Epidural Steroid Injection and other Nerve Block Procedures

Epidural steroid injection (ESI) is a common treatment option for many forms of spinal pain associated with nerve pain symptoms. These injections can be performed in the neck (Cervical Epidural Steroid Injection), mid-spine (Thoracic Epidural Steroid Injection) or in the lumbar region (Lumbar Epidural Steroid Injection). These injections have been used to help treat spinal pain since 1952 and remain an integral part of the non-surgical management of spinal pain. The goal of epidural injection therapy is pain relief. Injections are effective for acute disc injuries with nerve pain, spinal stenosis and other conditions. While responses vary, many patients respond with substantial pain relieve of long duration. Epidural injections are commonly used in combination with a rehabilitation program. Anesthesiologists are trained during years of residency in a variety of nerve blocking techniques. Pain specialization takes these skills to a new level. A wide array of injection and needle based procedures are performed to treat various pain conditions. Keys to safe and successful treatment are good clinical judgment, proper patient selection, accurate placement of medication with the guidance of X-Ray equipment and most importantly, the skills and training of the injecting physician.