Epidural Steroid Injections

Rediscover Comfort Through Precision

Experience advanced pain relief with Epidural Steroid Injections, one of the hallmark treatments at the National Interventional Pain Associates of America (NIPAA).

Understanding Epidural Steroid Injections

Epidural Steroid Injections (ESIs) are a prominent solution for addressing pain and inflammation linked with various spinal conditions. By delivering an injection of steroids and local anesthetic directly into the epidural space in the spine, ESIs can drastically reduce pain and inflammation from a range of spinal disorders.

Types of Epidural Steroid Injections

The specific approach to ESIs depends on the patient’s unique condition and the location of the pain. At NIPAA, we offer both Transforaminal and Interlaminar injections:

  • Transforaminal Injections: This method specifically targets the nerve pathway where it exits the spinal canal, allowing for a more concentrated delivery to the affected nerve.
  • Interlaminar Injections: This technique administers the injection into the space between the lamina of two vertebrae, ensuring a wider distribution of the medication to the affected region.

Regions of Application

  • Cervical: Targeting neck and some upper back pain, using Interlaminar Injections, which provide broader relief in the upper spine area.

  • Thoracic: Focusing on the mid-spine area pain, potentially radiating towards the chest or stomach, using Interlaminar Injections which offer a more extensive relief mechanism for the mid-back region.
  • Lumbar: Addressing primarily the lower back and sciatica pain. Using Transforaminal Injections which offer specialized care for specific issues like lumbar disc herniation, or Interlaminar Injections, ideal for extensive lower back pain relief.

How will the procedure(s) be performed?

Epidural Steroid Injections are conducted within our specialized treatment rooms. Using state-of-the-art Fluoroscopic GE equipment, our board-certified physicians ensure the injection is administered precisely to the targeted epidural space. This precision not only maximizes the therapeutic benefits but also reduces potential risks.

What happens during the actual procedure?

  1. You will lie on a procedure table, and the target area will be cleaned and sterilized.
  2. A local anesthetic will be applied to numb the injection site.
  3. Using state-of-the-art fluoroscopic equipment for guidance, the physician will carefully insert a needle into or around the facet joint.
  4. Once the optimal position is identified, a mixture of steroid and local anesthetic is administered.
  5. After the injection, the needle is removed, and the injection site is covered with a small bandage.

Will the injection hurt?

While the procedure involves a needle, every effort is made to ensure your comfort. The application of a local anesthetic before the injection minimizes discomfort. Some patients might feel a slight sting or pressure, but it is generally well-tolerated.

How will I feel after the injection?

Immediately after the procedure, the area might feel numb due to the local anesthetic. As it wears off, there might be some soreness at the injection site, which usually diminishes within a day or two. Many patients experience significant relief from their pain after the procedure. However, individual responses can vary.

How to prepare for the procedure?

  1. Inform your physician about any medications you are taking.
  2. Depending on your medication, you might be asked to stop certain medications a few days before the procedure.
  3. Avoid eating or drinking for at least six hours prior to the procedure.
  4. Wear loose, comfortable clothing.
  5. Ensure you have someone to drive you home after the procedure.

Rediscover Movement without Discomfort

With the expertise of NIPAA and the efficacy of Epidural Steroid Injections, a life free from debilitating spinal pain is within reach.