Epidural Steroid Injections (ESI)

Epidural injections are a type of medical procedure that involves injecting medication into the epidural space, which is the space surrounding the spinal cord and the nerves that exit the spine. The medication typically consists of a combination of a steroid and a local anesthetic, and it is intended to reduce inflammation and provide pain relief. Epidural injections are commonly used to treat conditions that cause pain or inflammation in the back, neck, legs, or arms. Some of the conditions that may be treated with epidural injections include:

  • Herniated discs

  • Spinal stenosis

  • Sciatica

  • Spondylolisthesis

  • Degenerative disc disease

  • Arthritis of the spine

  • Chronic back or neck pain

During the procedure, the patient typically lies on their stomach or side, and a small needle is inserted into the epidural space under X-ray guidance. The medication is then injected into the space, and the needle is removed. The medication typically takes effect within a few hours to a few days, and the effects may last for several weeks or months. Repeat injections may be necessary in some cases. As with any medical procedure, epidural injections do carry some risks, such as infection, bleeding, and nerve damage. It is important to discuss the risks and benefits of the procedure with a healthcare provider before undergoing treatment.