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Lumbar epidural injections of low back pain and leg pain. The spinal cord and the nerves have a covering called the dura. The space around the dura is called the epidural space. The procedure is done under local anaesthetic. The doctor will initially numb the skin and deeper tissues with the numbing medicine. A special x-ray machine, called a fluoroscope, is then used to guide the needle accurately into the epidural space. A contrast medium may be injected to confirm the needle position. A mixture of local anesthetic and steroid is then injected slowly into the epidural space. The local anesthetic can provide immediate pain relief but the steroid can take a few days to work. Pain relief from lumbar epidural injections can last several months though this may not always be the case