After an epidural steroid injection, it’s normal to have questions. Will the pain come back before it gets better? Should I take it easy? When will I feel relief? Recovery isn’t the same for everyone, some people feel better within days, while others take a little longer. But there are general patterns you can expect, and a few simple tips that can make a big difference.
This blog will help you explore what typically happens after the injection, a recovery timeline, common epidural steroid injection side effects, and expert-backed advice to support a smooth recovery.
What Happens Immediately After the Injection
Right after receiving the injection, your body will begin responding to both the local anesthetic and the corticosteroid. Here’s what you can expect in the first few hours:
- Mild soreness at the injection site is common and usually goes away within a day or two.
- Numbness or tingling may occur due to the anesthetic but should subside by the end of the day.
- You may experience partial or full relief within hours if the inflammation was severe.
- Clinics typically monitor you for 15–30 minutes to ensure you're stable before discharge.
Be sure to have someone drive you home and take the rest of the day off. Light rest will allow your body to respond to the medication without added strain.
Recovery Timeline: What to Expect
From the first day to the weeks ahead, here’s how healing usually progresses:
First 24 Hours
This period is primarily about rest.
- Avoid bending, twisting, or heavy lifting.
- Use ice packs to manage injection site tenderness.
- You may feel tightness or pressure in your back—this is normal.
- Contact your provider if you notice severe headache, leg numbness, or fever.
Days 2–3
At this point, the anesthetic wears off, and some people feel a return of pain before the steroid starts working.
- Light activities like walking are fine, but avoid exercise or strenuous tasks.
- Minor discomfort may linger, but it shouldn’t be intense.
- Some patients experience a pain flare-up, a known side effect that typically resolves within 24–48 hours.
Days 4–7
- The steroid starts to take full effect, reducing inflammation and easing nerve-related pain.
- Many people report the beginning of significant relief during this window.
- A follow-up with your physician may be scheduled to assess your progress.
Week 2 and Beyond
- Pain relief typically peaks between 1–2 weeks, with benefits lasting from several weeks to a few months depending on your condition.
- Your provider might suggest physical therapy to strengthen your core, improve flexibility, and prevent recurrence.
- If needed, additional injections may be spaced out over time, but most providers limit these to 3–4 annually.
Common Side Effects to Watch For
While epidural steroid injections are considered safe, they can cause a few temporary side effects:
- Headache or nausea, especially if a dural puncture occurs during the procedure.
- Facial flushing, which may last for a few hours but is harmless.
- Increased pain for 1–2 days, a temporary rebound before the steroid takes full effect.
- Signs of infection like fever, chills, or redness/swelling at the injection site are rare but serious.
Tip: Tracking your daily symptoms in a journal helps you and your provider identify any concerning changes early.
Tips for a Smooth Recovery
A few simple practices can make a noticeable difference in your healing:
- Follow your doctor’s post-injection instructions carefully.
- Hydrate well, and focus on anti-inflammatory foods like fruits, vegetables, and lean protein.
- Avoid smoking and alcohol, which can slow healing and affect circulation.
- Engage in gentle walking or stretching, as tolerated.
- Avoid high-impact activity until you’re cleared by your provider.
- Discuss rehabilitation exercises or physical therapy if your pain stems from disc or spinal issues.
When to Call Your Healthcare Provider
Reach out to your doctor right away if you experience any of the following:
- Severe or worsening pain not improving with rest or medication
- Numbness or weakness in your legs
- Loss of bowel or bladder control (a potential sign of nerve damage)
- High fever, chills, or signs of infection
- No improvement in symptoms after 10–14 days
Prompt medical attention ensures that any complications are addressed early and that you receive alternative treatment if needed.
Next Steps for Long-Term Relief!
Healing takes time, but knowing what to expect can make all the difference. While results vary, many people experience real relief within days of an epidural steroid injection. Stay active within your limits, follow aftercare instructions, and stay in touch with your provider. With a little patience and the right approach, this could be the breakthrough you’ve been waiting for.
Recover with Confidence at Michigan Neurology Associates & Pain Consultants
When recovery feels uncertain, trusted guidance makes all the difference. Michigan Neurology Associates & Pain Consultants offers the specialized care you need to heal confidently and safely. From post-injection care to ongoing pain management, our experienced team is here to help you feel better, faster. Book your consultation today and feel the difference expert care makes.
