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Lumbar Epidural Steroid Injection

A lumbar epidural steroid injection (ESI) is an injection of a small dose of anti-inflammatory steroid medication into the lower back to relieve pain in your legs or lower back. The medication is injected into an area of fatty tissue surrounding the spinal nerves called the epidural space. This can help reduce back pain from herniated discs and other spinal issues. Caliber Pain™ offers lumbar epidural steroid injections as one of our treatment modalities at our clinic in NYC.

The fluid from leaking, damaged discs is highly irritating to the neural matter and can cause nerves to remit pain signals endlessly. An epidural steroid injection can help control the resulting inflammation, while also “flushing out” the inflammatory proteins and chemicals.

Benefits of Lower Back Steroid Injections

Epidural steroid injections have been used for lower back problems since 1952 and are still an integral part of the non-surgical management of sciatica and lower back pain. Unlike oral steroids and pain killers, epidural injections deliver medication directly to the source of pain. Lower back, or lumbar, steroid injections work by:

  • A steroid, or cortisone, is usually injected as an anti-inflammatory agent.
  • Lidocaine may be used for temporary pain relief. Although primarily used for pain relief, it also acts as a ‘flushing’ agent to dilute the inflammatory chemical or immunologic agents.
  • Saline is used to dilute the local anesthetic or as a ‘flushing’ agent to dilute the inflammatory chemical or immunologic agents.

A lumbar epidural steroid injection (ESI) can be both a treatment and a way to diagnose a specific nerve root problem. By administering numbing medicine in the area, we can gauge the amount of immediate pain relief you experience. If the pain goes away completely or to a great degree, we can confirm the source of the pain. Along with immediate relief from the numbing medication, the steroid can reduce inflammation to provide long-term pain relief. Conditions treated by lumbar ESI:

  • Lumbar disc herniation
  • Degenerative disc disease
  • Lumbar spinal stenosis
  • Compression fractures in a vertebra
  • Cysts on the facet joint or the nerve root that can expand to squeeze spinal structures
  • Annular tear in the outer layer of the disc

Steroids normally take two to three days to begin working but can take as long as one week. You should be able to return to work the day after the procedure.

If you suffer from lower back pain or sciatica, contact our team at Caliber Pain™ today. We offer lumbar epidural steroid injections and other interventional treatments at our medical facility in Midtown Manhattan.

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Caliber Pain™

635 Madison Avenue 14th Floor
New York, NY 10022


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