Epidural Steroid Injections

The pain management physicians at Spinal Diagnostics & Regenerative Medicine utilize Epidural Steroid Injections (ESIs) as a common practice in treating inflammation associated with neck, arm, and back pain. Lumbar TESI injections are a unique injection that places epidural steroid in the neural foramen, the area of the spine where the nerve root exits. This is the most common area of nerve impingement, often from a disc or enlarged facet. By placing the medication right at the site of irritation, our physicians at Spinal Diagnostics & Regenerative Medicine maximize your chances of success.

The Epidural Steroid Injection Process

An IV is started and sedation is given. You will not be under general anesthesia. Pathology in the spine can cause distortions that push the nerve into areas that it normally does not reside. As we approach the foramen, we will cautiously advance the needle and ask for any signs of bumping the nerve. You may feel a mild parasthesia into your leg, which will allow us to adjust the needle accordingly. Practitioners putting patients under general anesthesia place you at risk of injecting into the nerve, which could have long lasting consequences. Once the area is localized, dye is injected under live X ray to confirm proper needle placement. Anti-inflammatory steroid is then injected and the procedure is complete.

Patients should see a positive effect in the first three days after the procedure as the medication takes effect. Often a series of injections is needed to undo the cycle of compression, pain, and inflammation of the nerve.

Epidural Steroid Injections have provided lasting relief to many of our patients at Spinal Diagnostics & Regenerative Medicine, especially when combined with core strengthening, traction, and intermittent bracing. If you’re interested in learning more about pain management with Epidural Steroid Injections, please schedule a consultation with our spine doctors at Spinal Diagnostics & Regenerative Medicine.

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