Epidural Steroid Injections

An epidural steroid injection places a small amount of corticosteroid into the epidural space — the area immediately surrounding the spinal nerves — using live X-ray (fluoroscopic) guidance.

The goal is to reduce the inflammation that makes a compressed nerve root painful. Reducing that inflammation frequently breaks the pain cycle enough for a patient to sleep, move and make progress in physical therapy.

We use a targeted approach: the injection is placed at the specific level and side identified by your examination and imaging, not broadly into the spine.

The procedure is performed in our office procedure suite and typically takes 15 to 20 minutes.

You lie face down (or seated for some cervical injections) while the skin is cleaned and numbed with local anesthetic.

Using fluoroscopy and a small amount of contrast dye, the physician confirms correct needle position before any medication is given.

Most patients describe pressure rather than sharp pain. Light sedation is available when appropriate.

You will be observed briefly, then go home the same day. Arrange a driver if you receive sedation.

Take it easy for the remainder of the day; most people resume normal activity the next morning.

Local anesthetic may relieve pain for a few hours, followed by a return of symptoms before the steroid takes effect.

Steroid effect typically begins between two and seven days after the injection.

Relief commonly lasts weeks to several months, and for some patients considerably longer.

A series of injections may be recommended, spaced appropriately, and relief is used as a window to build strength and mobility.