Epidural Steroid Injections (Cervical, Thoracic, Lumbar)

Epidural steroid injections (ESIs) are a minimally invasive procedure used to relieve inflammation and pain caused by irritated spinal nerves. At Covenant Spine and Neurology, we perform cervical (neck), thoracic (mid-back), and lumbar (lower back) injections with image-guided precision to ensure accuracy and safety. These injections can significantly reduce pain and help patients return to normal activities with improved comfort.

How Do They Work?

Epidural steroid injections deliver a combination of corticosteroid (to reduce inflammation) and anesthetic (to ease pain) into the epidural space around the affected spinal nerves. By targeting the exact area of irritation, ESIs help:

 

  • Decrease nerve inflammation

  • Relieve radiating pain in the neck, arms, back, or legs

  • Improve mobility and daily function

  • Reduce dependence on oral medications

Conditions Treated with ESIs

These injections are commonly recommended for patients with:

 

  • Herniated discs causing nerve compression

  • Spinal stenosis (narrowing of the spinal canal)

  • Degenerative disc disease

  • Sciatica or radiculopathy with pain traveling down the arms or legs

  • Chronic back or neck pain not improving with conservative care

What to Expect During the Procedure

  • Outpatient setting: The injection is performed without the need for hospital admission.

  • Image guidance: X-ray (fluoroscopy) is used to place the needle precisely.

  • Quick process: Most injections take less than 30 minutes.

  • Relief timeline: Some patients experience immediate relief, while others notice gradual improvement over days to weeks.

Depending on your condition and response, your physician may recommend a series of injections as part of a broader pain management plan that may also include physical therapy, medication, or lifestyle modifications.

Benefits of Epidural Steroid Injections

  • Minimally invasive alternative to surgery

  • Targeted pain relief at the source

  • Can reduce the need for long-term opioid use

  • Helps patients participate more effectively in rehabilitation

  • Supports improved quality of life

Take the Next Step Toward Relief

If you are struggling with neck, mid-back, or lower back pain that radiates into your arms or legs, epidural steroid injections may provide the relief you’ve been looking for.

Click here to schedule a consultation or determine the location nearest you at one of our four convenient Covenant Spine and Neurology offices.

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For more information or to schedule an appointment call us at 336-761-4020.

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