Epidural Steroid Injection

Epidural steroid injections are a minimally invasive procedure that can be performed in an outpatient setting. A small needle is inserted into the epidural space, and a long-acting steroid is injected. The steroid works to reduce inflammation and pain, while also improving mobility and allowing for proper function. This is because epidural injections only target nerves that carry pain signals, not those responsible for touch and pressure. Epidural steroid injections are a common treatment for back and neck pain.

Did You Know?

The epidural space is the area around the spinal cord. It is filled with a fluid that cushions the spine. When steroids are injected, they work to reduce inflammation in this area. This can help to relieve pain and improve function.

Frequently Asked Questions:

Am I a candidate for an epidural steroid injection?

You may be a candidate for an epidural steroid injection if you have chronic pain caused by a herniated disc, pinched nerve, spinal stenosis, or sciatica. Candidates for epidural steroid injections generally have tried other conservative treatments, such as physical therapy, without relief. Your doctor will also consider your medical history and the severity of your pain before recommending this treatment. Individuals with uncontrolled diabetes, blood clotting disorders, infections, allergies to anesthesia drugs, or who are taking certain medications may not be ideal candidates. To determine if you are an ideal candidate for epidural spinal injections, schedule a consultation with one of our pain specialists at MVM Health: Pain, Vein, & Wellness.

What can I expect when getting an epidural spinal injection?

When getting an epidural steroid injection, you can expect to feel a small amount of discomfort at the injection site as the local anesthetic is injected. However, the procedure itself is minimally invasive and can be done in an outpatient setting.

Once the area is numb, a fluoroscopy is used to visualize the epidural space. A fluoroscopy is a specialized x-ray that allows your doctor to view the spine in real time. Your doctor will start by injecting a small amount of dye to ensure that the medication will flow properly. Then, a small needle is inserted into the epidural space, and a long-acting steroid is injected. The entire procedure normally takes about 15-20 minutes.

What can I expect after an epidural spine injection?

After an injection, most people notice relief almost instantly. This is due in part to the local anesthetic. The steroid itself takes anywhere from 2-5 days to be effective. Although the effects of the steroid can last for several months, this relief is temporary, and you may need to repeat the injections every few months.