Epidural Steroid Injections
Epidural steroid injections are minimally invasive procedures commonly used to alleviate pain and inflammation associated with spinal conditions. Administered by Dr. Olan, these injections deliver a combination of corticosteroid medication and a local anesthetic directly into the epidural space surrounding the spinal nerves. The epidural space is the outermost part of the spinal canal.
Benefits and Procedure
These injections are frequently recommended for conditions such as herniated discs, spinal stenosis, degenerative disc disease, and sciatica. The corticosteroid medication, often a potent anti-inflammatory, reduces inflammation and swelling around the spinal nerves, which can help alleviate pain and discomfort. The local anesthetic provides immediate pain relief by numbing the affected area.
During the procedure, the patient typically lies face down on a table, and the skin over the injection site is cleaned and numbed with a local anesthetic. Using fluoroscopic guidance or ultrasound imaging for precision, a needle is inserted into the epidural space near the affected spinal nerves. Once the needle is properly positioned, the corticosteroid medication and local anesthetic are injected.
Types
Interlaminar Epidural Steroid Injection (medial approach)
An interlaminar epidural steroid injection involves delivering medication into the epidural space between the vertebrae. This medial approach targets the center of the spinal canal, providing widespread coverage of the affected spinal nerves. It's commonly used to manage pain and inflammation associated with conditions like herniated discs and spinal stenosis.
Transforaminal Epidural Steroid Injection (lateral approach)
A transforaminal epidural steroid injection delivers medication directly into the epidural space near the affected spinal nerve roots. This lateral approach targets the nerve root as it exits the spinal canal, providing precise delivery of medication to the source of pain and inflammation. It's often used to treat conditions like radiculopathy (sciatica) and herniated discs.
Caudal Epidural Steroid Injection
A caudal epidural steroid injection involves administering medication into the epidural space near the sacrum (tailbone). This approach provides broad coverage of the lower spinal nerves and is commonly used to manage pain and inflammation in the lower back and legs caused by conditions such as lumbar disc herniation and spinal stenosis.
Conditions Treated by Epidural Steroid Injections
Epidural steroid injections are utilized to alleviate pain and inflammation associated with various spinal conditions, including:
- Radicular pain
- Herniated discs
- Spinal stenosis
- Osteoarthritis
Benefits
The benefits of epidural steroid injections include:
- Pain relief: Provides significant pain relief for conditions like herniated discs and spinal stenosis.
- Reduced inflammation: Corticosteroids decrease inflammation and swelling around spinal nerves.
- Improved functionality: Enhances mobility and functionality, making daily activities easier.
- Minimally invasive: Outpatient procedure with minimal invasiveness.
- Non-surgical option: Offers an alternative to surgery for eligible patients.
- Wayne J. Olan, MD
Director of Minimally Invasive Neurosurgery at George Washington Hospital & Board-Certified Radiologist
Corticosteroid & Epidural Steroid Injection Services in Montgomery County, Maryland
Experience relief from back pain and inflammation with epidural steroid injections at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Whether you're suffering from herniated discs, spinal stenosis, or other spinal conditions causing discomfort, our skilled specialists provide advanced injection therapies tailored to your needs. Contact us at (301) 515-0900 or conveniently schedule your appointment online to access our epidural steroid injection services. Let our experienced team help alleviate your symptoms and improve your quality of life, so you can enjoy activities with greater comfort and mobility.