Epidural Steroid Injection

An epidural steroid injection is used in treating inflammatory neck pain and helps to heal a herniated disc. Steroids are an anti-inflammatory medication that is absorbed by inflamed nerves to decrease swelling and relieve pressure. Hence, they are commonly used to treat chronic inflammatory conditions such as rheumatoid arthritis, severe asthma, lupus and psoriasis. An epidural steroid injection is an effective pain relief procedure that can be tried before resorting to surgery.

Cervical epidural steroid injection relieves pain in the neck, shoulders and arms caused by a pinched nerve or nerves in the cervical spine. It helps alleviate pain from compressed nerves, which are a result of conditions such as herniated discs, spinal stensis, or radiculopathy.

How is the procedure performed?

The patient is given local anesthetic to the area of injection. A live x-ray, or fluoroscope, is used to insert a needle into the epidural space, which is the region in which spinal nerves travel. A contrast dye is injected into this space to make sure the needle is properly positioned near the irritated nerve or nerves. Then, a combination of anesthetic and cortisone steroid solution is injected into the epidural space.

Lumbar transforaminal epidural steroid injection relieves lower back and radiating leg pain. Steroid medication can reduce swelling and inflammation caused by spinal conditions such as spinal stenosis, radiculopathy, sciatica and herniated discs

How is the procedure performed?

After a local anesthetic is applied, a fluoroscope is used to locate the right lumbar certebra and nerve root. A thin, bent needle with a slightly curved point is inserted to the epidural space near the nerve root and a contrast dye injected to confirm the location of pain. Then, a solution of steroid and anesthetics is injected into the epidural space to ease the painful nerve.

What should be expected?

Most patients do not experience any pain sensation during the procedure. Although muscle spasm or pain after an injection is possible, the the chances of experiencing that is unlikely. Only a small dose of a steroid is required to provide long-lasting relief.

If you are searching for an evaluation or consultation, please contact us at 201.729.0001. Our conveniently located clinics are in West OrangeAberdeenClifton, and Lyndhurst. We offer weekday and weekend appointments.