Epidural steroid injections (ESIs) are commonly used to treat back pain and sciatica. The procedure involves injecting a local anesthetic and a steroid into the epidural space around the spinal cord. While ESIs can be effective in relieving pain, they can also cause some side effects, such as lack of sleep. In this article, we’ll discuss what is the best way to sleep after a epidural steroid injection and the best position to sleep in.
What is an epidural steroid injection?
An epidural steroid injection is a minimally invasive procedure used to treat pain in the back, neck, arms, and legs. The process involves injecting a combination of a local anesthetic and a steroid into the epidural space around the spinal cord. The steroid works by reducing inflammation and swelling in the affected area, while the anesthetic provides temporary pain relief. ESIs can be done in a doctor’s office or an outpatient facility, and the procedure typically takes less than 30 minutes.
What are the side effects of epidural steroid injections?
While ESIs can ease pain, they can also cause side effects. The most common side effect is a temporary increase in pain, which can last a few days. Other side effects include:
- Nausea
- Dizziness
- Headache
- Flushing of the face
- Insomnia or lack of sleep
Can an epidural steroid injection keep you awake?
While it’s uncommon, an epidural steroid injection (ESI) can cause sleep disturbances, including insomnia, in some people. However, it’s important to note that most people do not experience this side effect after an ESI.
The medications used in ESIs can have stimulating effects on the central nervous system, which may cause some people to feel more alert or awake after the injection. This effect is usually temporary and resolves within a few hours.
Other factors, such as pain, anxiety, or discomfort after the injection, may contribute to insomnia or other sleep disturbances. Talk to your doctor if you’re experiencing sleep disturbances after an ESI. They can help determine the underlying cause of your symptoms and recommend appropriate treatment or management strategies.
It’s worth mentioning that while ESIs can be effective in treating pain, they can also cause side effects such as insomnia, headache, or nausea. Talk to your doctor about the potential risks and benefits of the procedure and any concerns you may have before undergoing an ESI. They can help you make an informed decision about your treatment options and develop a personalized plan that meets your needs and preferences.
How do you fix epidural steroid injection lack of sleep?
There are a variety of techniques you can try to enhance your sleep quality if you are experiencing insomnia after an epidural steroid injection:
- Use a comfortable mattress and pillows: A comfortable mattress and pillows can help support your body and reduce pain and discomfort while you sleep. Consider investing in high-quality mattresses and pillows that suit your sleeping position and preferences.
- Create a good sleep environment: To promote a better sleep environment, ensure your bedroom is free from external distractions such as light and noise. You can use blackout curtains to block light, earplugs to reduce noise, and a white noise machine to create a soothing atmosphere. It’s also important to maintain a cool temperature in the room to enhance comfort and relaxation.
- Practice good sleep hygiene: Good sleep hygiene practices can help improve your overall sleep quality. Avoid using electronic devices before bedtime, and create a relaxing bedtime routine that lets you wind down and prepare for sleep.
- Stay physically active: Consistent physical activity can enhance the quality of your sleep while also mitigating pain and inflammation. However, consulting with your doctor before starting any new exercise program after an epidural steroid injection is important.
- Stay hydrated: Drinking plenty of water can help flush out the medication from your body and reduce the risk of side effects.
- Manage your pain: If you’re experiencing pain, it’s important to manage it effectively. This may involve taking pain medication, practicing relaxation techniques, or using heat or ice therapy.
- Practice good posture: Good posture can help reduce strain on your spine and prevent further injury. Make sure you’re sitting and standing up straight, and avoid slouching or hunching over.
It’s important to remember that lack of sleep after an epidural steroid injection is a temporary side effect and usually resolves within several days. Still, seek medical attention immediately if you’re experiencing severe pain, difficulty breathing, or other concerning symptoms.
How long does insomnia last after an epidural steroid injection?
Insomnia, or difficulty sleeping, is a common side effect of epidural steroid injections (ESIs). The duration of insomnia after an ESI can vary depending on several factors, including the individual’s health status, the type of medication used, and the drug dose.
In general, insomnia after an ESI usually lasts for a few days to a week. During this time, it’s important to practice good sleep hygiene, adjust your sleeping position, and take any prescribed medication as directed by your doctor to help improve your sleep quality.
Suppose your insomnia persists for more than a week or is accompanied by other concerning symptoms such as severe pain, difficulty breathing, or signs of infection. In that case, it’s important to contact your doctor. They may recommend additional treatment or evaluation to address your symptoms and ensure your safety and well-being.
It’s important to note that while insomnia after an ESI is a common side effect, it’s not experienced by everyone. Talk to your healthcare provider if you’re concerned about your risk for insomnia or other side effects after an ESI. They can help you understand the potential risks and benefits of the procedure and develop a personalized treatment plan that meets your needs and preferences.
How to sleep after an epidural steroid injection?
Lack of sleep after an epidural steroid injection is a common side effect. Several factors, including pain, anxiety, and the side effects of the medication, can cause it. Here are some tips on how to sleep after an epidural steroid injection:
1. Sleep on your back
Sleeping on your back is the best position to sleep after an epidural steroid injection. It helps to reduce pressure on the spine and allows the medication to spread evenly throughout the affected area. If you find it uncomfortable to sleep on your back, you can try using a pillow to prop up your head and upper body.
2. Use pillows for support
Using pillows for support can help to reduce pain and discomfort while you sleep. You can place a pillow under your knees to relieve pressure on your lower back or between your legs to align your hips and reduce strain on your lower back.
3. Avoid sleeping on your stomach
Sleeping on your stomach can put pressure on your spine and cause discomfort after an epidural steroid injection. It can also cause your neck to twist, leading to neck pain and stiffness.
4. Stay relaxed
Stress and anxiety can make sleeping difficult after an epidural steroid injection. Try to stay relaxed by practicing deep breathing exercises, meditation, or visualization techniques.
5. Take medication as prescribed
Your doctor may prescribe medication to help you sleep after an epidural steroid injection. Make sure you take medicine as prescribed and follow any instructions given by your doctor.
6. Avoid caffeine and alcohol
Caffeine and alcohol can interfere with sleep and make falling asleep harder after an epidural steroid injection. Avoid consuming these substances before bedtime.
The best position to sleep after epidural steroid injection
The best position to sleep after an epidural steroid injection is on your back. This position helps to reduce pressure on the spine and allows the medication to spread evenly throughout the affected area. It’s important to keep your spine straight as possible to avoid twisting or bending that could cause discomfort or pain.
To sleep on your back, start by lying flat with your legs straight out. For added support, you can place a pillow under your knees to reduce pressure on your lower back or under your head and neck. Another option is to use a rolled-up towel or small pillow under your lower back to maintain the natural curve of your spine.
If you find it uncomfortable to sleep on your back, you can try using a pillow to prop up your head and upper body. This can help reduce pressure on your lower back and make breathing easier if you experience any respiratory side effects from the injection.
It’s important to avoid sleeping on your stomach after an epidural steroid injection, as this position can put pressure on your spine and cause discomfort. If you prefer to sleep on your side, try sleeping with a pillow between your legs to align your hips and reduce strain on your lower back.
Remember to take any prescribed medication as directed by your doctor and avoid consuming caffeine or alcohol before bedtime, as these substances can interfere with sleep. If you have trouble sleeping after an epidural steroid injection, ask your doctor for additional advice and support.
Conclusion
ESIs can effectively facilitate pain but can also cause some side effects, including lack of sleep. The best position to sleep after an epidural steroid injection is on your back, with pillows for support. Avoid sleeping on your stomach, and stay relaxed by practicing deep breathing exercises or meditation. Talk to your doctor if you’re having trouble sleeping after an epidural steroid injection. They may be able to prescribe medication or offer other suggestions to help you get a good night’s sleep.