What is an Epidural Steroid Injection (ESI)?
An epidural steroid injection is a minimally invasive procedure that provides pain relief in patients experiencing neck, arm, back, and leg pain as a result of inflamed spinal nerves. ESIs are delivered into the epidural space of the spine and work by flushing away the proteins that cause swelling. This area lies between the dura mater and the bony vertebra, making it very delicate. Relief from ESIs can last from days to years, giving your spinal condition time to improve with physical treatment. They are also known as transforaminal epidural steroid injections or simply “ESIs.”
What Injuries Benefit From Epidural Steroid Injections?
ESIs benefit patients with severe radiating pain in their neck down to their arm or severe radiating pain in their back radiating to their leg area. The conditions that can cause this include:
- Herniated disc
- Joint cysts
- Narrowing of the spinal canal (stenosis)
- Arthritis patients with radiating symptoms.
Medical professionals have identified multiple short-term benefits associated with ESIs, including the ability to continue rehabilitative exercises.
What Doctors May be Qualified to Perform an ESI?
Doctors of several different subfields of orthopedics and neurology may receive training and perform epidural steroid injections on their patients. The following medical practitioners commonly perform ESI’s as a part of their pain management and/or surgical practices:
- Neurosurgeons
- Orthopedic Surgeons
- Anesthesiologists
- Neurologists
- Radiologists
- Physiatrists.
Epidural Steroid Injection Negligence
Just like any medical treatment or procedure, there are cases when an epidural steroid injection is administered negligently. Whether the doctor failed to consider a patient’s medical history or the injection was placed incorrectly, no one undergoing treatment for severe pain should have to deal with the mental and physical damage associated with this kind of medical malpractice. Whether it is by making a demand for settlement or filing an epidural steroid injection lawsuit, A negligently performed steroid injection lawyer can help you through this time.
Causes of Injuries From Epidural Steroids
There are many reasons why an epidural steroid injection could go wrong, but none should occur when you have a qualified and properly-trained medical professional performing the ESI:
- Inserting the needle into the wrong area such that it punctures the dura resulting in a CSF leak.
- Inserting the needle so that it hits the spinal cord.
- Inserting the injection so as to damage a nerve.
- Blood clots from accidental cutting of a blood vessel.
- performing an unnecessary injection.
- performing too many injections in total or in too short of time.
What Injury Can a Negligently Performed ESI Cause?
A negligently performed steroid injection may result in the following injuries:
- spinal headache from a dural puncture
- nerve damage and paralysis
- internal bleeding
- infection
Good to Know. Not all negative reactions from epidural steroid injections are due to negligence. Reactions to the medications and temporary symptoms are often normal side effects that can be expected. These do not generally constitute unless it’s a severe allergic reaction that the doctor had reason to predict. Injuries such as nerve damage or dural sac punctures, on the other hand, are not normal. You should talk to a Houston negligently performed epidural steroid injection lawyer if you experience the latter.
Talk to a Lawyer About Your Epidural Steroid Injection
For more information on what to do if you feel you have been negligently injured following a medical procedure, contact Simmons and Fletcher, P.C., today. There are many questions victims of medical malpractice do not think to consider following an injury. By consulting a medical malpractice attorney, you can ensure you know your rights. Call us today for a free consultation. If we take your case, we do so on a contingency fee basis so that you pay nothing upfront and only pay our attorney fees and reimburse our expenses if we make a recovery in your case.
FAQ's
What is a Dural Sac Puncture a/k/a Thecal Sac Puncture?
The dura or dural sac a/k/a thecal sac is a thin sheath that surrounds the spinal cord. The dura contains cerebrospinal fluid (CSF). When the person performing the epidural steroid injection does not place the needle in the correct position, this can result in a dural sac puncture. Puncture of the dural sac allows spinal fluid to lead out. The importance of this is that the brain is floating on cerebrospinal fluid. When you create a CSF leak in the thecal sac, the fluid supporting the brain may be drained away, leaving the brain sitting on the bone. This can result in severe headaches and ultimately lead to very serious conditions if not properly treated.
Can You File an Epidural Steroid Injection Lawsuit for Nerve Damage?
If you suffer permanent nerve damage due to a negligently placed or performed epidural steroid injection, you may have the right to file an epidural steroid injection lawsuit. You should talk to a lawyer about your negligently performed epidural steroid injection case to determine your rights.
What Are the Normal Side Effects Associated with Epidural Steroid Injections?
While most patients can walk around following an ESI procedure, minor side effects associated with the injection include:
- Anxiety
- Facial flushing
- High blood sugar
- Increased localized pain
- Sleeplessness
- temporary increased back or neck pain
