Fluoroscopy-guided epidural steroid injection: what to know

Fluoroscopy gives the clinician a moving X-ray view while a fine needle is guided to the intended epidural space. A contrast check may help confirm the route before medication is delivered. The injection commonly contains a Corticosteroid to calm inflammation and may include a Local Anaesthetic for temporary numbing. It is used selectively when symptoms suggest nerve irritation, such as Sciatica, Cervical Radiculopathy, a Herniated Disc, or narrowing from Spinal Stenosis. It is intended to reduce symptoms and support rehabilitation; it does not repair every structural cause of pain.

The injection site may feel sore briefly, and numbness or temporary weakness can occur depending on the area treated. Your clinician should explain the expected pattern and how long you need observation afterward.

Tell the clinic about medicines that affect bleeding, allergies, diabetes, infection, pregnancy, and previous reactions to contrast or injections. Follow the instructions about eating, drinking, and arranging transport if sedation is planned. Afterward, follow the activity advice and note changes in Lower Back Pain or Radiating Leg Pain. Do not increase strenuous activity simply because symptoms improve; a gradual rehabilitation plan is usually more useful.

Contact the treating service promptly for worsening weakness, spreading numbness, loss of bladder or bowel control, severe headache that is worse upright, fever, increasing redness, or drainage at the injection site. Seek emergency help for sudden major weakness, new difficulty walking, or loss of bladder or bowel control. These symptoms need assessment rather than observation at home.

Ask which nerve or pain pattern the injection targets, what benefit is realistic, and what alternatives are available. Confirm medication adjustments, contrast precautions, driving arrangements, expected recovery, and the plan if symptoms do not improve.