I had the 2nd epidural steroid shot in my neck today. It was awful. My blood pressure was very low on the first machine and fairly normal for me on the second. They said they could not give me any pain medications but could do the shot. given it would take a month to reschedule and this is the middle of a 3 shot series to be followed by surgery if this doesn't work, I went ahead. They said it would not be too bad. Given some people do sedation for knee shots that are no big deal, I agreed. this was NOT like the epidural for having a kid. Those (and I had 3 of them) did NOT grind or burn. The doctor was impressed as all heck, and so was the staff. I didn't flinch, tense up, or jump when it got bad. THey heard me make a noise when it got bad, sort of a very long yelp, but I figured moving or tensing in any way would make it worse. It hurts like you would not believe now too. very inflamed in the area, VASTLY more than the last time. So I am going to bed. If ANYONE tries to talk you into one of these with just numbing medicine, say NO!!! Run if you have to! It is NOT worth it. I was MUCH better after the first shot with sedation, almost no pain like this. Very little swelling too. At least I don't have to start all over. That is a good thing.