TREATMENT OVERVIEW

Epidural Steroid Injection

An Epidural Steroid Injection (ESI) is a minimally invasive procedure designed to relieve pain in the neck, back, arms, and legs caused by inflamed spinal nerves. By delivering a potent anti-inflammatory medication directly to the source of pain in the epidural space, an ESI can provide significant relief and improve function for conditions like herniated discs, spinal stenosis, and sciatica.

Physician administering a spinal injection to a patient
Patient undergoing a fluoroscopy-guided injection for pain management

Quick Facts

  • • Procedure Duration: 15-30 minutes
  • • Recovery Time: Resume normal activities in 24-48 hours
  • • Pain Relief Onset: Typically within 2-7 days
  • • Success Rate: High rate of temporary relief

PROCEDURE DETAILS

What is the Procedure?

The Epidural Steroid Injection procedure is performed on an outpatient basis. You will be positioned comfortably, typically lying on your stomach, and the injection site on your back or neck will be cleaned and numbed with a local anesthetic to ensure minimal discomfort.

Using advanced X-ray imaging called fluoroscopy, your physician will precisely guide a thin needle into the epidural space—the area surrounding your spinal cord and nerve roots. A contrast dye is often injected first to confirm the correct placement and ensure the medication will reach the targeted inflamed nerves.

Once the needle is properly positioned, a combination of a long-lasting corticosteroid and a local anesthetic is slowly injected. The corticosteroid works to reduce inflammation and swelling, while the anesthetic provides immediate pain relief. The entire process is usually completed within 30 minutes.

TREATMENT ADVANTAGES

What are the Benefits?

Epidural Steroid Injections offer a powerful, non-surgical solution for managing chronic spinal pain, providing numerous advantages for patients seeking to reclaim their quality of life.

Targeted Pain Relief

Delivers powerful anti-inflammatory medication directly to the source of nerve irritation, providing more effective relief than oral medications.

Reduces Inflammation

The primary benefit is the reduction of swelling and inflammation around spinal nerves, which is the root cause of many types of back and leg pain.

Minimally Invasive

As a non-surgical treatment, it avoids the risks, costs, and lengthy recovery time associated with invasive spinal surgery.

Improves Functionality

Pain relief can improve mobility and allow you to participate more effectively in physical therapy and other rehabilitation programs.

Diagnostic Tool

The procedure can help confirm the specific nerve root causing your pain, leading to more accurate future treatment plans.

Quick Procedure

Performed in an outpatient setting in about 15-30 minutes, allowing you to return home the same day with minimal downtime.

IMPORTANT INFORMATION

What are the Risks and Side Effects?

While Epidural Steroid Injections are widely considered safe and effective, like any medical procedure, they carry potential risks and side effects. Most are mild and temporary, and our team takes every precaution to ensure your safety.

Common Side Effects

  • Temporary increase in pain at the injection site
  • Facial flushing or a feeling of warmth
  • Headache, anxiety, or difficulty sleeping
  • Temporary increase in blood sugar levels

Rare Complications

  • Infection at the injection site
  • Bleeding, especially if you take blood thinners
  • Nerve damage or injury
  • Dural puncture leading to a "spinal headache"

Important: It is crucial to discuss your complete medical history, including all medications and allergies, with your doctor before the procedure to minimize any potential risks.

PREPARATION GUIDE

How to Prepare for the Procedure?

Proper preparation is key to a successful and smooth procedure. Please review the following important steps to ensure you are ready for your appointment.

Review of Allergies

Ensure you have a thorough review with Dr. Fura. Disclose all allergies, especially to medications like contrast dye.

Medication Adjustments

Stop blood thinners and other specific medications as instructed by Dr. Fura before your procedure.

Fasting & Transportation

Do not eat or drink after midnight. You must arrange for a responsible adult to drive you home afterward.

Day of Procedure Attire

Wear comfortable, loose clothing. Avoid jewelry and leave valuables at home for safekeeping.

RECOVERY GUIDE

What is the Post-Procedure Care?

Your recovery period is an important part of the treatment process. Following these guidelines will help ensure the best possible outcome from your injection.

First 24 Hours

Rest and take it easy. Avoid driving, operating machinery, or any strenuous activities. You may apply an ice pack to the injection site for 15-20 minutes at a time to reduce soreness.

Days 2-3

You may resume normal light activities as tolerated. It is common to experience temporary soreness at the injection site. Pain relief from the steroid may begin during this period.

First Week

The anti-inflammatory effects of the steroid will continue to increase, with peak relief often occurring within the first week. You may be cleared to start or resume physical therapy.

Follow-up Visit

Attend your scheduled follow-up appointment to discuss your level of pain relief and determine the next steps in your comprehensive treatment plan.

When to Contact Your Doctor

  • Severe headache that worsens when sitting up
  • Fever, chills, or signs of infection (redness, swelling)
  • New or worsening weakness/numbness in your legs
  • Loss of bladder or bowel control

Ready to Get Started?

Please don't hesitate to reach out and request an appointment. We look forward to meeting with you, addressing your concerns, and working together to enhance your quality of life.

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