Most people hear “epidural steroid injection” and think immediate relief… but that’s not always how it works. As an endoscopic spine surgeon, I explain why the first 24–48 hours can actually be more painful — the volume of the injection can briefly increase pressure on an already irritated herniated disc. The steroid reduces inflammation, but not instantly. A lot of pain doctors don’t slow down and explain this, so patients get blindsided. Here’s what’s really happening inside your spine and why
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Most people hear “epidural steroid injection” and think immediate reli…
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