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.
I LOVE LOVE LOVE this office. I was helping my mom find a place for her arthritis pain, and I explained to them how bad it was. They were able to schedule me the same week! That's almost impossible at any doctor's office...and then add COVID..... I was thrilled. I took my mom, and everyone was absolutely so sweet and kind
- Donyasha B.
Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery...and much more. His office is professional.
- Mom To2
Dr. Roa is such an amazing doctor! During my first visit he never tried to rush through my appt., he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.
- Nikki Walker
In the 3 years as a patient of Dr. Rao, it is my opinion that he is a phenomenal and extraordinary doctor. He keeps up to date with the latest treatment options, will sacrifice time no matter how many are in the waiting room to listen and explain. Dr. Rao has treated multiple patients with rare illnesses, and shows more empathy than any Dr. I’ve met.
- Mom To2
I have now been with Dr. Rao for 13 years. He is the most caring Doctor I have ever been to! Dr. Rao makes you feel very comfortable at all times. I would not want to go to any other Doctor... I go to the Hagerstown location, everyone is very nice
- Theresa R.
The entire staff from the folks at the front desk to the Nurse, to the Physicians Assistant to the scribe that records the visit for the doctor - (great idea so the Doctor can focus on the patient!!!)
- NVA F.
Completely the best care you could want the staff is so pleasant and caring and the doctors have true heart for healing, love being a patient here would give 10 stars if I could & absolutely the most caring during my procedure with Dr B
- Cathern C.
Always friendly, courteous, and efficient service. From the ladies, who work the front desk, to the nurses and the doctors. I've always had a good experience with the Harrisonburg office in Virginia.
They scheduled my appointment very quickly so that I can get to help that I needed immediately instead of like most places having to wait two to three weeks to get in I called and was able to be seen the next day
- John H.
After transitioning from a pain and spine doctor in Columbia, MD.. The intake staff member at Pain and Spine Specialist made the scheduling a breeze. They were able to get me in within a week.
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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:
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.
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. You can call (301) 703-8767 (Maryland Offices), (724) 603-3560 (Pennsylvania Offices), or (540) 433-1905 (Virginia Offices) and schedule an appointment today.
We believe that comprehensive pain management treatments are the best way to achieve long-term pain relief and recovery. Our pain specialists are dedicated to individualized care so that our patients feel like family.
Treatments We Offer
- Spinal Cord Stimulation
- Injection Therapies
- Medication Management
- Intrathecal Pumps
- Occipital Nerve Blocks
- Alternative Therapies
- Radio Frequency Ablation
- Trigger Point Injections
- Epidural Steroid Injections
- SGB Injection for PTSD
- MILD (Lumbar Decompression
- Minuteman Spinal Fusion
- Peripheral Nerve Stimulation
- Lumbar Sympathetic Block
- Stellate Ganglion Blocks
- HA Injections