Lumbar & Cervical Epidural Steroid Injections
Epidural steroid injections (ESIs) are minimally invasive procedures that deliver corticosteroids and anesthetic directly into the epidural space surrounding spinal nerves. By reducing inflammation and swelling, ESIs provide rapid relief from radicular pain, which radiates into the arms or legs. They are commonly used for herniated discs, spinal stenosis, degenerative disc disease, or post-surgical nerve irritation, forming an integral part of non-surgical spine care.
Performed under fluoroscopic guidance, ESIs ensure precise needle placement into the epidural space near the affected nerve roots. After local anesthesia, a mixture of corticosteroid and anesthetic is injected to reduce inflammation and provide immediate pain relief. Lumbar injections target lower back and leg nerves, while cervical injections address neck and arm nerves. Typically outpatient procedures lasting 15–30 minutes, patients may require a series of injections over weeks for optimal outcomes. ESIs are indicated for radicular pain from herniated discs, foraminal stenosis, degenerative disc disease, or post-operative nerve irritation and are often combined with physical therapy. Benefits include rapid pain relief, improved mobility, reduced inflammation, and decreased reliance on oral medications, often helping patients delay or avoid surgery.
Lumbar and cervical epidural steroid injections are safe, minimally invasive, and effective options for managing radicular pain. When performed by experienced specialists using imaging guidance, ESIs support rehabilitation, enhance mobility, and improve quality of life.