Epidural Steroid Injections

Epidural Steroid Injections (ESI’s) are a common treatment option for back pain. The injection delivers anesthetic directly to the spinal nerves to prevent pain signals from reaching the brain.

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Epidural Steroid Injections

Epidural Steroid Injections or ESI's have been used for many years to treat sciatica pain, herniated discs, and many other back pain conditions.  

The injection uses an anti-inflammatory steroid to reduce pressure and inflammation on targeted nerves in the back. This helps to significantly reduce pain directly at its source. 

If you are interested in learning more about the Epidural Steroid Injection treatment that we offer at Pain and Spine Specialists, use the contact form here.
Our team of advanced pain specialists with review you pain symptoms and health history to see if ESI injections are right for you. 

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A comprehensive guide with everything you need to know about our providers, locations, conditions we treat, treatments we offer, and many other frequently asked questions!

A comprehensive guide with everything you need to know about our providers, locations, conditions we treat, treatments we offer, and many other frequently asked questions!

We Accept All Insurances

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What is a Epidural Steroid Injection?

Epidural Steroid Injections are a type of treatment that have been used for years. Epidural Steroid Injections (ESI’s) are commonly used to treat herniated discs, sciatica, and several other causes of back pain 

These injections deliver steroid directly to the epidural region of the patient’s spine.  

It is important to note the injection is never administered into the spinal cord. The steroid has an anti-inflammatory affect, reducing inflammation and pressure on the irritated nerves.  

The nerves in the epidural region travel to the mid back and along the body’s ribs. Any type of inflammation can be caused by damaged discs or any damage done to the bony structure of the spine, and the injection shrinks this inflammation. 

The nerves within the region are then bathed in the steroid and anesthetic, inhibiting the pain from being able to radiate. Depending on the source of the pain, there are three locations for the injection: cervical, thoracic, and lumbar. Your pain management physician will be able to determine the best location approach for your ESI. 

The cervical region is located roughly in the top third of the spine, thoracic in the middle third of the spine, and the lumbar in roughly the lower third. The source of the back pain will determine the injection site for the ESI. Beneficially to the patient, the injection delivers concentrated medicine directly to the source of the pain. 

The physician giving the injection may use additional fluid(s) with the steroid, such as anesthetic and a saline solution to help flush out any additional sources of pain in the epidural region. 

There are three types of ESI’s: 

  • Caudal
  • Interlaminar
  • Transforaminal
Needle injecting a spine to symbolized radio frequency ablation

Caudal Epidural Steroid Injections  

A caudal ESI is the simplest steroid injection and administered into the lowest portion of the epidural space. This method is best to treat widespread or diffused pain. It is done through the bony opening of your tailbone, and is considered the safest method.

Interlaminar Epidural Steroid Injections

An interlaminar injection delivers the anesthetic and steroid medication between the laminar of two adjacent vertebrae. The physician administering the injection takes a central approach to the bones of the adjoining spinal segments. This method is commonly used to treat back pain due to herniated discs and spinal stenosis. It is optimal for relieving radicular pain. 

Transforaminal Epidural Steroid Injections  

The transforaminal epidural steroid injection (also known as TFESI) is also injected into the epidural space, but the medical professional delivering the injection takes a lateral approach to the spine. The TFESI is injected where the nerves from the spine move towards the rest of the body. This injection also offers diagnostic ability because it can be directed at specific nerve roots.  

Epidural steroid injections provide several beneficial options to patients. Beyond pain relief, ESI’s provide freedom for patients in their pain management journeys. Patients who prefer not to use oral opioid medications (or are unable to tolerate the physical side effects of oral medications) are able to utilize injections to manage their pain.  

An ESI injection also provides the patient with time. Some patients may want to pursue physical therapy but are in too much pain to even begin. Other patients may have a back surgery planned but are still in pain. These patients should not have to suffer in the interim while waiting to pursue their future health plans.   

Recovery from Epidural Steroid Injections 

The procedure for an epidural steroid injection may take 15-30 minutes. The patient will be monitored for a short period after the injection and is able to go home. Patients will require a driver to take them home. Patients are encouraged to only engage in light activity for a few days after their procedure because some soreness at the injection site is to be expected. Some patients may begin experiencing pain relief immediately, with the full benefit of the ESI taking affect between 1-4 weeks. 

About Us

We are a comprehensive pain management practice with board certified Epidural Steroid Injections doctors in Maryland, Pennsylvania, and Virginia.

Pain Regions

Epidural Steroid Injections is often used to treat pain in the following regions:

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How To Get Started

If you would like more information about the Epidural Steroid Injection, our back pain services or other pain management therapies we offer, please call Pain and Spine Specialists and speak to our dedicated team to improve the quality of your life.

Frequently Asked Questions

Epidural Steroid Injections FAQ's

What types of doctors offer Epidural Steroid Injections?

Several types of doctors can administer Epidural Steroid Injections, including anesthesiologists, radiologists, neurologists, orthopedic surgeons, and physiatrists. However, you'll most commonly find this treatment offered by pain management specialists who have specific training in managing complex pain conditions.

Is Epidural Steroid Injections covered by insurance?

Most insurance providers cover Epidural Steroid Injections if they are deemed medically necessary. However, coverage may vary based on your specific insurance plan and the underlying condition being treated.

What are the alternatives to Epidural Steroid Injections treatment?

Alternatives to Epidural Steroid Injections can include physical therapy, oral medications, nerve blocks, or in more severe cases, surgery. The best alternative depends on the individual patient's condition and needs.

Is Epidural Steroid Injections considered minimally invasive?

Yes, Epidural Steroid Injections are considered a minimally invasive treatment. The procedure involves injecting a steroid medication directly into the epidural space in the spine, which often provides significant relief from inflammation and pain.

How do I find an Epidural Steroid Injections treatment center near me?

You can find Epidural Steroid Injection centers near you by doing an online search, asking for recommendations from your primary care physician, or contacting your local hospital or health department.

How do I find an Epidural Steroid Injections specialist near me?

Similar to finding a treatment center, you can find specialists through an online search, referrals from your primary care doctor, or through professional organizations like the American Society of Interventional Pain Physicians (ASIPP).

Is Epidural Steroid Injections considered a minimally invasive treatment?

Yes, as mentioned before, Epidural Steroid Injections are considered a minimally invasive treatment.

How much does Epidural Steroid Injections cost?

The cost of Epidural Steroid Injections can vary widely depending on factors such as your location, the specific healthcare provider, and your insurance coverage. It's best to check with your healthcare provider or insurance company for the most accurate information.

What treatments are often tried before considering Epidural Steroid Injections?

Before considering Epidural Steroid Injections, doctors usually recommend conservative treatments like physical therapy, oral medications, lifestyle changes like weight loss and exercise, and other non-invasive pain management techniques.

What are the reviews for Epidural Steroid Injections?

Reviews for Epidural Steroid Injections can vary significantly from patient to patient. Some patients report significant relief from their symptoms, while others may experience minimal benefits or side effects. It's important to discuss potential outcomes and risks with your healthcare provider.

Do Medicare and Medicaid cover Epidural Steroid Injections?

Yes, both Medicare and Medicaid typically cover Epidural Steroid Injections, but coverage can vary depending on the specific plan and medical necessity of the procedure. It's best to verify coverage with your insurance provider.

Billing / Insurance Questions

We Accept All Insurances!

That includes Medicare and state Medicaid.

How Soon Can I Be Seen?

Usually within one week of the initial call.

Appointments can be schedule by phone or through our contact form here.

What To Expect During Appointments

At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.

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Patient Portal / Policies

At Pain and Spine Specialists we want to provide the most efficient and pleasurable experience possible. As in all medical facilities, we have certain policies in place to ensure that you receive the time you require to address your needs as well as enhance your experience while in our care.

View our policies here.

Reviews and Testimonials

We encourage patient feedback to better improve your experience. We strive to create a friendly and warm environment where patients feel their voices are heard and validated.

View our patient reviews here.

Epidural Steroid Injection Doctors in Maryland, Pennsylvania and Virginia

At Pain and Spine Specialists, our team of epidural steroid injection specialists are committed to giving you the most effective treatment when treating your pain. We believe that all patients should have access to exceptional care.