Spinal injections are generally safe procedures. If complications occur, they are usually mild and self-limited.
However, like with any treatment procedure, some of the common risks with epidural steroid injections are:
1) Infection:
This is rare but there is an increased risk in skin conditions like psoriasis or eczema. The rate is less than 1 in 1000 injections
2) Bleeding:
People who take medications to ‘thin their blood’ will be advised to stop these medications at least a week in advance of the procedure for safety.
3) Steroid facial flushing:
A temporary side effect with flushing of the face and chest, with warmth and an increase in temperature for several days.
But this settles down very quickly.
4) Allergic Reaction:
There is a very small chance that you may become allergic to the preservative in the Steroid injection.
This can be fully cured by medications.
You will be monitored at the Hospital and will be discharged only if it is safe.
5) Anxiety or vasovagal:
Caused due to the stress of the procedure and is not life-threatening.
1 in 100 patients do have such episodes and it settles very quickly.
6) Menstrual changes:
Some patients have reported to me that they have increased menstrual flow. This settled without any treatment