Arkansas Pain Specialists

Epidural Steroid Injections

Targeted relief for nerve pain—reduce inflammation, restore mobility.

What is Epidural Steroid Injections?

Epidural steroid injection is a minimally invasive treatment involving the injection of a steroid into the epidural space outside the spine. This reduces swelling of inflamed and irritated/pinched spinal nerves that reach legs, arms, or other parts of the body in order to relieve pain and restore function.

Who is a candidate?

Epidurals are often used to treat conditions such as:

  • Herniated Disc
  • Spinal Stenosis
  • Degenerative Disc Disease
  • Sciatica

Personalized Treatment

Customized plans based on your unique medical history and pain

Comprehensive Care

Regular monitoring and adjustments to ensure optimal pain relief.

Improved Quality of Life

Enhanced daily function and reduced pain levels.

Types of
EPIDURALS

1

Cervical Epidural Steroid Injection

Cervical epidural steroid injections are performed to relieve chronic pain from inflamed and irritated/pinched spinal nerves in the neck that radiates into the shoulder, arm and/or hand. This kind of pain is referred to as cervical radiculopathy.

2

Thoracic Epidural Steroid Injection

Thoracic epidural steroid injections are performed to relieve chronic pain from inflamed and irritated/pinched spinal nerves in the upper or mid back that radiates to the chest wall or abdomen. This kind of pain is uncommon and is referred to as thoracic radiculopathy.

3

Lumbar Epidural Steroid Injection

Lumbar epidural steroid injections are performed to relieve chronic pain from irritated/pinched spinal nerves in the lower back that radiates into the hip, leg and/or foot. This kind of pain is referred to as lumbar radiculopathy It is also commonly referred to as sciatica, because the spinal nerves that make up the sciatic nerve are often involved.

4

Transforaminal Epidural Steroid Injection

This injection is completed from either the left or the right side of the spine where the nerve exits the spine. Putting anti-inflammatory medication near the source of the inflamed nerves can help reduce the pain.

5

Caudal Epidural Steroid Injection

Caudal epidural steroid injections are performed to relieve chronic pain from inflamed and irritated/pinched spinal nerves in the

What to Expect

During Your Treatment

1

During the procedure
  • The procedure is performed under local anesthesia, and for some patients, with intravenous sedation.
  • Fluoroscopy, a type of x-ray, will be used to guide the needle between the bony vertebrae into the epidural space.
  • When the needle is correctly positioned the anesthetic and corticosteroid medications are injected into the epidural space around the nerve roots. 

2

After the procedure
  • It generally takes 3-5 days before the steroid that was injected causes a reduction in your pain.
  • You may return to your everyday activities and work the day after your injection.
  • Many patients experience significant pain relief.
  • For those experiencing only mild pain relief, one or two more injections may be performed to achieve full effect.
  • The duration of pain relief varies from patient to patient, usually lasting for 3 months or more.  

3

What are the risks?
  • As with any procedure involving a needle, there is a rare chance of infection, bleeding, allergic reaction and nerve damage.
  • Complications are extremely rare. Talk with your provider if you have specific questions about the risk of your procedure.  

Preparing for Your Appointment

CONSULTATION REQUIRED

Ensure you have a referral and necessary medical records.

ARRIVAL

Arrive 20 minutes early to complete initial paperwork.

DOCUMENTATION

Bring your Photo ID, insurance card, updated medication list, and any relevant imaging reports.

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