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Epidural Steroid Injections: A Treatment Overview

What Are Epidural Steroid Injections?

Epidural steroid injections involve the delivery of corticosteroids directly into the epidural space of the spine, which is the area surrounding the spinal cord and nerves. This treatment targets inflammation and irritation caused by conditions such as:

  • Herniated discs
  • Spinal stenosis
  • Sciatica
  • Radiculopathy
  • Chronic cervical and lower back pain
How Do Epidural Steroid Injections Work?

The corticosteroids used in ESIs are powerful anti-inflammatory medications that help reduce swelling and inflammation around the spinal nerves. By decreasing inflammation, the injections can alleviate pain and improve function.

The Procedure

1. Preparation: Before the procedure, you will meet with our specialists to discuss your medical history and any medications you may be taking. Imaging studies, such as an MRI or CT scan, may be reviewed to determine the best approach.

    2. Anesthesia: To ensure your comfort, sedation provided by our expert anesthesia team or local anesthetic is typically administered at the injection site.

    3. Injection: Guided by fluoroscopy (real-time X-ray), the physician will carefully insert a needle into the epidural space and inject a combination of corticosteroids and a local anesthetic.

    4. Recovery: After the procedure, you will be monitored for a short period before being discharged. Most patients can return to their normal activities within a day or two, although some may experience temporary soreness at the injection site.

    Benefits of Epidural Steroid Injections
    • Pain Relief: Many patients experience significant relief from pain and discomfort, allowing them to engage more fully in daily activities and physical therapy.
    • Reduced Inflammation: The corticosteroids can help reduce swelling and inflammation in the affected area, leading to improved function.
    • Minimally Invasive: As a non-surgical option, ESIs carry fewer risks compared to more invasive procedures.
    • Quick Recovery: Most patients can resume their normal activities shortly after the procedure.
    What to Expect After the Injection

    Following an epidural steroid injection, you may experience:

    • Initial Discomfort: Some soreness at the injection site is common and typically resolves within a few days.
    • Variable Pain Relief: Pain relief may occur immediately or may take a few days to develop. Effects can last from weeks to several months, depending on the individual and the condition being treated.
    • Follow-Up Care: Our team will schedule follow-up appointments to monitor your progress and discuss additional treatments if necessary.
    Risks and Considerations

    While epidural steroid injections are generally safe, potential risks and side effects may include:

    • Infection at the injection site
    • Bleeding
    • Allergic reactions to the medication
    • Temporary increases in pain
    • Rarely, nerve damage or spinal cord injury

    Our specialists will discuss these risks with you during your consultation, ensuring you are fully informed before proceeding with the treatment.

    Why Choose NovaSpine?
    • Expert Care: Our board-certified specialists have extensive experience in performing epidural steroid injections and managing pain conditions.
    • Personalized Treatment Plans: We understand that each patient’s experience with pain is unique, and we tailor our treatment plans to meet your specific needs.
    • Comprehensive Support: From diagnosis to recovery, our team is dedicated to providing ongoing support and guidance throughout your treatment journey.

    NovaSpine Pain Institute