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What Causes Spots On On Hands And Feet After Taking ESI Injection?

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Posted on Mon, 11 Aug 2014
Question: ESI injection my back 10days ago an 5 days later have a few spots on my hands ad feet?Is this a reaction to the injection? Haven't done anything different , No other symptoms Thank You, XXXX YYYY@YYYY
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
least likely a connection get examined by derma

Detailed Answer:
Thank you for asking
Steroids are themselves immunosuppressive and reaction by them is least likely.plus a reaction. Will show up in first 24 hours not after 5 days.
These spots might be a separate entity and might have nothing to do with ESI.
There are some risks though with this injection which are reduced by the expertise of a professional anesthesiologist.


When performed by a skilled, experienced clinician in an appropriate setting and with carefully selected patients, the chance of significant complication from ESIs is remote. Nonetheless, similar to regional analgesia procedures, there are risks associated with ESIs. The more common risks from lumbar epidural injections are as follows:
Backache, postural puncture headache (0.5-1% for lumbar interlaminar injections and 0.6% for caudal epidural injections), nausea, vomiting, dizziness, and vasovagal reaction have been reported.
Bleeding along the trajectory of the injection, including in proximity to the nerve roots and/or the spinal cord (epidural hematoma), is a rare but potentially serious complication. Epidural hematoma occurs in 0.01-0.02% of procedures.
Infection is a rare complication but may be relatively more common in immunocompromised patients and can include epidural abscess and meningitis.
Nerve root injury has been reported.
Mild hypothalamic-pituitary-adrenal axis suppression has been reported from 1-3 months after receiving a total of 3 epidural injections (once weekly) with 80 mg of Aristocort in 7 mL of 1% lidocaine.
Other rare complications include anterior cord syndrome, presumably resulting from the injection of particulate steroid into the artery of Adamkiewicz, a radiculomedullary artery that supplies the anterior spinal artery feeding the anterior two third of the spinal cord in the thoracolumbar region
Nut shell your spot on extremities are least likely connected to ESI. Get to a dermatologist and let them examine them and correlate them clinically for you.
I hope it helps. Take good care of yourself and don't forget to close the discussion please.
May the odds be ever in your favour.
Regards XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Spots On On Hands And Feet After Taking ESI Injection?

Brief Answer: least likely a connection get examined by derma Detailed Answer: Thank you for asking Steroids are themselves immunosuppressive and reaction by them is least likely.plus a reaction. Will show up in first 24 hours not after 5 days. These spots might be a separate entity and might have nothing to do with ESI. There are some risks though with this injection which are reduced by the expertise of a professional anesthesiologist. When performed by a skilled, experienced clinician in an appropriate setting and with carefully selected patients, the chance of significant complication from ESIs is remote. Nonetheless, similar to regional analgesia procedures, there are risks associated with ESIs. The more common risks from lumbar epidural injections are as follows: Backache, postural puncture headache (0.5-1% for lumbar interlaminar injections and 0.6% for caudal epidural injections), nausea, vomiting, dizziness, and vasovagal reaction have been reported. Bleeding along the trajectory of the injection, including in proximity to the nerve roots and/or the spinal cord (epidural hematoma), is a rare but potentially serious complication. Epidural hematoma occurs in 0.01-0.02% of procedures. Infection is a rare complication but may be relatively more common in immunocompromised patients and can include epidural abscess and meningitis. Nerve root injury has been reported. Mild hypothalamic-pituitary-adrenal axis suppression has been reported from 1-3 months after receiving a total of 3 epidural injections (once weekly) with 80 mg of Aristocort in 7 mL of 1% lidocaine. Other rare complications include anterior cord syndrome, presumably resulting from the injection of particulate steroid into the artery of Adamkiewicz, a radiculomedullary artery that supplies the anterior spinal artery feeding the anterior two third of the spinal cord in the thoracolumbar region Nut shell your spot on extremities are least likely connected to ESI. Get to a dermatologist and let them examine them and correlate them clinically for you. I hope it helps. Take good care of yourself and don't forget to close the discussion please. May the odds be ever in your favour. Regards XXXXXXX