Hi,
Thanks for writing I.
Epidural
steroid 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