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ESI 101

SHModeratorSHModerator Posts: 43
edited 02/02/2016 - 11:13 AM in Spinal Injections
This is the formal Spine-Health Video:

This is a common scenario for ESI

1 - Arrive at the center that will do the treatment. A nurse will talk to about your procedure, give you a hospital gown to wear and take some vitals.

2 - The doctor will come in to talk to you and verify what you are having doing. Most of the time they will even mark the area where the spinal injection is to be given. No mistakes, making sure every one is on board.

3 - You will be taken to the 'sterile operating room' placed head down on a table. A Nurse will start to take your vitals Most doctors will also provide some level of sedation, just to ease everything. The doctor will talk to you again, verifying what is being done.

4 - The procedure starts. The area will be numbed, then the doctor with the aid of a fluoroscope injects one needle into the area. Think of this is a the vessel that the steroid will be injected into. Next the steroid injection is given. You may have
a warming feeling in the area, but basically no pain.

5 - You are then taken to a recovery room where they want you to lay down for about 15 minutes. After that they generally give some soda and a cookie/cracker. Your vital signs are taken again.

6 - Right before you are ready to leave, the doctor will give you a couple of papers that detail what you should expect over the next 24, 48 and 72 hours. The initial night, the injection site will probably be sore. The next day, you may have some more soreness, but then anywhere starting around 48 or 72 you should start to feel some pain relief. I wish I could say
everyone will feel this. But it just doesn't always happen this way. Some people will start to realize pain relief, while others may not notice any change.

7 - You are then released to someone who will be driving you home.

Average Procedure Time:

10 Minutes in the pre-Op area
20 Minutes for the actual ESI procedure
15 Minutes in the recovery room

Total Time about 45 Minutes

That is the textbook way ESI's are given. I have heard members talking about doctors doing this without any sedation or fluoroscope guidance. That is something, I think you should check into before the procedure.

Ron DiLauro,  Spine-Health
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