Thanks for writing I.
injection (ESI) is a relatively safe procedure.
Complications are infrequent but have been reported to be epidural hematoma
, Cushing’s syndrome, temporary paralysis
, epidural abscess
(an infection at the site of the injection), anaphylaxis
(a severe allergic reaction
), nerve root injury
, and a spinal headache if the dura mater
is punctured. The most immediate adverse reaction during an ESI is a vasovagal reaction. This is when the blood vessels in your body vasodilate or relax causing your blood pressure to decrease. Often, people feel lightheaded and may even faint with a vasovagal reaction, however, this reaction is temporary. A retrospective study of 207 patients that received transforaminal epidural steroid injections found 3.1% of patients experienced a transient non-positional headache that resolved within 24 hours, 2.4% had an increase in back pain
, 1.2% had facial flushing
, 0.6% experienced increased leg pain, and 0.3% had a vasovagal reaction. As seen in this study, out of 207 patients, only a small percentage of patients experienced an adverse reaction after a transforminal ESI.
Cushings syndrome features like moon face may disappear in few months time. Please have a discussion with your doctor regarding appropriate steroid dose to be given.
Hope this helps