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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.

Ready to get away from the pain?

Contact Republic Pain Specialists and get relief today.

Frequently Asked Questions

Republic Pain & Longevity is a patient-centered practice that combines interventional pain management with health optimization programs. We diagnose and treat the source of pain through advanced diagnostics and targeted, minimally invasive therapies, while also helping patients build long-term metabolic health, hormone balance, and vitality through personalized, ongoing care.
Traditional pain management focuses on diagnosing and treating a specific pain condition through procedures like nerve blocks, injections, and radiofrequency ablation. Health Optimization takes a broader, proactive approach — using interventional procedures, diagnostic labs, imaging, diet, exercise, coaching, and lifestyle strategies to decrease inflammation, improve energy, metabolic health, and resilience, whether or not you currently have a chronic pain condition.
We treat a wide range of conditions, including knee osteoarthritis, headaches and migraines, back and neck pain, joint pain, SI joint pain and sciatica, muscle spasms and myofascial pain, nerve entrapments, post-surgical pain, TMJ/jaw pain, long COVID and more. See our Conditions page for the full list and details on each.
No. Our treatments are minimally invasive, image-guided procedures — such as nerve blocks, radiofrequency ablation, and targeted joint or soft-tissue injections — designed to reduce pain and restore function without surgery.
The Peak Wellness Plan is our structured Health Optimization program built around advanced lab testing, a detailed clinical assessment, and a personalized care plan followed over nine months — targeting metabolic health, hormone balance, inflammation, weight, sleep, nutrition, and physical function, with ongoing follow-up to track progress. This integrated approach treats chronic pain as a whole-body issue, not just a symptom to numb – combining precise medical intervention with the lifestyle foundations that support lasting relief.
Vibility is our guided lifestyle curriculum — a structured, self-paced resource that supports patients through nutrition, movement, recovery, and everyday habit changes alongside their clinical care. Real-time reporting on weight, sleep, energy, digestion, focus, and mood keeps you accountable.
Yes. Peptide therapy and IV hydration are available individually or as part of our health optimization offerings, and can be incorporated into your personalized care plan where appropriate.
For patients who prefer to pay out of pocket or whose plan doesn’t cover a given service, we offer financing through Cherry Financial.

 

  • Aetna
  • Amerigroup
  • BCBS
  • Cigna
  • First Care
  • Healthsmart
  • Humana
  • Medicare
  • Medicaid
  • Molina Health
  • Superior
  • TriCare
  • United Healthcare
Your first visit is a consultation with our team to review your history, any prior imaging or labs, and your goals — whether that’s pain relief, health optimization, or both. From there, we build a personalized plan, which may include additional diagnostics, a procedure, or enrollment in a health optimization program.
Contact our office at 979-703-1426 to schedule a consultation.