Epidural
Steroid Injection
Overview/Definition
Transforaminal Epidural Steroid Injection
Caudal Steroid Injection

Click on an image to view animation
Overview/Definition
An epidural steroid injection is a fairly simple, non-surgical procedure
that treats pain and can serve as a diagnostic tool. Conditions typically
treated include sciatica and other
conditions in which the nerve becomes irritated such as herniated
discs or spinal stenosis.
The doctor injects a combination
of local anesthetic and steroid drugs either directly into the
collection of nerves in the back or into the joint spaces of
the spine.
The benefits to epidural steroid
injections are three-fold.
1. Injecting steroids into the epidural space helps reduce the inflammation
of the nerves, nerve roots, or nerve coverings, which are the source of leg
pain.
2. The steroids serve as a temporary form of pain relief so the body can
begin its natural healing process.
3. An epidural steroid injection is a good diagnostic tool because its blockage
of the nerve pinpoints the source of your pain.
A majority of patients experience
significant pain relief after just one steroid injection. However,
some patients may need to undergo the procedure two or three
times to reap the full benefits of the treatment.
There are other types of steroid
injections which treat back and neck: transforaminal,
and caudal.
Back to top
Transforaminal
Epidural Steroid Injection

Click on the image to view animation
The transforaminal steroid injection is used mainly for diagnostic purposes.
Nerve roots exit the spinal canal and enter the body through small openings
between the vertebrae called the foraminae. Doctors inject a mix of steroids
in the area around a selected nerve root between the foraminae to determine
if that nerve is, in fact, the cause of the pain. This type of injection is
most commonly used in the cervical spine region.
Back to top
Caudal
Steroid Injection

Click on the image to view animation
Total disc replacement provides both mechanical stability and restored mobility
to the spine and significant pain relief to the patient. The synthetic
material used in total disc replacement enables a greater post-operative
range of motion. In addition, patients typically return to their normal
activities within two to six weeks after surgery with their back pain
alleviated.
The European studies, bolstered
by the pending support of FDA approval, show that disc replacement
offers a safe and effective alternative to traditional spinal
fusion. Its effectiveness has been validated by long-term results
in Europe. Patients who undergo disc replacement at the Spine
Institute of NY will be monitored post-operatively under rigorous
guidelines.
Back to top |