RANDALL F. DRYER, M.D.
TOP RATED U.S. SPINE SURGEON
ESI
Epidural Steroid Injection
Frequently Asked Questions
Frequently Asked Questions
An epidural steroid injection (ESI) is an outpatient procedure indicated to treat your condition. This procedure consists of injecting cortisone and saline into the space around your spinal canal called the epidural space.
The dura is the thin lining that contains the spinal fluid and nerves. The epidural space is the area or space between this fluid filled sac and the bones of the vertebrae. Our goal is to place the tip of the needle near the sac, but not into it. If the needle is placed in the fluid-filled sac (through the dura), we have performed a spinal tap.
The injection is usually performed in the lumbar area at the level of the waist or belt line. If difficulty is encountered in that area, we sometimes place the needle lower at the end of the spine near the tailbone.
The procedure is most easily, comfortably and accurately performed if a fluoroscope is used to visualize the needle placement. A fluoroscope is an x-ray machine that allows us to see motion while we place the needle. For this reason, we perform epidural injections at the hospital where a fluoroscope is available.
Cortisone
Cortisone is a potent anti-inflammatory drug. When injected, we hope that the anti-inflammatory effects of the drug will reduce the swelling and pain of the inflamed tissues and nerves that are causing your discomfort. Most patients experience some relief beginning within 24 hours following the injection. It can take 5 to 7 days to obtain relief. A few patients will get no relief at all. The duration of relief will vary depending on the underlying condition and its severity. The procedure can be repeated as frequently as weekly for three successive weeks. After that, we recommend waiting 3 to 4 months before repeating the injection or pursuing a different treatment plan.
Risks and Potential Complications
There are potential complications with this procedure. Occasionally, the dura is penetrated with the needle. This can lead to a headache that may last up to 24 hours. Infection is another potential complication, although quite rare. Bleeding around the area of the injection can also occur but is also very rare.
Strict precautions are taken to prevent complications and problems. If, however, the needle passes into the spinal fluid, you are advised to stay in bed and rest for 24 hours. This will usually prevent any further problems. If you appear to have any infected skin lesions near where the needle would be placed, the procedure will not be performed until the infection is cleared.
Bleeding is best avoided by not using anti-coagulant medication or blood-thinning drugs, including aspirin or other anti-inflammatory pills used to treat arthritic conditions. If you have questions about this or anything else, ask your doctor before the procedure.
It is advisable to have someone accompany you to the facility, so that if necessary, they can drive you home. If no complications occur, you can continue with normal activity, including returning to work, immediately following the injection.
Procedure Costs
There will be three separate charges for this procedure:
- The doctor’s fee
- A charge by the hospital for use of the outpatient facilities
- A charge for the use of the fluoroscope
If you would like to make a payment, please click here.
Who Is a Candidate for ESI?
Candidates for Epidural Steroid Injections typically suffer from persistent back pain, leg pain, or numbness that has not responded to conservative treatments like physical therapy or medication. The experienced team evaluates each patient's symptoms, medical history, and imaging studies to determine if ESI is a suitable treatment to manage their pain effectively.
Why Choose Us
Choosing the Central Texas Spine Institute in Austin for your Epidural Steroid Injections ensures you receive expert care from a team of skilled spine specialists dedicated to delivering exceptional results. The team prioritizes patient safety, comfort, and satisfaction, providing individualized treatment plans and thorough follow-up care to support you throughout your recovery process.
The Importance of Second Opinions
Obtaining a second opinion is crucial for ensuring accurate diagnosis and exploring different treatment options. Second opinions provide patients with additional perspectives from different medical professionals, which can lead to a better understanding of their condition and potential treatment plans. It can also help patients feel more confident in their healthcare decisions and provide peace of mind knowing that they have explored all available options. Additionally, in complex or severe cases, a second opinion can help confirm the initial diagnosis and prevent unnecessary procedures or treatments. It is essential for patients to advocate for their health and well-being by seeking second opinions when facing significant medical decisions.
SCHEDULE A CONSULTATION
If you are seeking a minimally invasive solution to manage your back or leg pain and regain functionality, the team at the Central Texas Spine Institute in Austin is here to help. Contact our spine institute to schedule a consultation and explore how Epidural Steroid Injections can alleviate your discomfort and improve your overall well-being.
If you have any questions or concerns, please feel free to contact our office at the Central Texas Spine Institute.
ABOUT US
One of the top spine surgeons in the country, Dr. Dryer is an active and recognized leader in the medical profession. Our CTSI professional staff is dedicated to providing our patients with attentive, personalized care.
OUR SERVICES
Utilizing the newest techniques and technologies available to resolve the challenges of back and neck pain, CTSI offers state-of-the-art personalized care. We are Texas' leading back specialists.
