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Epidural Specialist

Daniel Loder, MD

Pain Management & Orthobiologic Treatment located in Beverly Grove, Los Angeles, CA, & Torrance, CA

When you suffer from back, neck, arm, or leg pain, an epidural injection can provide the relief you need to regain mobility and function. With dual board certification in pain medicine and anesthesia, Daniel Loder, MD, and his highly qualified team in Beverly Hills, Torrance, and Manhattan Beach, California, have extensive experience targeting inflamed spinal nerves and performing epidural injections to alleviate your pain. To schedule an appointment, call one of the Los Angeles area offices or use the online booking feature.

Epidural

What is an epidural?

An epidural refers to an epidural injection, which gets its name from the fact that the injection goes into the epidural space of your spine. The epidural space is an area that runs along the spine, between the vertebrae and the protective membrane that covers the spinal cord.

Epidural injections contain a steroid medication and a local anesthetic. The anesthetic delivers immediate but short-lived pain relief, while steroids provide longer-lasting relief by reducing inflammation.

When might I need an epidural injection?

Epidural injections alleviate back, neck, arm, and leg pain that inflamed spinal nerves cause. Health conditions that often benefit from an epidural include:

  • Herniated disc
  • Sciatica
  • Bulging disc
  • Bone spurs
  • Spinal stenosis
  • Degenerative disc disease
  • Slipped vertebra (spondylolisthesis)

When these conditions cause radiculopathy or a pinched nerve, you may experience symptoms such as pain and tingling that radiate down an arm or leg.

What should I expect during an epidural?

Your provider at the office of Daniel Loder, MD, reviews your clinical history and performs a comprehensive physical exam. They also evaluate your previous diagnostic imaging studies or order an MRI if needed to get a detailed view of the soft tissues in your spine.

The diagnostic imaging allows them to identify inflamed and compressed nerves. They use this information to plan the best site for your epidural injection.

Your provider uses a local anesthetic at the injection site, so you stay awake and comfortable. They use fluoroscopic imaging, a continuous, real-time X-ray, that shows your spinal nerves and the epidural space, and allows your provider to guide the needle to the inflamed nerves.

After inserting the needle into the epidural space, your provider injects a dye to verify how the medication will flow through the epidural space. Then they inject the medication, and your procedure is complete.

What happens after an epidural?

You can get up and walk around shortly after your epidural injection. However, the team at the office of Daniel Loder, MD, monitors you for a short time before discharging you to go home. 

Most patients find that the injection site is sore for a few days, but most return to their usual activities the next day.

How long do epidural results last?

After the anesthetic wears off, you need to wait a few days for the steroids to take effect. That’s when you can determine the overall pain relief of your epidural injection. 

Each person is different, but most find that their results last for several weeks to months. Some may have pain relief that lasts a year or longer.

If you have ongoing pain that could benefit from an epidural, call Daniel Loder, MD, or book an appointment online.