards recovery is getting an accurate diagnosis from a back pain specialist in Singapore who can create a plan tailored to you. For patients seeking professional radiculopathy treatment Singapore can trust, Epidural Steroid Injections may be the right solution to help you regain comfort and mobility. Book a consultation with Dr Christopher Liu at Alleviate Pain to learn more.
FAQs
How Long Does The Relief from Epidural Steroid Injections Last?
The duration of pain relief varies from person to person. Many patients experience relief for several months, which provides a crucial window for engaging in physiotherapy to address the underlying cause of the pain. Your backache specialist will create a comprehensive plan for long-term management.
How Do I Know If I Am A Good Candidate for This Treatment?
The best way to determine your suitability is through a consultation. Generally, Epidural Steroid Injections are recommended for patients with confirmed radiculopathy who have not found sufficient relief from conservative treatments like medication and physiotherapy. A thorough assessment is required to ensure this is the right option for you.
How Should I Prepare for The Procedure?
Preparation is straightforward. You can usually eat a light meal a few hours before your appointment. It is important to inform your backache specialist about all medications you are currently taking, especially blood thinners, as you may need to stop them temporarily. We recommend wearing comfortable, loose-fitting clothing on the day of your procedure.
If you believe you may have an annular tear or suffer from chronic low back pain, schedule an appointment with the specialists at Alleviate Pain Clinic, located at Farrer Park Hospital, Singapore. Our Doctors can provide a comprehensive evaluation and tailor a treatment plan to help you manage and overcome your pain effectively.
