Clinical Hub,Patient Education,Health and Nutrition Facts For You,Radiology - Invasive Procedures

Epidural Steroid Injection (ESI) And Nerve Root block (NRB) (5120)

Epidural Steroid Injection (ESI) And Nerve Root block (NRB) (5120) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Radiology - Invasive Procedures


Epidural Steroid Injection (ESI)
And Nerve Root Block (NRB)

You have been scheduled for a ______________________________________________
Date of procedure: __________________________ Time: _____________________
Please check into Radiology at UW Hospital fifteen minutes before your scheduled visit.

If you are unable to keep this appointment,
please call Radiology Scheduling at (608) 263-9729.

Your doctor suggests an epidural steroid injection or nerve root block to help decrease the pain in
your low back and/or leg. The amount of pain relief felt from this treatment varies from patient
to patient. Some patients do not get any pain relief. Many get some or total relief of their pain.
Relief can last for two weeks to more than one year.

To Prepare for Your Treatment

You won’t be able to have this treatment if
ξ You haven’t had an MRI or CT scan
of your lower spine.
ξ You have an active infection, such as a
cold or sinus infection.
ξ You may be or are pregnant.
ξ You weigh more than 450 pounds.

Please tell our staff if you are taking blood
thinners; such as, Plavix®, Warfarin
(Coumadin®), Xarelto, or Pradaxa.

If you have diabetes, steroids will cause
your blood sugar to increase. Make sure
your primary doctor is aware of your
scheduled injection; and, you have a plan to
keep your blood sugar within your normal

Please bring your pain medicine with you.
You may take it after your treatment, if

You must have someone drive you home
after your treatment, so please plan for
this. Some patients have weakness in their
legs after treatment.

The Day of Your Treatment

Enter the hospital through the clinic entrance
and take the Atrium elevators to the 3rd
floor. Check in at the (G3/3) Radiology

If you have an MRI or CT from another
hospital, you must bring it with you for
the Radiologist to review.

The Radiologist will meet you in a consult
room to explain the risks and benefits of the
procedure. You will have a chance to ask
questions you have before your treatment.
Your treatment will take about 45 minutes.
You will lie on your stomach. A fine needle
will be put into your back to place medicine
around the nerves of your back.

Tell your doctor if you have diabetes or
heart problems.

After Your Treatment

Most often, patients do not have any
problems after treatment. There is a slight
risk of infection or bleeding in the spine.

For 1-2 days after treatment, some patients
may have:
ξ Back or leg pain that is worse for a
brief time
ξ Redness and flushing around the
ξ Fluid gain for 1-2 days, which may
affect breathing if they have heart
ξ High blood sugars, if they have

Women of childbearing age may have a
change in their menstrual cycle. They may
have spotting between periods. If you have
periods and they change for more than 2
cycles, you should call your doctor to see if
you need to be checked.

Activities and Pain Relief

After your treatment, you must take the
rest of the day off from work, so please
plan for this.
ξ Avoid any strenuous physical
activity or heavy lifting for 24 hours.
ξ You may return to your normal
routine as soon as you are able.
ξ You may take the medicines that you
use for your low back pain.
ξ You will be given a pain log to
complete for the next 14 days. Please
complete this form and mail it back
to us. We will need this information
to decide the next step in your
treatment plan.
ξ Once your pain log is completed,
please contact the staff of the clinic
who ordered your treatment to let
them how much pain relief you have
had. Please contact them sooner if
you have any questions about more

When and How to Contact the
ξ Please call the radiologist if you
ξ Pain that gets worse in your low
ξ Chills
ξ Fever greater than 100.4 θ F by
mouth for 2 readings taken 4 hours
ξ Redness that gets worse or swelling
around the site
ξ Any drainage from the site where the
needle was placed

You can talk with the radiologist by calling
the Musculoskeletal Radiology
Interventional Service at (608) 263-9729
option #3.

After hours, nights, weekends and holidays,
call (608) 263-6400. Please ask for the
radiology resident on call. Leave your name
and phone number with area code. The
doctor will call you back.

If you live out of the area, please call:

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright 8/2016. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing HF#5120.