Epidural Steroid Injections

Epidural steroid injections are commonly used to diagnose and treat neck and back pain. The medication is placed in the epidural space of the spine, between the vertebrae and the protective covering of the spinal cord, to calm inflamed nerves. Relief can last from several weeks to much longer.

Illustration of an epidural steroid injection into the lumbar spine

What Is An Epidural Steroid Injection?

Most epidural steroid injections combine two medications: a short-acting anesthetic that numbs the area and a long-acting corticosteroid that reduces inflammation. Some patients find injections provide more relief than oral medications, which treat the whole body rather than a specific source of pain.
 
Injections are delivered to the part of the spine closest to the affected nerve: the cervical spine (neck), the thoracic spine (mid back), or the lumbar spine (lower back). Related options include caudal injections and nerve root blocks.

Conditions Epidural Injections Treat

Diagnostic Or Therapeutic?

When used for diagnosis, the injection is placed near a specific nerve thought to be the source of pain, with X-ray guidance for accuracy. If the injection leads to significant, immediate relief, that nerve is likely the cause of the symptoms.
 
When used as treatment, the medication is placed closest to the affected nerve to reduce inflammation and relieve pain, often helping patients participate in physical therapy.

How The Injection Is Given

An epidural steroid injection is a brief outpatient procedure:

  1. 1

    Positioning

    You lie comfortably while the skin is cleaned.

  2. 2

    Numbing

    A local anesthetic numbs the skin.

  3. 3

    X-ray guidance

    Fluoroscopy guides the needle to the precise location.

  4. 4

    Injection

    The anesthetic and corticosteroid are delivered into the epidural space.

  5. 5

    Short monitoring

    You are observed briefly, then go home the same day.

Frequently Asked Questions

What is an epidural steroid injection?

An epidural steroid injection delivers medication into the epidural space, the area between the vertebrae and the protective covering of the spinal cord, to reduce inflammation around irritated nerves.

What is in the injection?

Most epidural steroid injections combine a short-acting anesthetic that numbs the area with a long-acting corticosteroid that reduces inflammation.

How long does the pain relief last?

The medications wear off over time, but the pain relief can last for several weeks, several months, or longer, depending on the patient and the condition.

How many injections can I have?

Several injections can be given in a series if recommended. Your physician will build a plan around how you respond.

What is the difference between diagnostic and therapeutic injections?

A diagnostic injection is placed near a specific nerve thought to cause the pain; immediate relief suggests that nerve is the source. A therapeutic injection is placed in the part of the spine closest to the affected nerve to relieve pain.

Is the injection painful?

The skin is numbed first, and X-ray guidance is used for accurate placement. Most patients feel pressure and brief discomfort.

What conditions do epidural injections treat?

They are commonly used for spinal stenosis, sciatica, herniated discs, degenerative disc disease, and pinched nerves in the neck, mid back, or lower back.

Are epidural injections used with other treatments?

Yes. Physical therapy, prescription muscle relaxers, and lifestyle changes may supplement the pain-relieving benefits. Call (321) 499-4646 to schedule an evaluation.

Benefits Of Epidural Injections

Epidural steroid injections can offer:

  • Targeted relief at the source of nerve inflammation.
  • Relief lasting weeks or even longer.
  • Diagnostic information that guides further treatment.
  • An easier path through physical therapy and daily activity.
  • A non-surgical option performed on an outpatient basis.

Related Treatments

What To Expect

Most patients return home the same day.

Same day

Rest

Take it easy for the rest of the day; the numbing medicine wears off within hours.

2 to 7 days

Steroid takes effect

The anti-inflammatory effect typically builds over several days.

Following weeks

Stay active

Physical therapy and activity changes help extend the benefit.

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

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  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

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    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

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