Epidural Steroid Injections: What Patients Should Know

What Is an Epidural Steroid Injection?

An epidural steroid injection (ESI) is a commonly used treatment for patients experiencing back or neck pain caused by nerve inflammation. The injection delivers a powerful anti-inflammatory medication directly into the epidural space around the spinal nerves.

This treatment is often used to help reduce pain caused by conditions such as:

• Herniated discs
• Spinal stenosis
• Sciatica
• Degenerative disc disease

The goal is to decrease inflammation around irritated nerves and improve symptoms.

How Do Epidural Steroid Injections Work?

When a spinal nerve becomes irritated or compressed, inflammation develops around the nerve root. This inflammation can cause symptoms such as:

• Sharp or burning pain
• Numbness
• Tingling
• Weakness in the arms or legs

A steroid medication injected near the affected nerve helps reduce inflammation, which may relieve pain and improve function.

How Long Does Relief Last?

The duration of relief varies between patients. Some individuals experience:

• Several weeks of relief
• Several months of improvement
• Significant reduction in nerve pain

In some cases, injections are used as part of a broader treatment plan that includes physical therapy and activity modification.

Are Epidural Steroid Injections Safe?

When performed by experienced providers, epidural steroid injections are generally considered safe. Most patients tolerate the procedure well.

Common temporary side effects may include:

• Mild soreness at the injection site
• Temporary increase in pain for 24–48 hours
• Facial flushing or mild headache

Serious complications are rare but should always be discussed with your physician.

When Are Epidural Injections Recommended?

Your spine specialist may recommend an epidural steroid injection if:

• Pain radiates down the arm or leg
• Conservative treatments have not provided relief
• Imaging shows nerve inflammation or compression
• Surgery is not immediately necessary

In many cases, injections can help delay or avoid surgery while allowing patients to remain active.

Takeaway

Epidural steroid injections are a valuable tool in treating spine-related nerve pain. By reducing inflammation around irritated nerves, these injections may provide meaningful relief and improve quality of life.

If you are experiencing persistent back, neck, or nerve pain, a consultation with a spine specialist can help determine whether this treatment is appropriate for you.

Please call the office of Craig C. Callewart, MD, PA today to schedule a consultation. Our Dallas, TX office can be reached at (214) 807-0750.