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Spinal Injections

Our team sets itself apart by providing expert treatments coupled with leading-edge technology and minimally invasive techniques.​ When painful symptoms interfere with rehabilitative exercises, your doctor may recommend an epidural steroid injection (ESI).

Epidural Steroid Injections (ESI)

Epidural steroid injections include a corticosteroid and an anesthetic numbing agent. They are minimally invasive procedures that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves.

Cervical
ESI

Dysfunctions in your cervical spine, the neck region of your spinal column, can lead to pain that radiates through your shoulder and down your arm, hand, or fingers.

Thoracic
ESI

Nerves leaving the spinal cord may become pinched or inflamed due to an injury in your thoracic spine or upper to middle back.

Lumbar
ESI

A lumbar epidural steroid injection helps relieve the pain caused by inflamed nerves in the lower back.

Caudal
ESI

While a physician injects an epidural into the epidural space, the area surrounding the dura san (the protective tube of your nerve roots), the caudal nerve block is injected into a specific nerve root in the tailbone.

Facet
Injections

Our physicians also perform a similar type of steroid injection called a facet injection, and the facets are joints on either side of your spine.

The Procedure

The type of injection depends on your condition and if you have metal rods or screws from any previous surgeries. Your highly qualified medical professional team will determine your condition’s right course of action.

The doctor will administer a small shot of numbing medication into the injection site. Your physician will inject the steroid medication into the affected space. A fluoroscopic guided injection involves injecting medicine under a unique form of imaging known as a c-arm. Fluoroscopy allows your physician to watch the needle in real-time on the monitor, ensuring that it goes to the desired site. Some discomfort may occur, but patients more often feel pressure than pain.

What should I expect after a procedure?

We ensure you feel well enough to go home before leaving our care following the injection.

Most patients can walk around immediately after. Still, don’t drive for the rest of the day. Take it easy. Generally, patients resume normal activities the next day. Soreness around an injection site may be relieved by using ice and mild analgesics.

Schedule a follow-up appointment with your physician after the procedure to document the efficacy of the treatment and address any concerns for future treatments and expectations.

Am I a Good Candidate?

Patients with pain in the neck, arm, low back, or leg may benefit from pain management. Always discuss the potential risks of any procedure with your doctor.

If you have any questions or something isn’t right, don’t hesitate to call our office.

ESI is NOT for people with infections or bleeding problems. Tell your doctor if you think you may be pregnant, as fluoroscopy x-rays may be harmful to the baby.

Epidural steroid injections (ESI).

Epidural steroid injections include a corticosteroid and an anesthetic numbing agent. They are minimally invasive procedures that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. Corticosteroid injections can reduce inflammation and be effective when delivered directly into painful areas. Epidural steroid injections have proven helpful for patients in giving pain relief and can help determine whether surgery might benefit the pain associated with a herniated disc.

Epidural Steroid Injections can help diagnose the source of pain and alleviate discomfort by interrupting the communication of pain signals between nerve endings and the brain. The pain relief from ESIs can last from days to years, allowing your condition to improve with physical rehabilitation. Unfortunately, injections do not make herniated bulges or discs smaller.

Cervical ESI.

Dysfunctions in your cervical spine, the neck region of your spinal column, can lead to pain that radiates through your shoulder and down your arm, hand, or fingers. You might be experiencing pins-and-needles tingling, aches, burning, numbness, or weakness.

Cervical ESIs intend to treat pain caused by conditions that provoke inflammation of cervical nerve roots. With a cervical ESI, the needle entry site is the side of the neck to reach the neural foramen, which is just above the opening for the nerve root and outside of the epidural space.

Your CITIMED specialist will deliver the drugs to the epidural space, the fat-filled area between the bone and the protective dura sac surrounding the spinal nerves and cord.

Thoracic ESI.

Nerves leaving the spinal cord may become pinched or inflamed due to an injury in your thoracic spine or upper to middle back. If part of the intervertebral disc presses into that space between your spinal cord and nerves, you might feel pain or discomfort.

Your CITIMED specialist will place the needle in the affected area into the epidural space of your thoracic spine.

Lumbar ESI.

A lumbar epidural steroid injection helps relieve the pain caused by inflamed nerves in the lower back. ESIs can treat pain, but they are also valuable for diagnosing which specific nerves in your spine are causing problems.

Your CITIMED specialist will insert the needle from the back on the affected side to reach the epidural space to deliver steroid medication to the inflamed nerve’s root.

Caudal ESI.

While a physician injects an epidural into the epidural space, the area surrounding the dura san (the protective tube of your nerve roots), the caudal nerve block is injected into a specific nerve root in the tailbone. These are particularly effective at alleviating chronic and acute severe low back pain. 

Your CITIMED specialist will place the needle in the sacral recess above the tailbone for a caudal ESI to reach the lowest spinal nerves.

Facet Injections.

Our physicians also perform a similar type of steroid injection called a facet injection, and the facets are joints on either side of your spine.

Your physician will directly inject the steroid medication into the joint, done under fluoroscopy. Don’t worry about deciding between an ESI and a facet injection. Our board-certified physicians will always discuss your options and recommend the best way to treat your pain.

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