Epidural Steroid Injections

Back pain is one of the most common health complaints in America, and something that we at Remedy Pain Solutions treat every single day. One of the primary treatment options, an epidural steroid injection, is aimed at treating the inflammation of nerve roots in the spine. When these nerves get irritated, they can produce pain, tingling, numbness, or weakness in the back, neck, arms or legs. These symptoms, including sciatica, are often a result of disc bulges, disc herniations, joint cysts, bone spurs, or spinal stenosis. An MRI of the spine is useful to make these diagnoses, and clinical examination by a provider at Remedy Pain Solutions would confirm whether an epidural steroid injection would be indicated.

Prior to an epidural steroid injection, the patient will lie face-down to provide access to the spine. Administration of a local anesthetic allows for temporary pain relief during the procedure itself. Then, utilizing fluoroscopic guidance, the physician delivers anti-inflammatory steroid medication directly to the epidural space of the spine. This is preferred over oral medications, as it allows the medication to absorb into the tissues that need it the most. The patient is then monitored for 15-20 minutes to evaluate the effect of the injection before being released to go home. If a sedative is used during the procedure, the patient is asked to have a ride home before following certain precautions for the rest of the day.

There are several approaches by which epidural steroid injections can be performed. Your provider at Remedy Pain Solutions will choose between caudal, interlaminar, and transforaminal approaches, depending on the patient’s clinical presentation, desired outcome, and risk factors. The goal of the injection is to reduce pain-causing inflammation, promote healing, and lead to functional improvement. The injection may be repeated, depending on the severity of symptoms and the response to the initial injection. If you are suffering from back pain, neck pain, or radiating pains in the arms or legs, contact Remedy Pain Solutions to discuss whether epidural steroid injections could be the right treatment for you.

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