Procedure Spotlight: Epidural Steroid Injections


Integrated Pain Solutions offer a number of ways to reduce pain and improve function for your body. Yoga and movement therapy are offered to help reduce pain, but there are also a number of procedures offered.  Feel free to explore the Integrated Pain Solutions website with instructional videos for demonstration.  These videos will educate on many different spinal conditions such as spinal stenosis, herniated discs, sciatica, and spondylolysis there are injections to help with the pain. 


One of the many helpful procedures that we will explore in this article is called Epidural Steroid Injection. An Epidural Steroid Injection is a procedure where a corticosteroid and a numbing agent are injected into the epidural space of the spine. This procedure is used to help reduce pain in the neck, back, legs, and arms caused by inflamed nerves in the spine. It is always better for the epidural to be injected into the area that is causing you the most pain and our providers are focused on this. 


The steroid is used to reduce inflammation and help the pinched or irritated nerves in the spine. The numbing agent is used to numb the skin before the bigger needle with the epidural and steroid in it to be injected into the epidural space. The epidural reduces the pain in the area of the nerve and the steroid fights the inflammation.  Epidurals can also help reduce the pain long enough for the patients to continue with any movement therapy or yoga necessary to heal.  We believe strongly that the more modalities a patient is doing the better results they will have in reducing pain. 


At Integrated Pain Solutions there are four different types of Epidural Steroid Injections offered. 


  1. The Lumbar epidural is used for lower back pain and can help anyone with a pinched nerve. It is also used for radiating leg pain and lower back pain caused by spinal conditions. May be necessary to repeat this injection 3 times to achieve pain relief in the lower back. 
  2. The Cervical Epidural Steroid Injection is used to relieve pain in the neck, shoulders, and arms caused by an inflamed or pinched nerve in the cervical spine. The steroid and epidural work to reduce the inflammation and swelling of the pinched nerve and also relieve pain. 
  3. Next is the Thoracic Epidural Steroid Injection, this injection is used to relieve pain from a pinched or inflamed nerve in the mid-back and shoulder blade areas. This would be located in the thoracic spine which is the middle part of the back. 
  4. If you are suffering from lower back pain or limb pain caused by bone spurs or sciatica, then you may need a Caudal Epidural Steroid Injection. This steroid would be injected into the sacral regional opening of the spine. The injection is administered at the base of the sacrum which is the lowest part of the back and spine. Some patients may need multiple injections or feel relief after just one. 


After all procedures are completed pain will be reduced and a small bandage will be applied over the injection spot. If you are having trouble with your back pain or even limb pain it may be time to explore some of these treatments and procedures. At Integrated Pain Solutions we aim to help reduce pain and improve function and overall quality of life.  If you believe that Epidural Steroid Injections may be something that could help you, please talk to your IPS provider.