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Dr. Richard Gayles
Dr. Dawn Allen
LaToya Navarrete, MSPAS, PA-C
Susan Clark APRN-C, MSN
Pain Management Treatments
Cervical Sympathetic Nerve Blocks
Dorsal Root Ganglion (DRG) Stimulation
Occipital Nerve Block
Stellate Ganglion Block
Spinal Cord Stimulation
Trigger Point Injections
Cell Based Treatments
Stem Cell Therapy
What is a Stem Cell?
Laser Pain Therapy
IV Drip Vitamin Infusions
Lower Back Pain
Bulging Disc and Herniated Discs
Complex Regional Pain Syndrome (RSD)
Degenerative Disc Disease
Rotator Cuff Tear
Headaches and Migraines
High Pain Tolerance Disorder Overview
Epidural steroid injections (ESIs) are a common treatment option for forms of
lower back pain
and leg pain.
These injections have been used for decades and are known as an integral part of the nonsurgical management of sciatica and low back pain.
The injection is named an
“epidural steroid injection”
because it involves injecting a local anesthetic and a steroid medication directly into the spinal nerves in your lower back.
The main goal of epidural steroid injections are to:
Control pain by reducing inflammation in and around the nerve roots
Improve mobility and function in the lower back and legs
Allow the patient to participate in and make progress with a comprehensive physical therapy and rehabilitation program
During the procedure:
You will lay down with a cushion underneath your stomach to increase flexion in the lumbar spine, giving more room for the needle to glide easily.
First, a local anesthetic is used to numb the skin above the injection site. Using X-rays or sonogram, the needle is guided into the epidural space.
Dye is injected to establish proper placement of the needle in the epidural area.
The injection itself may include local anesthetic and/or saline along with the steroid medication to give immediate pain relief and flush the area of inflammatory agents.
In the course of a patient’s care program, in most cases, an epidural injections may be recommended after a series of nonsurgical treatments.
If medications and physical therapy have been tried, epidural injections are used before surgery is considered.
The hope of the injection is to provide great pain relief, allowing return to everyday activities and make progress in physical therapy.
This article includes extensive research and information about how epidural injections may be used to treat lower back problems and
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