Epidural injections can be performed for neck pain, mid back pain, and low back pain. They can also be used to treat radiating pain down the arms or lower extremities (sciatica). The diagnosis of disc pain requires a good history and physical examination as well as imaging studies such as MRI and x-ray.
Occasionally, electrodiagnostic studies such as EMG can also be performed to assist with diagnosis. All of these studies combined with a careful evaluation of the patient, one-on-one with a skilled clinician can make the diagnosis of pain caused by a disc. Epidural injections have been performed safely and effectively for at least the last 40 years. In this day and age, epidural injections are generally performed using the guidance of an x-ray machine, or fluoroscope, to help assure safety and accuracy of the procedure.
While many pain management specialists recommend a “series of 3 epidural injections,” at Comprehensive Pain Management, each procedure is carefully considered and the patient’s response is assessed before we consider additional procedures. In this way, our practice is conservative yet responsive to the patient’s needs. Unnecessary injections are avoided, thereby decreasing the risk and unnecessary cost to the patient. Epidural injections are performed under local anesthesia, with or without conscious sedation, depending on the needs of the patient. The procedure is generally associated with very little discomfort to the patient, particularly when care is taken to assure good local anesthesia and comfort for the patient. Safety, effectiveness, and comfort of the patient are our highest priorities.
Epidural Steroid Injection in the Cervical Spine
This injection treats the pain of an inflamed nerve in your cervical spine. It relieves nerve swelling. If you have a herniated disc, spinal stenosis or some other problem that's pressing on a nerve, it may help you.
Caudal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.
Lumbar Epidural Steroid Injection
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
Lumbar Transforaminal Epidural Steroid Injection
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.
Thoracic Epidural Steroid Injection
This outpatient procedure is an injection performed to relieve pain in the upper back.
Stellate Ganglion Block
A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.
Medial Branch Block (Cervical)
This is an injection of numbing medicine that bathes the medial branch nerves. These nerves are attached to the facet joints of the spine. Disease or injury of these joints can cause pain in the medial branch nerves. This pain may travel through the neck, shoulders, upper back and head. A medial branch block can help your physician find the source of your pain. It may also provide temporary pain relief.
Sacroiliac Joint Steroid Injection
This is an injection of numbing medicine that bathes the medial branch nerves. These nerves are attached to the facet
This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.