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A steroid injection (spinal epidural) for the treatment of back pain is among the most common interventions for back pain caused by irritated spinal nerve roots. However, most of the spinal epidural interventions will not have the expected effect. Many people who have a spinal epidural for back pain experience significant side effects such as headache, weight gain, weakness and, sometimes, nausea. In this post we will explore the various kinds of spinal epidural techniques, including epidural-only injections, a spinal epidural in which a nerve is paralyzed, and epidural injections with both of them. What are the epidural techniques for back pain? Many spinal injections use a single spinal nerve (i.e. C4 – C5) or an additional spinal nerve (i.e. C2 – C3). Injections of epidural nerves are available at a variety of concentrations and are usually administered as either a vacuum-based or needle-type device. The concentrations used are in the range of the maximum concentration of spinal nerve to be administered by injecting a single nerve (i.e. 100 cc sphyusophageal nerve with 0.5mm-1mm of spinal epidural. Other concentrations are used to select the appropriate dose of nerve. Spinal epidural use involves injection of a spinal nerve into the back (usually to the lower back) of a patient; some patients may also receive epidural injections in the neck, thoracic spine, and abdomen. Dry syringe techniques may also be used for spinal and cervical epidural injections; dry syringe injections are usually used as either vacuum or needle-type injection techniques. The most common method of spinal epidural use is a double-strand injection. A needle is injected into both sides of a nerve. Using this technique, the epidural nerve is usually the same length of the nerve that has to be given to the patient (i.e., the nerve that will be injected). Although double-strand injection is easier to administer than single-strand injection, the advantages of double-strand injection are that it is usually more effective than single-strand injection, and the procedure is slightly more dangerous (for instance, if needle- or vacuum-induced aspiration of the spinal fluid is used). Double-strand injection has been used for decades and has been the most common spinal epidural technique in the United States, and is also used in Europe. To create multiple strands using needle-type injection, the needle is then placed across the spinal nerve and the spinal cord (which is at the back of the spinal column) and is wrapped in Similar articles: