How many spinal epidurals can you have in one year?

They typically won't do any more than 9 total epidurals (that includes multiple injections for the same problem) per year due to the effects steroids have on the body and bones. Usually if you're that bad, they'll start looking at other alternatives anyway.

Assuming the problem can be handled with them, Facet injections use less amounts of steroids and are more effective since the procedure is targeted using a Fluoroscope (real-time X-ray machine) and catheter needle to target the problem disk. The pain is about the same, but it doesn't last as long as an epidural, since the needles aren't as big as steel shanks. If you've never seen the size of the needle they use in an epidural, don't ever ask to see one.