Epidural Steroid Injections (ESI) Specialist Q&A

Epidural Steroid Injection (ESI) is a minimally invasive procedure used to relieve pain and inflammation in the spine. The process involves the injection of corticosteroid medication, along with local anesthetic, into the epidural space. ESI is commonly used to treat conditions such as herniated discs, spinal stenosis, and degenerative disc disease. The corticosteroid medication reduces inflammation, while the local anesthetic provides temporary pain relief.
 
During the procedure, a healthcare professional will use fluoroscopic guidance to accurately guide the needle into the epidural space. Before the injection, the skin will be numbed with a local anesthetic to minimize discomfort. The medication is then injected into the targeted area, and the needle is removed. ESI is a safe and effective procedure. Patients may experience some pressure or mild discomfort during the injection. The procedure usually takes only a few minutes, allowing patients to resume normal activities shortly.

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Most people experience significant pain relief that lasts for several weeks to months after ESI, while others may find that the effects are shorter-lived. It’s important to understand that ESI is primarily aimed at providing temporary relief by reducing inflammation and alleviating pain. The specific duration of pain relief will depend on various factors, including the underlying condition being treated, the severity of symptoms, and the response to treatment.
 
For some people, a single ESI can provide sufficient relief to manage their symptoms effectively. However, in most cases, a series of injections is recommended to achieve optimal results. Our knowledgeable team can determine the ideal number and frequency of injections for you. It’s worth noting that ESI is typically part of a comprehensive treatment plan that includes other therapies, such as physical therapy, medication, and lifestyle modifications. These additional interventions will help maximize pain relief duration and improve overall outcomes.

During an Epidural Steroid Injection, you can expect the following steps:
 
● Preparation – You will be positioned on an examination table, and the injection site will be cleaned and sterilized. A local anesthetic will be administered to numb the area.
● Injection – Using fluoroscopic guidance, a thin needle will be carefully inserted into the epidural space near the affected spinal nerve. A mixture of steroid medication and a local anesthetic will be injected.
● Monitoring – Throughout the procedure, your vital signs will be monitored and you will be able to communicate with the healthcare team.
 
After ESI treatment, you can expect:
 
● Recovery – You will be observed for a short period in a recovery area. You can return home shortly afterward, but it’s best to arrange for someone to drive you.
● Post-injection effects – You may experience temporary numbness or weakness in the treated area, which should subside within a few hours.
● Pain relief – The procedure effectively reduces inflammation and alleviates pain. You will likely start experiencing pain relief within a few days, but it can take up to a week to fully take effect.
● Follow-up – Your healthcare provider will discuss post-treatment care instructions and schedule any necessary follow-up appointments to monitor your progress.

Epidural Steroid Injection is recommended for people experiencing pain and inflammation in the spine or surrounding nerves. Some factors that make you a suitable candidate for ESI include:
 
● Spinal conditions – ESI treats conditions such as herniated discs, spinal stenosis, degenerative disc disease, and sciatica. If you have been diagnosed with any of these conditions and experience pain, ESI can be an excellent solution.
● Failed conservative treatments – If you have already tried conservative treatments like physical therapy, medication, and rest, and have not found adequate relief, ESI is often recommended as the next step in your treatment plan.
● Symptom severity – ESI is often recommended when pain and inflammation significantly impact your daily activities and quality of life. If your symptoms interfere with your ability to work, sleep, or perform regular tasks, ESI can be beneficial.
● Medical suitability – The healthcare provider will assess your medical history to determine if ESI is appropriate for you. They will consider factors such as allergies, ongoing health conditions, and current medications to ensure the procedure is safe for you.
 
It’s advised to consult an ESI specialist to determine if this treatment is the right option for you. Our dedicated team will evaluate your specific condition, symptoms, and medical history to provide personalized recommendations.
 
Epidural Steroid Injections Specialists are available at OmniSpine Pain Management. For more information, contact us or book an appointment online. We have convenient locations to serve you in Frisco, TX, Sunnyvale, TX, and Mesquite, TX. We serve patients from Dallas TX, Frisco TX, Mesquite TX, Sunnyvale TX, Plano TX, Garland TX, Forney TX, Cedar Hill TX, Denton TX, Balch Springs TX, and surrounding areas.