Thoracic Epidural

What should I expect from this procedure?

The epidural space surrounding nerve roots in the thoracic (chest) cavity and the spine may become irritated by a damaged disc or trauma. An injection in this area may help heal the area by reducing inflammation. An injection can help to significantly reduce pain in the mid back and around the rib cage.

How quickly can I expect pain relief?

You should feel relief immediately due to the anesthesia. After the local anesthetic wears off, you may feel some discomfort return, which should resolve after the steroid medication starts to work.

What happens during and after the procedure?

An IV is started so that relaxation medication can be given. The patient is placed lying on their side on the x-ray table and positioned in such a way that the physician can best visualize the back using x-ray guidance. The skin on the back is scrubbed using 2 types of sterile scrub (soap). Next, the physician numbs a small area of skin with numbing medicine. This medicine stings for several seconds. After the numbing medicine has been given time to be effective, the physician directs a small needle, using x-ray guidance into epidural space. A small amount of contrast (dye) is injected to insure the needle is properly positioned in the epidural space. A mixture of numbing medicine (anesthetic) and anti-inflammatory (cortisone/steroid) is injected.

Will my insurance cover the procedure?

Most insurance companies currently cover thoracic epidural. They are covered by Medicare and other government funded insurance plans. However, coverage may vary depending on your specific plan and policy.

What possible side effects might I see?

Possible side effects may include drowsiness, temporary numbness, weakness and soreness.

What should I do if any problems develop after I leave the hospital?

If you have continued pain, fever or leg weakness, call the Advanced Pain Institute. Please do not perform vigorous activity for one week. When you are feeling better, slowly increase your activity level.

What post procedure instructions are recommended?

You should rest for a few hours following the procedure, and use assistance if needed. You may resume light activity soon after the procedure, and resume your regular diet. Do not drive or operate machinery for at least 12 hours following the procedure.