A lumbar epidural steroid injection (LESI) is a medical procedure designed to alleviate pain by delivering anti-inflammatory medication directly into the epidural space surrounding the spinal nerves in the lower back. This targeted approach aims to reduce inflammation and irritation of nerve roots, which often cause chronic pain, numbness, or tingling that can radiate into the hips, legs, or feet. Proper rest and adherence to post-procedure guidelines are important for maximizing the injection’s effectiveness and minimizing potential complications.
Immediately After Your Injection
Immediately after a lumbar epidural steroid injection, patients typically remain under observation at the clinic for a short period, between 15 minutes to an hour. This allows medical staff to monitor for any immediate reactions or side effects. It is advised to arrange for someone to drive you home, as driving is not recommended for at least 12 to 24 hours post-procedure due to potential temporary effects such as sedation, numbness, or impaired motor function.
For the remainder of the day, resting in a reclined position can help take pressure off the back and allow the medication to settle. Patients should avoid strenuous activities, heavy lifting, or any movements that involve significant bending or twisting. Additionally, it is recommended to avoid hot baths, showers, swimming, or hot tubs for at least 24 hours, or up to 72 hours, to prevent increasing inflammation at the injection site.
Rest and Activity in the First Days
During the first 24 to 72 hours following the injection, a balance between rest and light activity is encouraged. While prolonged bed rest is not advised, patients should avoid overexertion. Short, gentle walks are recommended as they can help improve circulation and prevent stiffness without placing undue stress on the spine.
Patients should refrain from activities that involve significant bending, twisting, or lifting anything heavier than 5 to 10 pounds during this initial recovery phase. Resuming normal exercise routines, high-impact activities like jogging or running, or strenuous work should be avoided to allow the body to heal and the anti-inflammatory medication to take effect. Listening to your body’s signals and gradually increasing activity levels as comfort allows is important.
Gradually Returning to Normal
The timeline for a full return to normal activities, including regular exercise and work, varies among individuals and depends on their response to the injection. While some people may feel better within a few days, the full effects of the steroid medication may not be felt for up to a week, or even two weeks for some. Gradually increasing activity is important, starting with light exercises such as walking, stationary cycling, or gentle stretches.
Physical therapy can be a part of the recovery process, especially if the injection is part of a broader treatment plan. Consulting with a doctor or physical therapist for specific guidance on when to resume more demanding activities, such as weightlifting or high-impact sports. The goal is to progress activity levels slowly, allowing the body to adapt and strengthen without risking re-injury.
When to Seek Medical Advice
While lumbar epidural steroid injections are safe, it is important to be aware of signs of complications requiring immediate medical attention. You should contact your doctor or seek emergency care if you experience severe or worsening pain that does not subside, or if new symptoms arise such as shooting pain, burning, or tightness in your back or legs.
New or increasing numbness, weakness, or tingling in your arms or legs also requires prompt evaluation. Signs of infection at the injection site, including increased pain, swelling, warmth, or redness, along with a fever or chills, should be reported immediately. Any new loss of bowel or bladder control, which can indicate a serious neurological issue, requires urgent medical consultation.