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An epidural steroid injection is performed to help reduce the inflammation and pain associated with nerve root compression. Nerve roots can be compressed by a herniated disc, spinal stenosis, and bone spurs. When the nerve is compressed it becomes inflamed. This can lead to pain, numbness, tingling or weakness along the course of the nerve. This is called radiculopathy. The goal of the epidural steroid injection is to help lessen the inflammation of the nerve root.
The epidural space is located above the outer layer surrounding the spinal cord and nerve roots. An epidural steroid injection goes into the epidural space, directly over the compressed nerve root.
There are several types of epidural steroid injections. They can be described according to the location they are given. Injections in the neck are called cervical epidural injections, while injections in the middle back are thoracic epidural injections, and injections in the low back are called lumbar epidural injections.
They can also be described according to the path of the needle. Most epidural steroid injections are placed between the lamina, known as interlaminar epidural steroid injections. The lamina is portions of the bones on the back side of the spine that are arranged like shingles. The needle is aimed upwards toward the head and passes between two adjacent laminae. Another type of injection is a transforaminal steroid injection. In this case, the needle passes along the course of the nerve and enters the spine from a more diagonal direction.
Patients with several common conditions – including a lumbar disc herniation, degenerative disc disease, and lumbar spinal stenosis – may benefit from an epidural injection. For these and other conditions that can cause acute or chronic pain, an epidural steroid injection may be an effective non-surgical treatment option.
Neurosurgery is a surgical specialty that involves the diagnosis, treatment, and prevention of disorders affecting the nervous system, including the brain, spinal cord, and nerves.
Orthopedics is a branch of medicine that deals with the diagnosis and treatment of conditions and injuries affecting the musculoskeletal system, which includes bones, joints, ligaments, tendons, and muscles.
Orthopedic surgeons treat a variety of conditions, such as auto accident fractures, arthritis, sports injuries, scoliosis, and osteoporosis.
Interventional pain management is a medical specialty that uses minimally invasive procedures to diagnose and treat chronic pain. Procedures include epidurals, medial branch blocks, and radio frequency ablation.
You may schedule an appointment by phone, by calling our Daytona office at (386) 317-5149, or our Palm Coast office at (888) 997-3952.
Please bring a valid photo ID, your insurance card, a list of any medications you are currently taking, any relevant medical records, and any questions you may have for your doctor.
During your first visit, your doctor will review your medical history, perform a physical examination, and may order diagnostic tests such as X-rays or MRIs. Your doctor will discuss your diagnosis and treatment options with you and answer any questions you may have.
The length of an appointment varies depending on the nature of the visit. A routine follow-up appointment may only last 15-20 minutes, while a consultation or evaluation may take an hour or more.
Interventional pain management specialists treat a variety of pain conditions, including back pain, neck pain, joint pain, nerve pain, and chronic headaches.
It depends on your insurance provider and specific policy. Some insurance plans require a referral from a primary care physician, while others allow patients to self-refer. Please check with your insurance provider for details.
