تعريف
A spinal corticosteroid injection places corticosteroids into tissue around the spine. Corticosteroids are drugs that reduce painful swelling and irritation, called inflammation. They are injected into the back with a needle.
أسباب هذا الإجراء
- To diagnose whether a specific site in the spine is the cause of persistent pain or disability
- To reduce pain caused by swelling or inflammation around the spine
- Improve physical function for people with persistent low back pain and/or sciatica
Spinal injections are typically performed when persistent pain and disability are not relieved by:
- استراحة
- Ice and heat therapies
- الأدوية
- علاج بدني
- Back exercises
- Changes to the physical set-up of the work environment
- Changes to physical activities, including work
- Spinal manipulation
المضاعفات المحتملة
Complications are rare, but no procedure is completely free of risk. If you are planning to have an injection, your سيقوم الطبيب بمراجعة القائمة من المضاعفات المحتملة، والتي قد تشمل:
- الصداع
- Allergic reaction to the medicine
- نزيف
- العدوى
- تلف العصب
- إغماء
بعض العوامل التي قد تزيد من خطر المضاعفات تشمل:
- العدوى الحالية
- Certain pre-existing حالات طبيه
- Treatment with blood thinners or certain other medicines
- General ill health
ما يمكن توقعه
قبل الإجراء
Your doctor may:
- Perform a brief physical exam
- Order an X-ray —a test that uses radiation to take a picture of structures inside the body, especially bones
- Order an MRI scan —a test that uses magnetic waves to make pictures of structures inside the body
- Order a CT scan —a type of x-ray that uses a computer to make pictures of the inside of the body
التحدث مع طبيبك عن الأدوية الخاصة بك. قد يطلب منك التوقف عن تناول بعض الأدوية تصل إلى أسبوع واحد قبل العملية مثل:
- الأسبرين أو غيره من العقاقير المضادة للالتهابات
- سيولة الدم, مثل كلوبيدوجريل (بلافيكس) أو الوارفارين (الكومادين)
التخدير
A local anesthetic and/or a sedative may be used. They may help to alleviate pain andanxiety. You will be awake for the procedure.
وصف الإجراء
You will lie on your side on an x-ray table. The skin on your back will be washed with a sterile solution. A syringe containing corticosteroid medicine and a local anesthetic will be prepared. The needle will be injected through the skin and into a space near the spine. The doctor will likely use x-ray imaging to guide placement of the needle. Contrast material may also be injected to confirm that the needle is in the right place. The medicine will be injected and the needle will be removed from your back. A small bandage may then be placed over the injection site.
كم من الوقت سيستغرق ؟
The procedure will take less than one hour. The entire visit takes about 2-3 hours.
هل سيكون هناك ألم؟
The injection of the local anesthetic may burn or sting for a few seconds. After that, you should not feel pain during the procedure.
رعاية ما بعد العملية
في مركز الرعاية
- You will spend time in a recovery area.
- A healthcare professional will monitor your recovery.
- Because you were sedated during the procedure, you will need someone to drive you home.
- Potential temporary side effects include:
- Brief period of increased pain
- الصداع
- مشكلة في النوم
- Facial flushing
- فواق
- Lightheadedness from low blood ضغط
في البيت
عندما انت العودة إلى المنزل after the procedure, do the following to help ensure a smooth recovery:
- Rest on the day of the procedure.
- Apply ice packs for soreness at the injection site.
- Avoid baths, pools, and whirlpools for 24-48 hours.
- تأكد من اتباع تعليمات طبيبك .
It will take a few days to a week for the medicine to reduce the inflammation and pain. You should be able to resume your regular daily activities the day after the procedure. You should be able to start exercising within one week.
استدعاء الطبيب
بعد وصوله الى المنزل ، اتصل بطبيبك إذا كان أي من الحالات التالية:
- علامات الإصابة, بما في ذلك حمى وقشعريرة
- Redness, swelling, increasing pain, bleeding, or discharge from the injection site
- Shortness of breath or chest pain
- Numbness, tingling, pain, or weakness, especially in the arms, hands, legs, or feet
- Changes in urine or bowel function
- Sudden increase in weight of more than five pounds
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.
