What Are Epidural Steroid Injections?

Epidural steroid injections (ESI) are recommended as effective treatments for a variety of conditions including herniated discs, degenerative disc disease, pinched nerves, and spinal stenosis. ESI can be performed in the cervical region, thoracic region, or lumbar region of the spine by carefully injecting a spinal needle into the epidural space of the spinal canal.

This process occurs using guided fluoroscopic imaging to ensure proper placement of the needle, maximizing effectiveness of the treatment and reducing risk of complications. Once the x-ray imaging device confirms that the needle has been properly placed, an anti-inflammatory medication called a steroid is injected to help relieve pain.

Pain relief from epidural steroid injections can last for months or years, depending on the severity of the condition being treated. Repeat treatments within 3 to 6 months after the initial ESI can be safely performed to achieve more relief, provided the first procedure does not help or does not provide complete relief.

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