Can Epidural Injections Be Used for Pain Management?

Can Epidural Injections Be Used for Pain Management? | PTCOA

When pain becomes unbearable, people are willing to explore any treatment that promises relief. One treatment that often comes up in discussions is epidural steroid injections (ESIs). While you may have heard of these injections in the context of childbirth, they also serve another function: pain management for chronic conditions. 


So, the big question is: Can epidural injections really be used for pain management? Absolutely! Let’s look at how they work, who can benefit from them, and what you should know before considering them as a treatment option.


What Are Epidural Injections?

An epidural injection is a minimally invasive procedure that delivers anti-inflammatory medication—typically a corticosteroid—directly into the epidural space of your spine. The epidural space surrounds the spinal cord and the nerve roots, which are often the source of pain when irritated or inflamed.


Corticosteroids are powerful anti-inflammatory medications that help reduce swelling, pressure, and irritation on the nerves. By delivering them directly to the source of the pain, epidural injections can provide targeted relief that oral medications often fail to offer.


How Do Epidural Injections Work?

Think of epidural injections as fire extinguishers for your nerves. When a nerve becomes inflamed, it can cause a lot of discomfort and, in some cases, even debilitating pain. This inflammation often results from conditions like a bulging disc or spinal stenosis that put pressure on your nerves. By injecting steroids near the affected nerve roots, the inflammation is reduced, and with it, the pain subsides.


The injection consists of two key components: a corticosteroid to reduce inflammation and an anesthetic to provide immediate pain relief. The anesthetic gives you relief shortly after the injection, while the corticosteroid works over a longer period to keep inflammation at bay.


Conditions That Epidural Injections Can Treat

Epidural injections are most commonly used to treat pain that originates in the spine and radiates to other parts of the body, such as the legs or arms, which is known as radicular pain. Here are a few conditions where epidural injections may help:


Herniated Disc

A herniated disc occurs when the cushion-like discs between your spinal bones rupture, pressing on the spinal nerves. This condition can cause intense pain that radiates down the legs (sciatica) or arms. Epidural injections can relieve the inflammation caused by the herniated disc and alleviate nerve irritation.


Spinal Stenosis

This condition refers to the narrowing of the spinal canal, which can put pressure on the spinal cord and nerve roots. This typically causes pain, numbness, and weakness in the legs. Epidural injections can help reduce the inflammation and pressure on the nerves, providing relief from these symptoms.


Sciatica

Sciatica is the pain that radiates along the path of the sciatic nerve, which extends from your lower back through the hips and down each leg. When a nerve in the lower spine is compressed, the result is typically sciatica. Epidural injections target the inflamed nerve and provide relief.


Degenerative Disc Disease

As we age, the discs in our spine begin to wear down, leading to pain and discomfort. While this is a natural part of aging, it can become debilitating for some people. Epidural injections can help manage the pain associated with degenerative disc disease by reducing inflammation in the affected areas.


What to Expect during the Procedure

If you’re considering an epidural injection for pain relief, understanding the procedure can help ease any concerns you might have. Here’s a breakdown of what typically happens during an epidural steroid injection:


  • Preparation: You’ll lie face down on a table, and the area where the injection will be administered is sterilized. Local anesthesia may be used to numb the injection site, so you won’t feel much discomfort.
  • Guided Imaging: For precision, the physician will use fluoroscopy (a type of X-ray) to guide the needle into the epidural space. This imaging technique ensures that the medication is delivered to the right spot.
  • The Injection: Once the needle is in place, the physician injects a mixture of corticosteroid and anesthetic into the epidural space.
  • Post-Procedure: After the injection, you’ll be monitored for a short time before being allowed to go home. You’ll want to take it easy for the rest of the day but can typically resume normal activities the following day.


How Long Do Epidural Injections Last?

This is one of the most common questions people have about epidural injections. While the anesthetic in the injection provides immediate relief, the corticosteroid takes a little longer to kick in—usually within 2 to 7 days.


The relief you experience from the injection can last anywhere from several days to a few months. Some patients experience significant pain reduction after just one injection, while others may require a series of injections for more sustained relief.


Who Shouldn’t Get Epidural Injections?

While epidural injections are a great option for many people, they aren’t suitable for everyone. You may not be a good candidate for an epidural steroid injection if you have a bleeding disorder, a current infection, uncontrolled diabetes, and certain neurological conditions. Your physician will review your medical history and discuss whether or not this treatment is appropriate for you.


The Benefits of Epidural Injections

One of the biggest benefits of epidural injections is that they provide targeted pain relief without the need for oral medications, which can come with unwanted side effects like drowsiness, nausea, or dependency. Here are some other key advantages:


  • Non-Surgical: Epidural injections are a minimally invasive option that may help you avoid surgery.
  • Fast Relief: The anesthetic component of the injection can provide immediate pain relief, often allowing you to return to normal activities quickly.
  • Reduced Inflammation: The corticosteroid reduces inflammation at the source, helping to provide longer-lasting relief.
  • Improved Quality of Life: For many, epidural injections allow for a significant improvement in quality of life, helping them stay active and functional.


Should I Consider an Epidural Injection for Pain?

If chronic back or neck pain is affecting your quality of life, an epidural injection might be worth considering. However, it’s not a one-size-fits-all solution. The decision to get an epidural injection should be made in consultation with your physician based on your unique medical condition and history. While epidural injections don’t work for everyone, many people find them incredibly beneficial for managing pain, improving mobility, and avoiding more invasive treatments like surgery.


If you’re looking for relief from chronic pain, epidural injection treatments could be an option to explore, and at Pain Treatment Centers of America, we can provide it for you. Give us a call and receive the help you need today!

By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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