Epidural Steroid Injections

What is Epidural Steroid Injection?

Epidural steroid injection (ESI) is a minimally invasive approach to treat inflammation of spinal nerves that causes pain in the neck, arms, back and legs. This technique may help relieve back pain in conditions such as spinal stenosis, spondylolysis or herniated discs. In this technique, the steroidal medications are injected into the spinal canal so as to pass down to the inflamed spinal nerve through the epidural space which lies between the covering of the spinal cord and the vertebrae. An ESI contains a corticosteroid medication along with an anesthetic agent which can reduce the inflammation and pain.

Transforaminal ESI is one of the approaches through which medication can be injected as close as possible to the pain site. The procedure lasts around 15-30 minutes. During the procedure, you will be lying on your stomach while sedatives will be given to reduce your anxiety. A local anesthetic injection will be given to numb the area of ESI injection. Then, under the fluoroscopic guidance, your doctor will insert a small-sized hollow needle into the epidural space through the neural foramen (the bony opening through which spinal nerve exits). A radio-opaque dye material is used to reassure proper placement of the needle and flow of the injected medication. Once the needle is in the correct position, the medication is injected into the epidural space.

What are the Associated Complications of Epidural Steroid Injection?

Complications are uncommon but there may be minor risks such as infection, bleeding, discomfort at the site where the needle has been inserted.

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Melinda Bess
Melinda Bess
2024-02-14
Dr. Iqbal is the best pain management doctor I have ever had and will have. She does her homework first which I think makes the difference in diagnosis. She is the total package, a very smart and beautiful doctor, wife, and mother. Hand on Bible she changed my life, and I will forever be in debt to her. I can't say thank you enough. I appreciate her staff; they are all awesome as well. I laughed and cried in her office, but her smile and staff always made me feel welcome like part of their family. I would and will drive across country to see her. The referral to a new knee surgeon to fix a bad knee replacement was the best. I got a new knee, and it has been a huge blessing as well. Thank you, Dr. Iqbal and staff you all are 5 stars, in my life.
Nikin Mehta
Nikin Mehta
2024-02-13
Brian Knopf
Brian Knopf
2024-02-13
Dr. Iqbal and her staff are fantastic! I couldn’t have asked for a better experience. I highly recommend her and her team
Brenda Jones
Brenda Jones
2024-02-02
I visited this facility in January for severe back pain I was experiencing. The whole ordeal from beginning to end was amazing. I wish I had known about this place years ago before suffering from so much pain. Dr. Mehreen Iqbal, her assistant Michealle Dooley and their staff is the best. I had a procedure done on 1/17/24 and I no longer suffer from back pain and I'm able to walk again. I highly recommend this facility, 10 Stars!!!
Ann Adkins
Ann Adkins
2024-02-01
Wonderful experience with Dr. Iqbal & her staff! She is amazing! She listens to her patients & immediately developed a plan to address my back & neck pain. I already feel SO much better and am confident that her plan for me will mean continued improvement. Her staff is wonderful too - friendly, helpful & responsive. I highly recommend Dr. Iqbal & her team!
Camille Adams
Camille Adams
2024-01-22
The staff are very kind and helpful, and Dr. Iqbal is very good at what she does. Would recommend to all my friends and family.
Noor Malik
Noor Malik
2024-01-02
My PCP recommended Dr. Mehreen and she was wonderful through out the entire injection process. She took her time explaining everything and was patient through out the process. In my opinion, she is the best pain management doc around.
Jessie Wilson
Jessie Wilson
2023-12-08
I love Dr. Iqbal and her staff, I couldn't be any luckier to have found her practice. Dr. Iqbal listens well and explains in detail any procedures. She is honest, caring, and down to earth. She and her staff are the greatest. I would recommend her to any of my friends or family.
Shimmerynight Skies
Shimmerynight Skies
2023-12-08
My mother is a patient here and the staff is super nice, fun, and sweet! I highly recommend coming here for friendly service
M
M
2023-12-04
Excellent doctor. Dr. Iqbal explained every thing in detail and laid out a very clear plant to treat the problem/pain.