Epidural Steroid Injection

Epidural Steroid Injection

Epidural Steroid Injections or ESIs for short, are a common method of treating inflammation associated with low back related leg pain, or neck related arm pain. An epidural steroid injection is performed to help reduce the inflammation and pain associated with nerve root compression. Nerve roots can be compressed by a herniated disc, spinal stenosis, and bone spurs.

Know The Different Terms

What is the difference between “cortisone” and “steriod” shot or injection?

Cortisone is a type of steroid, and this term, “cortisone” is used nowadays to mean many types of different steroid injections. In actuality, there are different steroid drugs your doctor may provide, such as Depomedrol (methylprednisolone) and Kenalog (triamcinolone). These are long acting steroids commonly used for pain injections.

What is an epidural block?

An epidural block is a numbing medicine given by injection (shot) in the back. It numbs or causes a loss of feeling in the lower half your body. This lessens the pain of contractions during childbirth.

Epidural Steroid Injection at Beverly Hills Wellness

Who should use an epidural steroid injection for pain management?

Epidural steroid injections work very well for patients with radiating symptoms such as neck pain radiating to the arms and hands, and back pain spreading to the legs and feet. Epidural injections are also indicated for disc degeneration, spinal stenosis, herniated disc, radiculopathy/sciatica, spondylosis, vertebral fractures, shingles related pain, etc.

What areas can an epidural steroid injection be performed?

These injections can be done in the cervical spine for

  • neck pain
  • arm or hand pain
  • thoracic spine
  • rib pain
  • chest pain
  • abdomen pain
  • lumbar spine
  • leg or foot pain

How many epidural steroid injections can be received for each person?

The number of injections will depend on your response and the severity of your painful condition. But, traditionally, steroid injections such as epidural steroid injections for neck or back pain are given in series of up to 3 injections, between 2-4 week intervals. As mentioned, not everyone requires all 3 to be effective. In fact, many patients will receive at least 50% or more relief with just one injection.

Epidural steroid injection response and duration

Most patients can expect pain relief to set in 1 to 2 days after the first epidural injection. There will be some who will get immediate relief, while others may take 1 to 3 weeks for the relief to set in. Most patients can expect relief for months while some reported relief for even years. Each patient’s response is different as each patient’s pain conditions are unique.

Epidural Steroid Injection for Pain Relief at Beverly Hills Wellness

Most patients get relief with just one injection, although a minority of patients requires more to get relief. There is no set rule on the numbers of injections required. In general, patients may need to repeat the epidural steroid injections series when the pain returns over time.



Several Different Types of Epidural Steroid Injections

A caudal injectionis an injection into the lowest portion of the epidural space. Itis placed through a small opening (sacral canal) just above the tail bone.A caudal steroid injection can help reduce lower back and leg pain caused by sciatica, herniated discs, bone spurs or other back problems.

A lumbar epidural steroid injection is the injection of steroid in the epidural space (the area which surrounds the spinal cord and the nerves coming out of it). the injection is usually midline and placed directly between two vertebrae (similar to the approach a woman undergoes during labor for epidural anesthesia).This injection is administered to relieve pain in the low back, hips, and legs caused by pinched nerves in the low back. The pinched nerves are typically caused by spinal stenosis or herniated discs.

A transforaminal injection is an injection of long acting steroid into the opening at the side of the spine where a nerve roots exits. The injection is placed in the foramina (opening) on the side of the spine near the exiting nerve.There is a small sleeve of the epidural space that extends out over the nerve root for a short distance.