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Lumbar Epidural Steroid Injection

Lumbar Epidural Steroid Injection

A corticosteroid (anti-inflammatory medication) is injected into the epidural space to reduce inflammation and pain. The injection may be performed from behind, which is called an interlaminar injection. It can also be administered from the side, which is called a transforaminal epidural steroid injection. The procedure can even be performed from below, which is a caudal epidural steroid injection. Spine Physicians Institute has administered the cervical epidural steroid injection in many patients. Our physicians are experienced in it.

Step-by-Step Procedure
  1. During the procedure, an IV is inserted to administer intravenous medications to help you relax.
  2. Local anaesthetic will also be used to numb your skin.
  3. Fluoroscopy, a type of x-ray machine, is used to ensure proper placement of the needle.
  4. Dye will then be injected to verify correct placement.
  5. Once correct placement of the needle is verified, the medication is injected.
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You are monitored for up to 30 minutes after the injection. It is important to keep track of your pain to help your doctor know what the next step will be. It is normal for pain to be worse for 1 or 2 days following the injection. This may be due to needle irritation or by the steroid itself. Steroids generally take 2-7 days to begin working. It is generally okay to return to work a day after the injection.


The amount and duration of pain relief is dependent on many factors, including underlying pathology and activity level. Some can have relief that lasts for years, while others have short-term relief. It is important to discuss with your physician your response to the epidural steroid injections in order to plan further treatment plans.

For more questions, contact our offices located in Dallas, Irving, Red Oak, Plano, Southlake, Grapevine, Colleyville and Duncanville marketplaces.

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