Last Updated on November 26, 2025 by Bilal Hasdemir
Getting ready for an epidural steroid injection is important. Many patients ask, “can you eat before an epidural steroid injection?” The answer depends on whether you’ll receive sedation.
At Liv Hospital, we give clear advice on what to do before your procedure. If you won’t get sedation, you can have a light meal. But, avoid heavy, greasy, or spicy foods. If sedation is planned, you should not eat for 6–8 hours beforehand. This helps avoid problems like aspiration, nausea, and vomiting.
People with diabetes might need to eat a regular meal. It’s also good to stop taking aspirin or blood thinners 3 days before. Knowing these rules helps make your experience safe and smooth.
Key Takeaways
- Eating a light meal is allowed if no sedation is planned.
- Fasting for 6-8 hours is required if sedation is used.
- Diabetic patients may need to follow a different eating schedule.
- Aspirin and blood thinners should be discontinued 3 days prior.
- Pre-procedure dietary considerations are key for safety.
Understanding Epidural Steroid Injections
It’s important to know about epidural steroid injections if you’re thinking about them for your back pain. These injections are a medical treatment for pain and swelling in the spine.
What Is an Epidural Steroid Injection?
An epidural steroid injection is a small procedure. It involves putting a corticosteroid near the spinal cord. This helps lessen swelling and pain.
The steroid used lasts for weeks or months. It’s mixed with a local anesthetic to numb the area right away. This mix helps reduce pain and swelling, making it a good treatment for many back problems.
Common Conditions Treated with Epidural Injections
Epidural steroid injections help with several back issues. These include:
- Herniated discs
- Spinal stenosis
- Sciatica
- Degenerative disc disease
| Condition | Description | How Epidural Steroid Injection Helps |
| Herniated Disc | A condition where the disc’s soft center bulges through a tear in the outer layer, pressing on nerves. | Reduces inflammation around the herniated disc, relieving pressure on nerves. |
| Spinal Stenosis | Narrowing of the spaces within the spine, putting pressure on the nerves. | Decreases swelling and pressure on nerves, improving symptoms. |
| Sciatica | Pain that radiates along the path of the sciatic nerve, often caused by compression or irritation. | Reduces inflammation around the sciatic nerve, alleviating pain. |
How the Procedure Works
The procedure is done under X-ray to place the injection correctly. The patient lies on their stomach. The area is cleaned and numbed.
A needle is then placed in the epidural space. The steroid and anesthetic are injected. The whole thing takes less than 30 minutes. Patients can usually go home the same day.
Right away, the anesthetic numbs the area. But it takes a few days for the steroid to kick in. It then provides pain relief for weeks or months.
Can You Eat Before an Epidural Steroid Injection?
Whether you can eat before an epidural steroid injection depends on a few things. This includes if you’ll be sedated. It’s important to know the rules for eating before the procedure. This helps keep you safe and comfortable.
When Sedation Is Not Used
If you won’t be sedated, you can usually have a light meal first. But, make sure to listen to your doctor about when and what to eat.
“Patients should eat a light meal that is easy to digest to avoid any discomfort during the procedure,” advises a leading specialist in pain management.
Having a light meal can make you more comfortable during the injection. Try to avoid heavy or greasy foods that might make you uncomfortable.
When Sedation Is Planned
If you will be sedated, the rules are different. You’ll need to fast for 6-8 hours before the procedure. This is to keep you safe during the injection.
| Sedation Status | Dietary Guidelines | Timing |
| No Sedation | Light Meal | Follow the Doctor’s Instructions |
| Sedation Planned | Fasting | At least 6-8 hours before |
Following these guidelines is key to your safety during the procedure. If you have any questions about eating before your epidural steroid injection, talk to your healthcare provider.
Hydration Guidelines Before Your Injection
Drinking enough water is key before an epidural steroid injection. It makes the procedure safer and more comfortable. Staying hydrated also keeps you healthy and helps you handle the injection better.
Water Consumption Recommendations
Drink lots of water before your epidural steroid injection. Try to drink 8-10 glasses of water each day. But how much you need can change based on your climate, how active you are, and your health.
When to Stop Drinking Fluids
It’s important not to drink too much water right before the procedure. Stop drinking fluids at least 2 hours before your injection. This makes the procedure more comfortable and reduces the need to use the restroom right after.
Signs of Proper Hydration
So, how do you know if you’re drinking enough water? Look for these signs:
| Signs of Proper Hydration | Signs of Dehydration |
| Clear or pale yellow urine | Dark yellow or amber-colored urine |
| Feeling well-hydrated and energized | Feeling thirsty, dizzy, or fatigued |
| Normal blood pressure | Low blood pressure or rapid heartbeat |
By watching for these signs and following our hydration tips, you can make your epidural steroid injection safer and more successful.
Medication Restrictions: NSAIDs and Anticoagulants
To avoid risks with epidural steroid injections, knowing and following certain medication rules is key. Some drugs can raise the chance of bleeding or other issues during and after the shot.
Why Ibuprofen Should Be Avoided
Ibuprofen, a type of nonsteroidal anti-inflammatory drug (NSAID), can increase bleeding risks during and after the injection. We suggest not taking NSAIDs for a while before the shot to lower this risk.
- NSAIDs affect platelet function, making it harder for blood to clot.
- The risk of bleeding is higher when NSAIDs are combined with other anticoagulant medications.
- Stopping NSAIDs before the procedure can help reduce the risk of bleeding complications.
Timeframe for Stopping Blood Thinners
For those on anticoagulant medications, also known as blood thinners, stopping them before the injection is key. The exact time needed can depend on the type of anticoagulant and the patient’s health.
We usually tell patients to stop blood thinners at least 3 to 5 days before. But always do this under a doctor’s guidance to avoid bad effects.
Discussing Medication Adjustments with Your Doctor
Talking to your doctor about your medications before the epidural steroid injection is vital. This includes NSAIDs and anticoagulants. Your doctor will give you specific advice on when to stop these and how to manage pain in the meantime.
Make sure to tell your doctor about all medications you’re taking, including over-the-counter drugs and supplements. This ensures your safety during the procedure.
Pain Management Options Before Your Procedure
As you get ready for your epidural steroid injection, knowing your pain management options is key. It’s important for your comfort and the success of your treatment.
Can You Take Tylenol Before an Epidural Injection?
Many patients wonder if they can take Tylenol before their epidural steroid injection. Tylenol is usually safe before the procedure, but always check with your doctor first. Your doctor will consider your medical history and current medications.
It’s also important to follow the dosage instructions. Taking too much Tylenol can cause problems, so be careful and informed.
Non-Medication Pain Relief Strategies
There are also non-medication ways to manage pain before your epidural steroid injection. These include:
- Applying heat or cold packs to the affected area
- Engaging in gentle stretching exercises
- Maintaining good posture
- Using relaxation techniques such as deep breathing or meditation
These methods can help reduce discomfort and improve your comfort level.
When to Seek Help for Severe Pain
Managing pain is important, but knowing when to seek medical help is just as important. If your pain is severe, worsening, or accompanied by other concerning symptoms, contact your healthcare provider. They can evaluate your situation and guide you.
Severe pain that affects your daily activities or sleep needs immediate attention. Don’t hesitate to reach out to your doctor if you’re struggling with pain.
Special Medication Considerations
When getting ready for an epidural steroid injection, it’s important to think about your medications. Some drugs might not work well with the injection or could make it less effective. It’s key to tell your doctor about all the medicines you’re taking.
Gabapentin and Similar Medications
Gabapentin is often used for nerve pain. Usually, you can keep taking it before your epidural steroid injection. But, it’s best to talk to your doctor first. They can help you figure out if you need to change your dosage.
Here are some things to keep in mind about gabapentin and similar drugs:
- Tell your doctor about your gabapentin and any other medicines you’re on.
- Listen to your doctor about whether to keep taking gabapentin or change your dose before the injection.
- Be careful of any side effects when taking gabapentin with other drugs.
Antibiotics Before Epidural Injections
Antibiotics are usually not a problem before an epidural steroid injection unless you’re treating an infection. Let your healthcare provider know if you’re taking antibiotics.
Here are some things to think about with antibiotics before your epidural injection:
- Tell your doctor about the antibiotic you’re taking and why.
- Ask about any risks or problems with the epidural steroid injection.
- Follow your doctor’s advice on whether to keep taking antibiotics before the procedure.
Oral Steroids and Possible Interactions
Oral steroids can affect how well an epidural steroid injection works. They might also increase the chance of side effects. It’s a good idea to talk to your doctor about your oral steroids.
Here are some things to consider with oral steroids:
- The kind and amount of oral steroids you’re taking.
- How long you been on oral steroids?
- If you need to change your oral steroid dose before the epidural injection.
By managing your medications before an epidural steroid injection, we can reduce risks and make the procedure more effective. Always listen to your healthcare provider about changing your medications before the injection.
Alcohol and Substance Restrictions
Before your epidural steroid injection, it’s key to know what to avoid. This includes alcohol. Drinking alcohol and other substances can affect the procedure’s safety and success.
Timeline for Avoiding Alcohol
We suggest not drinking alcohol for 24 to 48 hours before your injection. This time helps reduce risks linked to alcohol and the procedure.
Avoiding alcohol is important. It can make your blood thinner, raising the chance of bleeding. Also, alcohol can mix badly with the drugs used during the procedure, leading to worse side effects.
Effects of Alcohol on Procedure Safety
Drinking alcohol can make your epidural steroid injection less safe. It can mess up how your liver handles the drugs, changing the injection’s results. Plus, alcohol can make side effects like dizziness or nausea worse, making recovery harder.
It’s also worth noting that even small amounts of alcohol can be risky. Your doctor will give you specific advice on alcohol use before your procedure.
Other Substances to Avoid
There are other things you should not take before your epidural steroid injection. This includes some over-the-counter drugs and recreational substances. These can thin your blood or react with the procedure’s drugs.
- Aspirin and other NSAIDs should be avoided as they can increase the risk of bleeding.
- Certain herbal supplements can also thin your blood or interact with medications.
- Recreational drugs can have unpredictable effects when combined with procedural medications.
Talking to your healthcare provider about all medications, supplements, and substances is vital. This ensures your safety and the success of the procedure.
Day-Before Preparation Checklist
Getting ready for your epidural steroid injection? It’s smart to do a few things the day before. This can make the whole experience less stressful and more efficient.
Medical Documentation to Gather
First, collect all your medical documents. This includes test results, medical records, and anything about your condition. Having these ready helps your doctor make the best decisions for you.
“Having all your medical records in order can make a significant difference in the success of your procedure,” says a leading specialist in pain management. “It’s a simple step that can help ensure everything goes smoothly.”
Clothing Recommendations
For the procedure, wear loose, comfortable clothing. Stay away from jewelry or anything that could get in the way. Comfortable clothes help you relax during the process.
- Choose loose-fitting clothes
- Avoid jewelry near the injection site
- Wear comfortable shoes
Transportation Arrangements
Make sure you have a way to get home after the injection. If you’re under sedation, you won’t be able to drive. So, arrange for a ride with a friend, family member, or book a ride-sharing service.
By following this checklist, you’ll be ready for your epidural steroid injection. Focus on your recovery. If you have questions or concerns, talk to your healthcare provider.
Morning of the Procedure: Final Steps
The day of your epidural steroid injection has arrived. We’re here to guide you through the final preparations.
Personal Hygiene Guidelines
On the morning of your procedure, it’s essential to follow proper personal hygiene. This helps minimize the risk of infection.
- Shower or bathe as you normally would.
- Avoid applying creams, lotions, or perfumes to the injection site.
- Wear clean clothes to help maintain hygiene.
What to Bring to Your Appointment
To ensure a smooth and efficient process, please bring the following items to your appointment:
| Item | Description |
| Identification | Valid government-issued ID |
| Insurance Cards | Medical insurance cards and any relevant documents |
| Medication List | A list of your current medications, including dosages |
Last-Minute Checklist
Before leaving for your appointment, double-check the following:
- You have eaten a light meal if advised by your doctor.
- You have taken any prescribed medications as directed.
- You have arranged for someone to drive you home.
- You have all the necessary documents and items.
By following these guidelines, you’ll be well-prepared for your epidural steroid injection procedure.
Post-Injection Care: What to Expect
Knowing what happens after an epidural steroid injection is key to a smooth recovery. We’ll help you understand the immediate effects, when you can eat again, and what activities to avoid.
Immediate After-Effects
Right after the injection, you might notice some changes. These can include:
- Temporary numbness or weakness in the legs
- Mild discomfort or pain at the injection site
- A slight increase in blood sugar levels if you’re diabetic
These symptoms usually go away within a few hours. But, it’s important to watch how you feel and talk to your doctor if things get worse.
When You Can Resume Eating
You can start eating again when you feel like it. Begin with soft foods and slowly go back to your usual diet. If you’ve been fasting or have special dietary needs, ask your doctor for advice.
Activity Restrictions
There are some activities you should avoid to get the most out of your injection:
| Activity | Recommended Restriction |
| Strenuous Exercise | Avoid for 24-48 hours |
| Lifting Heavy Objects | Avoid for 24 hours |
| Bending or Twisting | Minimize for 24-48 hours |
By sticking to these rules, you can make sure your injection works well and avoid any extra pain or problems.
Medication Management After Your Injection
Knowing how to manage your meds after an epidural steroid injection is key to a smooth recovery. Proper management can help avoid side effects and get the best results from the treatment.
NSAIDs After Steroid Injection
It’s best to skip NSAIDs like ibuprofen for a bit after getting an epidural steroid injection. NSAIDs can mess with your body’s natural fight against inflammation. Try to avoid them for at least 24 to 48 hours after the injection.
Can You Take Prednisone After an Epidural Steroid Injection?
Prednisone is a steroid pill used for inflammation. But, taking it after an epidural steroid injection is not usually a good idea unless your doctor says so. The epidural injection is meant to target pain in one area. Adding prednisone might not be needed and could lead to more side effects. Always listen to what your doctor advises.
Pain Management Timeline
The time it takes for pain to improve after an epidural steroid injection varies. Usually, the steroid starts working a few days to a week after the shot. Here’s what you might expect:
| Timeframe | Expected Outcome |
| 0-3 days | Possible increase in pain or discomfort due to the injection process |
| 3-7 days | Gradual improvement as the steroid begins to take effect |
| 1-2 weeks | Noticeable reduction in pain for many patients |
| 2-4 weeks | Peak effect of the steroid injection, with maximum pain relief |
Working closely with your healthcare provider is vital. They can adjust your pain management plan based on how you’re doing after the injection.
Conclusion: Ensuring a Successful Epidural Steroid Injection
By following the preparation and post-injection care tips, patients can have a successful epidural steroid injection. We’ve covered important aspects like diet and medication to help prepare for the procedure.
It’s key to follow the recommended tips for a successful epidural steroid injection. This includes avoiding certain medications, staying hydrated, and following post-injection care. By doing this, patients can reduce complications and get the most from the treatment.
We stress the importance of following these guidelines for a safe and effective procedure. By taking these steps, patients can confidently go through an epidural steroid injection. They’ll know they’ve done everything right for a successful outcome.
FAQ
Can you eat or drink before an epidural steroid injection?
If you’re not getting sedation, you can eat and drink as usual. But, if sedation is planned, your doctor will give you specific instructions. This might include fasting for a while.
Why should I avoid ibuprofen before an epidural steroid injection?
Ibuprofen and other NSAIDs can make bleeding more likely during and after the procedure. Your doctor will tell you when to stop taking them before the injection.
Can I take Tylenol before an epidural steroid injection?
Tylenol (acetaminophen) is usually safe to take before the injection. But, it’s best to check with your doctor for advice on managing pain before the procedure.
Should I stop taking gabapentin before an epidural injection?
You can usually keep taking gabapentin and similar drugs as directed. But, it’s important to talk to your doctor about your medications before the procedure.
Can I drink alcohol before an epidural steroid injection?
It’s wise to avoid alcohol for a while before the procedure. It can affect how well the injection works. Your doctor will tell you how long to wait.
What medications should I avoid after an epidural steroid injection?
After the procedure, you might be told to avoid NSAIDs for a bit. But, you can usually go back to your regular medications as your doctor directs.
Can I take prednisone after an epidural steroid injection?
Taking prednisone or other oral steroids after the injection should be discussed with your doctor. It depends on your specific situation and treatment plan.
When can I resume eating after an epidural steroid injection?
If you got sedation, you’ll wait until you’re fully awake before eating. If you didn’t get sedation, you can eat as normal after the procedure.
Are there any activity restrictions after an epidural steroid injection?
Your doctor will tell you what activities to avoid after the procedure. This might include not lifting heavy things, bending, or doing strenuous activities for a while.
Can I take ibuprofen after an epidural steroid injection?
It’s usually best to avoid NSAIDs like ibuprofen for a bit after the injection. But, your doctor will give you personalized advice on managing pain and using medications.
Reference
Walega, D. R., & Kaye, A. D. (2014). Epidural steroid injections: indications, complications, and patient management. Ochsner Journal, 14(3), 350-358.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173574/
