Living with chronic neck or lower back pain can significantly reduce your quality of life. If you're struggling with pain due to a herniated disc, spinal stenosis, or sciatica, Epidural Steroid Injections (ESIs) could be an effective non-surgical treatment option. As a leading orthopaedic and spine surgeon, I often recommend ESIs to patients who need targeted relief to regain mobility and comfort.
What are Epidural Steroid Injections?
Epidural steroid injections are minimally invasive procedures in which a corticosteroid (anti-inflammatory medication) is injected into the epidural space around the spinal nerves. These injections help reduce inflammation and nerve irritation, offering significant pain relief.
There are two main types:
- Cervical Epidural Steroid Injections: For neck, shoulder, and arm pain.
- Lumbar Epidural Steroid Injections: For lower back, buttocks, and leg pain (sciatica).
- Conditions Treated with Epidural Steroid Injections
At my clinic, ESIs are commonly used to treat:
- Herniated or bulging discs
- Lumbar or cervical spinal stenosis
- Sciatica or radiculopathy
- Degenerative disc disease
- Nerve root compression
- Post-surgical back pain
How the Procedure Works
The procedure is typically done under local anesthesia and fluoroscopic (X-ray) guidance for accuracy:
- The patient lies face-down (for lumbar) or face-up (for cervical).
- A thin needle is carefully inserted into the epidural space.
- A mixture of corticosteroid and anesthetic is delivered directly to the affected area.
- The entire procedure takes 15–30 minutes, and patients usually go home the same day.
Benefits of Epidural Steroid Injections
- Quick pain relief (usually within 24–72 hours)
- Reduced inflammation and swelling
- Improved mobility and function
- Helps delay or avoid surgery
- Minimally invasive with little recovery time
Are Epidural Injections Safe? Yes, when performed by an experienced spine specialist like myself, ESIs are safe and effective. Minor side effects such as mild soreness or temporary numbness are common. Serious complications are rare, especially when proper technique and imaging guidance are used.
How Many Injections Can You Receive?
While the effect varies per individual, up to 3 injections per year is typically safe and recommended. Each session can offer relief lasting weeks to months.
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