A 45-year-old woman independently walked into a clinic to receive a transformational epidural steroid injection for back pain. Shortly after her procedure, she experienced sudden and severe leg weakness and numbness. An emergency MRI revealed a spinal cord infarction, leaving her permanently paralyzed and dependent on a wheelchair.

The defense claims that this paralysis is a rare but known complication. At Lowenthal & Abrams, our attorneys have learned from experience that such injuries trace back to preventable medical errors. Here are the key questions that lawyers should be asking when paralysis follows an injection.

Three Key Takeaways

Epidural steroid injections could be effective in bringing relief to many people, but they are not without risk. When reviewing spinal cord injuries after an epidural injection, consider:

Which Approach Was Used?

The transforaminal method targets areas near critical blood vessels, which makes it much riskier than the interlaminar approach. Not all epidurals are created equal, making the approach matter.

What Steroid Was Injected?

Particulate steroids such as Depo-Medrol carry a higher risk as they could block arteries if misinjected. The cord could be starved of oxygen within seconds, leading to permanent damage.

Was Image Guidance Used?

Real-time imaging, such as fluoroscopy, helps ensure the needle is safely placed. Spinal cord infarction may occur instantly if false imaging and improper techniques are used. Even with a signed consent form, negligent techniques and poor medication choices are not excused.

Having no guidance poses an increased risk. Doctors must still perform the procedure competently and choose the safest drug and technique available. If there is no mention or a lack thereof, a patient may question the standard of care.

What To Do If Someone is Paralyzed After an Injection

If you or someone you know experiences paralysis after an injection, it is critical to act fast:

• Seek immediate medicare attention – Ask for an MRI and neurological consult
• Preserve all records – Request all procedure notes and consent forms
• Document any changes – Keep a note of new symptoms and hospital stays
• Contact a malpractice attorney – Time limits for filing a claim apply in Pennsylvania

Taking these steps quickly could help protect the health and legal rights of the individual.

Contact the Office of Lowenthal & Abrams

If the case involves:

• Sudden weakness or paralysis after injection
• Use of particulate steroids
• A Transforaminal (vs Interlaminar) approach
• Poor documentation of image guidance

Then you are likely not dealing with an unavoidable risk – you are looking at a preventable error.

At Lowenthal & Abrams, our thoughtful and hardworking attorneys are ready to help you understand what went wrong. A sudden loss of mobility is life-altering, but you do not have to navigate the aftermath alone. Contact our office today to schedule a free consultation.