Epidural Steroid Injection

Procedure Description

Epidural steroid injections ( ESI) are usually performed when non-invasive measures (physical therapy and/or chiropractic) haven’t worked. An ESI procedure involves delivering a steroid medication on to the area of the inflammation inside the spine and it can be a very effective resolution to back and neck connected pain. Once conditions exist that cause nerve root and spinal cord inflammation and swelling the injection of corticosteroids can help to get rid of the symptoms related to the inflammation and swelling. 

In addition, for patients who wish to avoid the side effects that may be associated with oral steroids or the habit-forming nature of narcotic pain medication, this could be a good alternative. With ESI procedures are generally done in a series. Patients progress with pain relief are continuously watched by the treating physician and if the pain relief is no longer achieved through the injections than surgery is also thought-about.

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When to consider

As mentions, generally an epidural steroid injection is taken into account only after non-invasive measures didn’t work. most commonly patients are going to be encouraged to try and do 6 weeks of non-invasive care through physical therapy or treatment with strict adherence to the plan of care. If time has passed and the plan of care has been adhered to and symptoms have continued to be an issue an epidural steroid injection can be thought-about. Patients who may be considered for an ESI usually are diagnosed with sciatica, degenerative disc disease, spinal stenosis, and/or spondylosis.

Recovery from epidural steroid injection

Epidural steroid injections are performed through minimally invasive approaches and since very little is done to the structural anatomy of the spine, recovery can generally be fast. Patients will usually go back to work the day following an ESI procedure. Like any procedure, however, it’s necessary to pay close attention to the provider’s plan of care. It should even be noted that if a patient has an epidural steroid injection performed they will usually benefit from continued pursuit of non-invasive therapies like physical therapy or chiropractic.

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