A mix of cortisone and local anesthetic (ESI) reduce inflammation and wash out particles that can cause pain and swelling. This is a very efficient way of managing pain as it goes directly to the source of pain rather than being dispersed throughout the body like oral medications.ESI are directed to the epidural space which inturn relieves swelling and pain.
Several reason for the pain could be caused by but not limited to:
- Spinal Stenosis
- Herniated Disc
- Degenerative disc disease
- Bone spurs
- Facet joint or nerve roots
Relief from ESI’s generally last from one week up to one year, results vary from individual case to case. They work amazingly well as part of a rehabilitation program as the paitent performs exercises to improve overall physical wellness.
Lumbar Transforaminal Epidural Steroid Injections
This form of treatment helps to reduce inflammation in the spinal cord and nerve roots which relieves pain and numbness. It is a long lasting steroid that is injected directly to the nerve root exit in the lumbar spine known as the foramen. This injection consists of steroidal medication mixed with saline and local anesthesia. It is a fairly painless procedure as a patient may feel a slight pinch and some minimal pressure. Immediate relief is felt due to the local anesthesia and by the third day after treatment the real benefits are noticed by most patients. The relief from this treatment lasts for several months, but will vary case by case. Back pain that radiates through arms are the best candidates for this type of treatment. Complications from this procedure are usually mild and quite insignificant.