Man With Back Pain Showing Spot of Pain to Doctor

Quick Facts:

Procedure time: 10 -15 minutes

Time off from work: ½ day

Incision: needle-sized

Insurance providers: Aetna, BlueCross BlueShield, Medicare, Medicaid, Cigna, Tricare, United Health Care, Blue Advantage, Qual Choice, Health Advantage, UMR United Healthcare

Request an appointment today.

What Is An Epidural Steroid Injection (ESI)?

Epidural Steroid Injections(ESIs) are relatively painless needle-based procedures used to reduce inflammation and irritation around specific nerves in the neck, mid-back or lower back. Irritated nerves can cause a type of pain referred to as radicular pain, which travels down the spinal nerve root and can be felt in the arms/hands, chest, hips, and legs/feet.

A steroid/anesthetic solution is injected into the epidural space (the area surrounding the spinal cord) where the medication “bathes” painful nerve roots with soothing medication.

ESIs have been performed for many decades and are generally considered to be a safe and effective treatment for chronic pain conditions.


What Conditions Are Typically Treated With ESIs?

Conditions commonly treated with epidural steroid injections include:


Read A Related Article by PTCOA: Understanding Back Pain and Knowing Your Options

What To Expect

The Procedure

You will be wheeled to the procedure room in a hospital bed and given sedation to make you comfortable. The injection area will be cleaned with a cold sterilizing solution to decrease the chances of infection. X-rays will help your doctor guide the needle into the epidural space where it will treat the area of pain/inflammation. Once inserted, a contrast dye will be injected to ensure proper positioning of the needle. The steroid/anesthetic solution is then injected into the epidural space, the needle is removed and a small bandage is applied to the injection site.

Some patients report feeling “warm water running down the back or legs” when the medication is injected through the needle. This feeling is normal and is a sign that the medication is being administered in the correct areas.

Recovery

The procedure only takes 10 -15 minutes. Once it is complete, you may return home and enjoy the rest of your day! The only restriction is that you cannot drive. Make arrangements for a friend, family member, or private transportation service to drive you home.

The steroids from the injection will usually begin working within three to five days, but in some cases it can take up to a week for patients to feel the benefits. Radicular pain (the pains down legs or arms) is often the first type of pain to abate.

Although not everyone obtains pain relief with ESIs, the injections can provide you with improvement in pain and function that last several months or longer.

Visit a physician at Pain Treatment Centers of America to talk about Epidural Steroid Injections (ESIs). Find a location and schedule an appointment today.

June 26, 2026
Pain is often associated with injury, arthritis, or another structural problem in the body. However, not all pain comes from damaged bones, joints, muscles, or tissues. Sometimes, the nervous system itself causes discomfort. This pain is called neuropathic pain and can greatly affect quality of life. At Pain Treatment Centers of America, we help patients determine the source of their symptoms and develop personalized plans to manage chronic nerve pain effectively. What Is Neuropathic Pain? Neuropathic pain happens when nerves are damaged, irritated, or dysfunctional. Unlike pain from injury or inflammation, it results from abnormal signaling within the nervous system. These disrupted signals cause the brain to sense pain even without ongoing tissue damage. Patients commonly describe neuropathic pain as burning, tingling, shooting, electric-like, or stabbing. Some may experience numbness, elevated sensitivity to touch, or pain that seems disproportionate to any physical findings. Common Causes of Neuropathic Pain Neuropathic pain can develop from a variety of conditions that affect the nerves or nervous system. Some common causes include: Diabetes-related nerve damage (diabetic neuropathy) Herniated discs are causing nerve compression Shingles and postherpetic neuralgia Complex regional pain syndrome (CRPS) Multiple sclerosis Spinal cord injuries Stroke-related nerve damage Chemotherapy-induced neuropathy Symptoms can vary widely, so proper evaluation is key for accurate diagnosis and efficient treatment. Neuropathic pain is often challenging to identify because imaging exams like X-rays, CT scans, or MRIs may not always reveal the source of the problem. Patients may experience significant pain despite having slight structural abnormalities. A complete evaluation includes medical history, physical exam, neurological assessment, and diagnostic tests when needed. Identifying nerve involvement is critical because neuropathic pain often responds differently to treatment than musculoskeletal pain. Treatment Options for Neuropathic Pain Successful treatment focuses on addressing the underlying cause when possible while reducing symptoms and improving function. Depending on the patient’s condition, treatment options may include: Medication management designed specifically for nerve pain Nerve block injections Physical therapy and rehabilitation Spinal cord stimulation Lifestyle alterations Interventional pain management procedures Many benefit from an approach that combines several therapies for the best outcomes. When to Seek Professional Care Persistent burning, tingling, numbness, or shooting pain should not be ignored. Early diagnosis and treatment prevent worsening symptoms and improve long-term outcomes. If you have ongoing pain not connected to a structural injury, it may be time to explore if neuropathic pain is the cause. An extensive evaluation can determine the source of your symptoms and identify the most effective treatments. Personalized Neuropathic Pain Treatment at Pain Treatment Centers of America At Pain Treatment Centers of America, we understand that chronic pain is complex and every patient’s experience is unique. Our team uses sophisticated diagnostic tools and evidence-based treatments to identify nerve-related pain and create individualized care plans to improve comfort, mobility, and quality of life. If you are experiencing persistent nerve pain symptoms, schedule a consultation with Pain Treatment Centers of America today. Together, we can develop a treatment plan designed to help you regain control of your daily activities and move toward lasting relief.
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Chronic or acute pain has the potential to significantly impact your daily life, making even everyday tasks a hassle. Pain Treatment Centers of America believes that knowing your medication options is a crucial step in building an appropriate, personal pain management strategy. While many treatment options are available, pharmacologic therapy has been the peak of comprehensive care. Types of Medications Used in Pain Management Pain medications are not universalized. The selection of the right prescription depends on the pain type, severity, and medical history. Common categories include: 1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) NSAIDs, such as ibuprofen or naproxen, tend to be the first line of defense for low levels of pain. They reduce swelling and provide comfort associated with conditions like arthritis, back pain, or joint injuries. In some patients, however, they can affect the stomach or kidneys. Therefore, careful studying and dosing guidance from a professional is key. 2. Acetaminophen Acetaminophen is mostly for general pain reduction and is sometimes combined with other treatments. Unlike NSAIDs, it doesn’t target swelling. Nonetheless, it can be effective for pain relief and daily improvement. 3. Muscle Relaxants For pain caused by muscle spasms or tension, muscle relaxants can provide relief. These medications work by calming overactive muscles and are usually prescribed for short-term use to prevent dependency or side effects. 4. Antidepressants and Anti-Seizure Medications Certain antidepressants and anti-seizure drugs can treat neuropathic (nerve) pain. They work by altering how the nervous system processes signals of pain throughout your body. Even if you do not experience depression or seizures, these medications assist with pain control. 5. Opioids Opioids are strong pain-relieving medications chosen for more potent pain when other options aren’t doing the trick. At Pain Treatment Centers of America, we practice strict guidelines to minimize risks, evaluate patient progress, and ensure healthy, responsible use. A combination of Opioids can be introduced to other treatments as part of a multimodal pain management plan. Personalized Pain Management The effectiveness of medications is best when combined with other therapies; physical therapy, interventional procedures, and lifestyle changes. We work closely with each patient to structure a plan that focuses on the root cause of pain, not just the signs. Every treatment plan is carefully engineered, giving thought to variables like medical history, existing conditions, and possible side effects. Patients are taught how to use the medication safely, dosing schedules, and expectations of each prescription. Take the Next Step Understanding your medication options enables you to take charge of your pain and improve your life overall. If you’re having issues with chronic or acute pain, our professionals at Pain Treatment Centers of America will gladly help. We mix the most up-to-date pharmacologic therapies with personalized care to provide comfort, improve function, and enhance your total well-being. Schedule a consultation today to learn which pain management medications are a good fit.
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