Epidural steroid injections

Epidural steroid injections (ESI) are used to treat chronic back pain or radiculopathy. Injecting corticosteroids and local anaesthetics into the epidural space in the spine effectively reduces local inflammation and relieves pain.

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Epidural steroid injections are usually given to treat pain caused by:

  • Intervertebral disc herniation
  • Narrowing of the spinal canal (stenosis)
  • Degeneration or inflammation of the spinal joints

Procedure flow

  1. Preparation: You will need to sit or lie on your stomach. The injection site will be disinfected to reduce the soreness of the procedure and the skin will be anaesthetised with a local anaesthetic.
  2. Needle insertion: The doctor performing the procedure inserts a needle into the epidural space in the spine. In some cases, the injection is carried out under X-ray guidance and an iodine contrast agent is injected to confirm the needle position.
  3. Injecting medicines: A mixture of a steroid and an anaesthetic is injected into the epidural space. The injection is usually painless. The whole procedure usually takes about 15-30 minutes.
  4. Post-procedure: After the injection, the patient is observed for 30-60 minutes. In most cases, pain relief is felt immediately after the procedure. At the end of the observation period, the patient is discharged home.

Efficiency

The level and duration of pain relief from epidural steroid injections can vary. Many patients experience symptom improvement within a few days. The effect of the procedure is not assessed until after 2 weeks.

How to prepare for the procedure?

  • Know all the medicines you are currently taking.
  • Depending on the medication, you may be instructed to stop taking certain medications a few days before the procedure.
  • Wear loose, comfortable clothing.

Epidural steroid injections Price

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SPECIALISTS

Dr Alfredas Vaitkus

Anaesthesiologist-anaesthesiologist, specialist in interventional pain management

Saulius Andruskevičius

Neurologist, specialist in interventional pain management

Neil Zagorski

Physiotherapist

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