Epidural Steroid Injections

Epidural steroid injections (ESIs) are a common treatment for back pain, neck pain, and other types of pain associated with spinal nerve irritation. In this article, we will discuss the basics of epidural steroid injections, their potential benefits and risks, and provide reference links for further reading.

What are Epidural Steroid Injections?

Epidural steroid injections (ESIs) are injections of a corticosteroid medication into the epidural space surrounding the spinal cord. This medication reduces inflammation and pain in the affected area and can provide long-term relief for patients with chronic pain.

ESIs can be used to treat a variety of spinal conditions, including herniated discs, spinal stenosis, and degenerative disc disease. They are typically used when other conservative treatments, such as physical therapy and medications, have not provided relief.

How are Epidural Steroid Injections Performed?

ESIs are typically performed in an outpatient setting by a trained healthcare provider. The procedure involves inserting a small needle into the epidural space under X-ray guidance, and then injecting the corticosteroid medication.

The procedure typically takes 15 to 30 minutes and is relatively painless. Patients may be given a local anesthetic or mild sedative to help them relax during the procedure.

Benefits of Epidural Steroid Injections

ESIs have several potential benefits, including:

1. Reduced inflammation: The corticosteroid medication in the injection reduces inflammation in the affected area, which can reduce pain and other symptoms.
2. Long-lasting pain relief: ESIs can provide long-lasting pain relief for patients with chronic pain.
3. Improved function: By reducing pain and other symptoms, ESIs can help patients improve their function and quality of life.

Risks of Epidural Steroid Injections

ESIs carry some risks, including:

1. Infection: There is a small risk of infection associated with the injection.
2. Bleeding: There is a small risk of bleeding at the injection site.
3. Nerve damage: In rare cases, nerve damage can occur as a result of the injection.
4. Temporary increase in pain: Some patients may experience a temporary increase in pain following the injection.

Conclusion

Epidural steroid injections can be an effective treatment for chronic pain associated with spinal nerve irritation. While they carry some risks, these risks are typically low, and the potential benefits of the treatment can be significant.