Epidural Injection

What is it?

Epidural Injection

Epidurals are injections used to reduce inflammation of nerves. Nerves can be inflamed from herniated disc material that causes a chemical burn on the nerve or from compression from disc or bone spurs. If you need long-lasting relief from pain and inflammation, Interventional Pain Doctors can help you now. It is the preferred destination for orthopedic and spine pain management in Los Angeles, Beverly Hills, and surrounding areas. Interventional Pain Doctors are experts at diagnosing and creating customized treatment plans.

Am I a good candidate?

At your appointment with Interventional Pain Doctors, our physicians will review your medical history, perform a problem-focused physical exam, review imaging, and offer a customized treatment plan based on an accurate diagnosis. If you have severe neck pain that radiates into the arm or low back pain that radiates into the leg from an injured disc in the spine you may benefit from an epidural.

What is it?

Epidural steroid injections are the most common non-surgical treatment option for acute/chronic back/neck with arm/leg pain. An epidural injection is placed by the injured disc to relieve inflammation and pain of the affected nerve. By volume, what is injection consists mostly of sterile saline (salt water), a nerve numbing agent (local anesthetic) and a very small amount of potent anti-inflammatory (steroid). An epidural injection can help heal the injured nerve. An epidural does not heal a torn (herniated)disc. That will either heal on its own or may require surgery if it does not.  

An epidural injection can be performed in your cervical, thoracic, or lumbar spine to provide pain relief and relieve nerve swelling and inflammation. Epidural injections are a minimally invasive procedure that can deliver pain relief and allow patients to improve their function and become active again.

Cervical Transforaminal Epidural Steroid Injection

This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

This injection procedure relieves pain in the upper back, ribs, and abdomen caused by a pinched nerve (or nerves) in the thoracic spine. Extended  pain relief usually begins within two to three days of the injection. Some patients may need only one injection, but two or three injections may be  needed to provide significant pain relief.

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

During Procedure

All our injections are performed in the sterile operating room using image guidance. You will first be comfortably positioned and monitors to check your vital signs will be placed. Oxygen will be given to you if you get sedation. After a sterile cleaning of the site to be injected, sedation will be given if desired. Then local anesthesia will be used to numb the skin. The epidural needle will be placed using image guidance and confirmed with contrast dye. Medication will then be administered and needles removed. Bandages will be placed and you will be taken to the recovery room until you are ready for discharge home.

When will I get pain relief?

Typically patients experience pain relief in three to seven days, although in some cases it can be up to 14 days. An epidural cleans and reduces inflammation of the nerve root and it will take time to heal. The amount of relief is dependent upon the amount of inflammation and duration, sometimes it can be complete relief, sometimes a subsequent injection is necessary to achieve more complete relief. The duration of relief usually depends on the health of the disc. If a disc continues to inflame the nerve root surgery may be necessary to address the disc. If the disc heals, the injection may be successful at relieving your pain.

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