I have always been an active person, and about 2 years ago I strained both my achilles tendons. Physio and care fixed the problem, but I then promptly developed a bursa on my right ankle at the end of the achilles tendon. This was extremely painful, and even walking became difficult with me resorting to rotating the foot outwards, and trying to drag it sideways as I walked. Very painful! I tried traditional physio – ultrasound, laser, and stretching, etc. but to no avail. After suffering for 7 months with no respite, I tried shockwave therapy which is an exceptionally painful sonic hammering! This cost me $650 and had no beneficial results. The only thing I could do without pain was cycle with my shoes locked to pedals.
An epidural steroid injection places this powerful anti-inflammatory medication directly around the spinal nerves. Traditionally epidural injections were administered without any special equipment, by inserting the needle by feel in the area around the spinal nerves. More recently epidural injections have been administered with the aid of imaging tools to allow your physician to see the needle going to the proper location. Either real-time x-ray called fluoroscopy, or CT scan can be used to 'watch' the needle deliver the medication to the proper location.