Cervical Epidural Steroid Injections

An effective pain treatment for neck discomfort that travels to the arms and shoulders is cervical epidural steroid injections. A potent anti-inflammatory steroid is injected into the cervical spine’s epidural space or the area around the neck. They work particularly well for disorders when nerves are squeezed or inflamed, such as spinal stenosis, degenerative disc disease, and herniated discs. Although some patients may require many injections to fully benefit, most patients report considerable pain alleviation within a few days.

Fluoroscopy, a form of real-time X-ray, is used during the process to ensure that the needle and drug are placed precisely. Cervical epidural steroid injections can enhance mobility and day-to-day functioning by lowering edema and inflammation surrounding the nerves. To decide if this kind of injection is appropriate, pain specialists like Dr. Etelzon evaluate each patient’s unique needs. Even though it is just brief, the alleviation can persist for several months, making it easier for people to engage in everyday activities or physical treatment. To assess the efficiency of the injection and make any required modifications, follow-up consultations and regular monitoring are crucial.

Lumbar Epidural Steroid Injections

The goal of lumbar epidural steroid injections is to relieve lower back pain and sciatica-related discomfort that travels down the legs. For ailments that frequently result in nerve compression in the lower back, such as lumbar disc herniation, spinal stenosis, or spondylolisthesis, these injections are the recommended course of treatment. The drug is injected into the lumbar spine’s epidural region; it is usually a mix of a steroid and a local anesthetic. By reducing inflammation and relieving pain, this method helps patients handle their everyday tasks. In order to minimize any difficulties, Dr. Ilana Etelzon at Pain Doctors employs cutting-edge imaging equipment to assure precision and guide the injection. Usually lasting 30 to 45 minutes, the procedure is short, and patients are quickly seen to make sure they are doing well. While some people may feel better over the course of the following several days, others may get relief practically instantly. Many people report feeling better for weeks to months, while the length of relief varies. Injections of lumbar epidural steroids can also be used as a diagnostic procedure to assist identify the precise nerve or region producing pain, directing additional care.

Thoracic Epidural Steroid Injections

Although they are not as frequently administered as cervical or lumbar injections, thoracic epidural steroid injections are crucial for treating upper back discomfort. In order to alleviate discomfort brought on by ruptured discs or spinal stenosis, these injections target the thoracic area of the spine, which comprises the upper and mid-back. This method may help patients who have discomfort that radiates down their arms or around their ribcage. To make sure the medicine reaches the afflicted area, Dr. Etelzon and her team carefully guide the needle into the thoracic epidural space using a fluoroscope. These injections can help patients avoid more invasive treatments and are especially beneficial for disorders involving inflammation of the nerve roots. Some patients get relief right away after the injection, but it could take a few days for the full benefits to become apparent. In order for people to participate in physical therapy and restore their strength and flexibility, the objective is to lessen discomfort and enhance quality of life. Injections of thoracic epidural steroids are an important part of an all-encompassing pain treatment plan that is customized to each patient’s particular requirements. In order to assess the procedure’s success and talk about potential next measures, follow-up treatment is essential.

Spine Facet Injections

Another specific procedure that addresses discomfort coming from the facet joints—which are situated in between each vertebra in the spine—is a spinal facet injection. Although these joints provide the spine flexibility, degenerative diseases like arthritis or injuries can cause them to become painful. In order to relieve pain, the injections provide a local anesthetic and anti-inflammatory drug straight into the facet joints or nearby nerves. Usually taking little more than half an hour, the treatment is carried out under fluoroscopic supervision to guarantee accuracy. Patients with diseases like facet joint syndrome or degenerative disc disease frequently experience substantial alleviation, which enhances their capacity to carry out daily tasks. These injections target the underlying source of facet joint discomfort, which can radiate to other body areas like the shoulders or buttocks. Dr. Etelzon could suggest a course of facet injections to provide long-lasting relief, depending on the patient’s reaction. These injections can also provide vital diagnostic information by assisting in determining if facet joints are the actual cause of the discomfort. In order to strengthen the spine, provide spine care, and stop further pain episodes, physical treatment is frequently advised in addition to facet injections.