How effective are epidural injections for back pain?

The effectiveness of epidural injections depends on a number of factors. The most important factor is the cause of your pain. For example, if pain is due to muscle spasm, an epidural injection is unlikely to be helpful.

Epidural injections usually include a combination of corticosteroids and a numbing medicine in the family of Novocain. The needle is inserted into the space just outside the spinal cord (called the epidural space). These injections are most commonly recommended to treat:Osteoarthritis (or degenerative joint disease)Disc diseaseSpinal stenosis (a narrowing of the space where the spinal cord resides)Studies of epidural injections suggest that they can be helpful for these conditions.

However, not all studies demonstrate significant benefit. And even the ones that find benefit suggest that the primary role of epidural injections is to provide temporary pain relief for certain conditions.

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