Cancer can bring intense pain, making daily life difficult. To help manage this pain, epidurals are often used. This method provides relief directly to the spinal cord, where pain signals are transmitted to the brain. Epidurals are especially useful for those who don't find relief from other pain management options.

Let’s explore how epidurals work, their benefits, and what to expect from the procedure.

How Epidurals Work

Epidurals deliver medication directly into the epidural space, a small area around the spinal cord. This space contains nerves that send pain signals from different parts of the body to the brain. By targeting this area, an epidural can effectively block these signals, reducing pain.

The medication used here typically includes a combination of a local anesthetic and an opioid. The local anesthetic numbs the nerves, while the opioid further reduces pain. Together, they provide a powerful method for pain relief, especially for those dealing with severe cancer pain.

When Are Epidurals Recommended?

Epidurals are often recommended when other pain management methods, like oral medications or injections, are not effective. This is particularly true for cancer patients who experience persistent or intense pain that interferes with their quality of life.

This procedure may also be suggested if a patient has pain in a specific area of the body, such as the abdomen or pelvis. By delivering the medication directly to the nerves in that region, it can provide targeted relief, making it an effective option for localized pain.

Types of Epidurals

There are several different types of epidurals that can be used to manage cancer pain. These include:

• Continuous Epidural Infusion: This type of epidural involves inserting a catheter into the epidural space. The catheter is then connected to a pump that delivers a continuous infusion of pain medication.
• Single Injection Epidural: A single injection of pain medication is put into the epidural space.
• Patient-Controlled Epidural Analgesia (PCA): This type allows patients to self-administer pain medication by pressing a button on a pump.

Benefits of Epidurals for Cancer Patients

Epidurals provide significant pain relief, which can improve the patient's quality of life. Pain management is important in cancer care, as unmanaged pain can lead to depression, anxiety, and a decreased ability to carry out daily activities.

Another benefit is the ability to reduce the dosage of other pain medications. Oral painkillers, especially opioids, can cause side effects like nausea, constipation, and drowsiness. By using an epidural, patients may need lower doses of these drugs, which can help minimize these side effects.

Also, this procedure allows for continuous pain relief. The medication can be delivered through a catheter, which is left in place for as long as needed. This means the patient receives a steady flow of medication, providing consistent relief without the need for frequent dosing.

What to Expect during an Epidural Procedure

The process of receiving an epidural is straightforward. It typically begins with a consultation with a pain management specialist or anesthesiologist, who will assess the patient's condition and determine if an epidural is appropriate.

During the procedure, the patient will be asked to sit or lie in a position that allows the doctor to access the lower back. The area will be cleaned, and a local anesthetic will be applied to numb the skin. The doctor will then insert a needle into the epidural space and may use imaging techniques like fluoroscopy to guide the needle accurately.

Once the needle is in place, a catheter may be inserted, allowing continuous delivery of the medication. The catheter is usually secured to the patient's back with tape and connected to a pump that controls the flow of the medication. The patient will be monitored for a short time after the procedure to ensure there are no complications.

Possible Side Effects and Risks

Like any medical procedure, epidurals come with potential side effects and risks. Some patients may experience a drop in blood pressure, dizziness, or headaches after the procedure. These side effects are generally mild and can be managed by the medical team.

While uncommon, serious side effects like infection, bleeding, or nerve damage can sometimes occur. However, these risks are minimized when the procedure is performed by an experienced medical professional.

Take control of your cancer pain with us at Arkansas Spine and Pain. Our expert team provides effective epidural treatments tailored to your needs. We are dedicated to improving your quality of life through compassionate and professional care. Contact us today to schedule a consultation.