Cortisone injections are extremely safe, but they do still have potential problems. If you are concerned about having a cortisone shot, talk with your doctor. While cortisone is a powerful treatment for many orthopedic conditions, there are usually other options that can also be tried. Many doctors will offer an injection as they are quick, easy, and most often effective. However, your doctor should also be able to offer other treatments for inflammation that may also be effective for those that cannot have, or don't want, a cortisone injection.
The best reason to have an epidural steroid injection is not for the relief of back pain, but rather for the relief of leg pain caused by spinal nerve compression. Often called sciatica , leg pain caused by nerve irritation is the best reason to have an epidural. These symptoms can be caused by disc herniations or spinal stenosis . We know very well, that general low back pain symptoms are not well treated with an epidural steroid injection, and this should be avoided as a treatment for this type of pain. Back pain is not a good reason to have an epidural injection.