The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.
Lumbar epidural injections have provided relief for many patients over the course of years. Many patients realize a significant reduction in pain, especially when the injection was received for cases of sciatica. It is important to know that the chances for success and substantial relief are increased when the injections are done in conjunction with a comprehensive physical therapy program. Epidural injections may only be a temporary solution when more conservative options have been exhausted. If the underlying cause of the pain is a significant condition, surgery may be necessary.