What Is an Epidural Steroid Injection and How Does It Work?

An epidural steroid injection (ESI) uses a corticosteroid to target inflammation directly in the affected area. By reducing inflammation around your spinal nerves, these injections help alleviate pain and discomfort. The corticosteroid works by flushing out the proteins that cause swelling, offering relief from the pressure on your nerves.

Targeting Low Back Pain with Lumbar Corticosteroid Injections

Epidural steroid injections are a minimally invasive treatment designed to relieve pain in the back, neck, arms, and legs. The procedure involves injecting corticosteroids into the epidural space, which is located just outside the protective membrane of the spinal cord. Most patients experience significant pain relief lasting several months from a single injection. The primary goal is to reduce discomfort, allowing you to return to your normal activities pain-free.

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What Conditions Do Epidural Steroid Injections Treat?

Epidural steroid injections are beneficial for patients experiencing pain in the neck, arms, lower back, or legs. These injections are commonly used to treat the following conditions:

What to Expect During the Epidural Steroid Injection Process

Epidural steroid injections are a quick and non-invasive procedure. After cleaning the injection site, the steroid is injected into the targeted area. Most patients don’t need anesthetic, although sedation is available if necessary.

Different Types of Epidural Steroid Injections

Interlaminar Injection

The most commonly used ESI, this type involves inserting a needle into the back, allowing the steroid to spread across a wider area in the epidural space.

Caudal Injection

Delivered through the sacral hiatus, near the tailbone, this type of injection is placed lower in the back, specifically targeting the bottom of the epidural space.

Transforaminal Injection (Nerve Block)

Often referred to as a “nerve block,” this approach involves placing the needle near the nerve's exit point from the spine. The steroid is delivered into the epidural space from the side, providing more focused relief.

Woman at elevators in front of San Antonio Eye Specialists sign.

The Epidural Steroid Injection Process

1

Schedule an Appointment

Contact our San Marcos clinic to schedule your appointment. You can either call us directly or complete our online form, and a team member will follow up to confirm your visit.

2

Initial Evaluation

During your initial consultation, we’ll review your medical history, current medications, and any past imaging, such as X-rays. This helps us develop the best plan for your epidural steroid injection.

3

The Injection Procedure

The epidural steroid injection is a quick, 30-minute procedure. After cleaning and numbing the skin on your lower back, we’ll inject the steroid solution into the epidural space to target the area causing your pain.

4

Quick Post-Treatment Recovery

Most patients are able to walk immediately after the injection. You can typically return to your usual activities the following day. If you experience any mild soreness, applying ice or taking a mild pain reliever should help.

Testimonials

"Dr. Jarzembeck is AMAZING. I HIGHLY recommend her for anyone suffering in pain. She goes above and beyond to make sure her patients pain has been dealt with."

Genia G.

"Everyone is so friendly and helpful, Dr. Bednar came to me and explained the procedure and answered my questions. Highly recommend!"

Maggie G.

"Dr. Julia is the best! The staff is professional and friendly to all. Best of all, Dr. Julia is finding solutions for my chronic pain! Never thought that it would be possible. It's a journey for me, but it seems like there is a solution."

Nancy M.

Frequently Asked Questions

How long does an epidural steroid injection last?

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The effects of an epidural steroid injection can vary from patient to patient. Most people experience relief lasting from several weeks to a few months. In some cases, additional injections may be needed for prolonged relief.

Are epidural steroid injections painful?

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The procedure is typically well-tolerated. The injection site is numbed before the steroid is administered, so most patients experience only mild discomfort during the injection.

How many injections will I need?

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This depends on your individual condition and response to treatment. Some patients find significant relief after just one injection, while others may need a series of injections spaced several weeks apart.

What should I do after the injection?

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You should avoid strenuous activities for 24 hours after your injection. Most patients can resume normal daily activities the next day, and any mild soreness can be managed with ice or over-the-counter pain relievers.

San Marcos Epidural Injection Specialists

If you’re struggling with pain in your neck, arms, back, or legs and are looking for a fast, effective solution, schedule an appointment with Greater Austin Pain Center today. With four convenient locations in Austin, Kyle, Dripping Springs, and San Marcos, we offer epidural steroid injections to help relieve your pain.

Learn more about our experienced team of pain specialists who are dedicated to improving your well-being. Visit our pain conditions and treatments pages to explore how we can address your pain and provide long-term relief.

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