Epidural steroid injections are commonly prescribed for patients with a disc injury or spinal arthritis causing nerve irritation, and generally consist of local anesthetic (numbing medication such as lidocaine) and cortisone (a steroid that reduces inflammation and pain). Lidocaine is often injected initially so patients experience minimal, if any, pain during the procedure. The injection may be performed by placing the needle posteriorly between the spine bones (Translaminar or interlaminar) and injecting the medicine into the space around the spinal nerves. A transforaminal ESI means the injection is placed slightly to one side of the spine, and the medicine is injected near the ruptured disc and inflamed spinal nerve. A caudal ESI is performed by placing the needle near the tailbone, and injecting the medicine into the region of the sacral nerves and lower lumbar spinal nerves. Epidural steroid injections, as well as most spinal injections, are performed using a special x-ray guidance system called fluoroscopy. This allows the doctor to immediately see an x-ray image on a television screen and inject the medicine precisely into the right spot. The procedure time is often less than 10-15 minutes.
I am a patient of Dr. Jeffrey Oppenheimer, who is my spine doctor. I have gotten wonderful care from him and all the PAs and staff. At Hollywood and Palm Beach Gardens. They are extremely talented and I could not ask for a better knowledgable doctor in his field. He is kind, patient, and takes the time needed to answer your questions and concerns. He has helped me so much. I will have the lumbar operation with him as my doctor. Also, I was referred to Dr. Shapiro in that group who is a knee doctor. I have gotten an MRI now and he prescribed a physical Therapist that is really helping me. This is the third set, the other two were Prescribed by another doctor that I did not get the hands on treatment from. I can not say enough good things about this group of doctors, PAs and their group.