Epidural Steroid Injections

A spinal injection that calms inflamed nerve roots, easing sciatica and radiating back or neck pain.
Overview:
Epidural steroid injections deliver anti-inflammatory corticosteroid, combined with a local anesthetic, into the epidural space surrounding the spinal cord and nerve roots. They are commonly used to treat radicular pain, sciatica, herniated discs, and spinal stenosis, where inflammation around a nerve root causes pain that radiates into the arm or leg. This injection treats the inflammation but does not repair the underlying structural issue, so it is often paired with physical therapy.
How It Works:
Using real-time fluoroscopic guidance, the physician selects an interlaminar, transforaminal, or caudal approach depending on the location and cause of the pain, and delivers the steroid and anesthetic to the affected area. The procedure typically takes about 15-20 minutes and is performed with local anesthesia.
Conditions It Treats:
Back Pain • Neck Pain • SI Joint Pain & Sciatica
What to Expect:
Most patients rest briefly afterward and can resume light activity the same or next day, avoiding strenuous activity for 24-48 hours. Meaningful relief commonly develops within 2-7 days as the steroid takes full effect, and benefits often last from several weeks to a few months; a short series of injections is sometimes used for more lasting improvement.


