what should you not do after an epidural steroid injection

Understanding Epidural Steroid Injections

The experience of getting an epidural steroid injection may seem daunting, but understanding the procedure and its benefits can help alleviate any concerns. As someone who has gone through this process myself, I want to share some insights with you so that you can feel more at ease about the upcoming procedure.

What Is an Epidural Steroid Injection?

An epidural steroid injection, also known as ESI, is a minimally invasive procedure used to treat inflammation and pain in the spine. During the procedure, a corticosteroid medication is injected into the epidural space of the spine, which is the area around the spinal cord and the nerves branching out from it. This medication helps to reduce inflammation and alleviate pain in the affected area.

How Does an Epidural Steroid Injection Work?

When I first heard about getting an epidural steroid injection, I was curious about how it would actually help with my back pain. The corticosteroid medication in the injection is a powerful anti-inflammatory agent, which helps to reduce swelling and irritation around the spinal nerves. This can provide relief from pain and discomfort in the affected area. Additionally, the injection may also contain a local anesthetic, which can provide immediate pain relief.

Key Takeaways:

  • Avoid strenuous activities: After an epidural steroid injection, it’s important to avoid lifting heavy objects or participating in high-impact activities to prevent any potential complications.
  • Don’t drive: It’s best to have someone else drive you home after the procedure, as the injection may cause temporary weakness or numbness in the legs.
  • Avoid taking hot baths or using heating pads: Heat can increase inflammation in the area of the injection, so it’s best to avoid hot baths or using heating pads on the injection site for a few days.
  • Avoid consuming alcohol: Alcohol can interact with the anesthesia used during the procedure, so it’s best to avoid consuming alcohol for at least 24 hours after the injection.
  • Don’t skip your follow-up appointments: It’s important to attend all scheduled follow-up appointments with your healthcare provider to assess the effectiveness of the injection and address any concerns or complications that may arise.

Recovery and Post-Injection Care

One of the key factors to a successful recovery after an epidural steroid injection is taking the right post-injection care. This is crucial for allowing the medication to take effect and for minimizing any potential side effects. Here, I will discuss what you can expect after the injection, as well as provide some tips for a smooth recovery.

What to Expect After an Epidural Steroid Injection

After the injection, you may experience some mild discomfort or soreness at the injection site. This is normal and should subside within a few days. Additionally, you may notice a slight increase in pain for the first 1-2 days following the injection before the steroid takes effect and provides relief. It’s important to keep in mind that individual experiences may vary, so it’s always best to consult with your healthcare provider if you have any concerns.

Tips for a Smooth Recovery

1. Follow your doctor’s instructions: This may seem obvious, but it’s crucial to follow the post-injection care guidelines provided by your healthcare provider. This may include avoiding certain activities or taking prescribed medications to aid in your recovery.

2. Stay hydrated: Drinking plenty of water can help flush out the medication from your system and reduce the risk of side effects.

3. Avoid strenuous activities: It’s important to give your body time to heal, so avoid heavy lifting, intense exercising, or prolonged sitting or standing for the first few days after the injection.

4. Use ice or heat: Applying ice or heat to the injection site can help alleviate any discomfort and reduce inflammation.

Recognizing any concerning symptoms such as severe headaches, fever, or loss of sensation in the legs and reporting them to your healthcare provider is essential for ensuring a smooth recovery.

Things to Avoid After an Epidural Steroid Injection

Obviously, after having an epidural steroid injection, there are certain things you should avoid in order to ensure the best possible outcome and minimize any potential risks. Here are a few important things to keep in mind as you recover from the procedure.

Activities and Movements to Avoid

When it comes to activities and movements to avoid after an epidural steroid injection, it’s important to be mindful of putting too much strain on your back. For the first few days after the injection, I recommend that you avoid heavy lifting, strenuous exercise, or any movements that involve twisting or bending at the waist. It’s also a good idea to steer clear of high-impact activities such as running or jumping to give your body ample time to heal. Remember to listen to your body and take it easy – pushing yourself too hard too soon could lead to complications.

Medications and Treatments to Avoid

As you recover from your epidural steroid injection, it’s important to be cautious about the medications and treatments you use. Avoid taking any over-the-counter anti-inflammatory medications such as ibuprofen or aspirin for at least 24 hours after the injection, as these can interfere with the effects of the steroids. Additionally, it’s a good idea to avoid any other injections or treatments in the same area for a period of time, as this could exacerbate inflammation and discomfort. If you have any questions or concerns about specific medications or treatments, be sure to consult with your healthcare provider for personalized guidance.

Alternative Pain Management Strategies

Now that you have received an epidural steroid injection for your pain management, it’s important to consider alternative strategies for managing your discomfort. While medications can be effective, they are not the only option for pain relief. In this section, I will discuss alternative pain management strategies that can complement the effects of your epidural steroid injection and improve your overall well-being.

Non-Medicinal Options for Pain Relief

One non-medicinal option for pain relief is physical therapy. This can help improve your strength, flexibility, and overall function, which can in turn reduce your pain. I have found that incorporating techniques such as acupuncture, chiropractic care, or massage therapy into my pain management plan can provide relief without the need for additional medications. These alternative therapies can help to reduce inflammation, improve circulation, and relax muscles, giving you a more holistic approach to managing your pain.

Lifestyle Changes for Long-Term Pain Management

When it comes to long-term pain management, lifestyle changes can play a crucial role in improving your overall well-being. Making small adjustments to your daily routine, such as incorporating regular exercise, improving your posture, and maintaining a healthy weight, can have a significant impact on your pain levels. Additionally, focusing on stress reduction techniques such as meditation, deep breathing exercises, or yoga can help to manage the emotional and psychological aspects of pain. By making these lifestyle changes, you can take an active role in managing your pain and reduce the need for additional medical interventions.

Remember, while the epidural steroid injection may provide temporary relief, incorporating alternative pain management strategies can support and enhance your overall treatment plan. Always consult with your healthcare provider before making any significant changes to your pain management routine. It is important to approach alternative pain management strategies with caution, as some may not be suitable for everyone. By adopting a holistic approach to managing your pain, you can improve your quality of life and reduce reliance on medications.


Q: What should you not do after an epidural steroid injection?

A: After an epidural steroid injection, it’s important to avoid certain activities to ensure the best outcome. Here are some things you should not do:

Q: Can I drive home after an epidural steroid injection?

A: It’s best to have someone else drive you home after an epidural steroid injection. The numbing medication used during the procedure can affect your ability to drive safely.

Q: Should I engage in strenuous physical activity after an epidural steroid injection?

A: It’s advisable to avoid strenuous physical activity for at least 24 hours after the injection. This includes heavy lifting, intense exercise, and other activities that could put stress on the injection site.

Q: Is it okay to take a hot bath or go swimming after an epidural steroid injection?

A: It’s best to wait a day or two before taking a hot bath or going swimming. Submerging the injection site in water can increase the risk of infection, so it’s important to wait until the skin has fully healed.

Q: Can I stop taking my prescribed medications after an epidural steroid injection?

A: It’s important to continue taking any prescribed medications as directed by your healthcare provider. The injection is meant to complement your current treatment plan, not replace it. Always consult your healthcare provider before making any changes to your medication regimen.

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