Spinal injections are a common medical procedure often recommended for individuals experiencing back, neck, or radiating limb pain. These injections deliver medication directly into or near the spine, typically to address inflammation or nerve irritation. Many people considering this treatment naturally wonder about the potential for pain during the procedure.
Sensations During the Procedure
During a spinal injection, the initial sensation is often a brief sting or pinch as a local anesthetic numbs the skin. This feeling is similar to receiving a routine vaccination or blood draw. Once the numbing agent takes effect, the area becomes desensitized, significantly reducing discomfort.
As the needle advances, patients typically report feeling pressure rather than sharp pain. Medical professionals use imaging guidance, such as fluoroscopy, for precise needle placement. Some individuals might experience a dull ache or pressure when the medication, which often includes a local anesthetic and a steroid, is injected. This sensation is usually brief and subsides quickly, as the injection itself is very fast.
Managing Discomfort After the Injection
After a spinal injection, it is common to experience some localized soreness, bruising, or aching at the injection site. This post-procedure discomfort is generally mild and temporary, often resolving within a few days. In some instances, the original pain might temporarily worsen before it improves, a phenomenon known as a “pain flare.” This temporary increase can occur if the injected medication irritates inflamed nerves or increases epidural pressure.
To manage discomfort at home, apply ice packs to the injection site. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can be used for mild pain. Resting and avoiding strenuous activities for the first 24 hours are also advisable. However, contact a doctor if severe pain, fever, significant redness, or new numbness or weakness in the limbs develops, as these could indicate a less common complication.
Factors Influencing the Experience
An individual’s experience with a spinal injection can vary based on several factors. Different types of spinal injections, such as epidural, facet joint, or nerve block injections, target distinct spinal areas, which may lead to different sensations. For instance, epidural injections target the space around the spinal cord, while facet joint injections focus on the small joints connecting spinal bones.
Individual pain tolerance plays a role in how a person perceives discomfort during and after the procedure. Anxiety and tension can heighten pain perception, so some patients may benefit from relaxation techniques or mild sedation before the injection. The skill and experience of the practitioner performing the injection can influence the procedure’s smoothness and patient comfort. Following pre-procedure instructions, such as avoiding certain medications, also contributes to a favorable experience.