Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They have been used for low back problems since 1952 and are still an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.
Back or neck pain may be caused by inflammation or pressure on nerve roots leading out of the spine. An injection of corticosteroid into the epidural space of the spine (Epidural Steroid Injections) may be used to reduce the inflammation around the spinal nerves and provide relief.
These injections are typically scheduled in a series of multiple injections, as our practice has shown that a series of 3 to 4 shots provided the most relief, while anything more than that had little effect or even made pain worse. This treatment plan can be altered or stopped altogether if you experience total pain relief with the first or second injection.