Welcome to Pain Management Institute

To make an appointment for any of our locations, please call
  (815) 464-7212

All Posts Tagged: epidural steroid


This injection is a life saver!

As of late, there has been an expansion in media consideration with respect to the adequacy of epidural corticosteroid infusions, particularly for a condition called lumbar spinal stenosis. But, wait; let’s first explore what Epidural Steroid Injections are.

Epidural Steroid Injections

An Epidural Steroid Injection (“ESI”) is an injection with a blend of a corticosteroid and a neighborhood soporific drug, locally known as anesthesia. Corticosteroids are effective anti-inflammatory drugs that work to diminish swelling and aggravation helps taking away the weight off the nerves and other delicate tissues, bringing about noteworthy comfort. An ESI might be attempted when other non-operative medicines have neglected to diminish extreme back or leg pain from different reasons that lead to nerve irritation. These injections have been utilized for low back conditions since 1952 and are as yet an imperative piece of non-operative treatment designs. Relief from discomfort may keep going for a few days or even years. The objective is to diminish painful sensations with the goal that you may continue ordinary lifestyle and a non-intrusive treatment program.

Potential Risk Factors

The potential risks associated with inserting the needle include spinal headache from a dural puncture, bleeding, infection, allergic reaction, and nerve damage / paralysis (rare). Corticosteroid side effects may cause weight gain, water retention, flushing (hot flashes), mood swings or insomnia, and elevated blood sugar levels in people with diabetes. Any numbness or mild muscle weakness usually resolves within 8 hours in the affected arm or leg (similar to the facial numbness experienced after dental work). Patients who are being treated for chronic conditions (e.g., heart disease, diabetes, rheumatoid arthritis) or those who cannot temporarily discontinue anti-clotting medications should consult their personal physician for a risk assessment. Overall, this is a very safe procedure if it’s carried out appropriately.


Sensing the painful hints and its reaction are exceptionally individualized. Research to decide the viability of these medicines in the lumbar spine has demonstrated normal achievement rates between 50 percent and 90 percent. Numerous components impact the viability of Epidural Steroid Injections. Research has demonstrated that the sooner you get a dose for the pain, the better the result might be. To what extent help with comfort will last fluctuates with every patient.

The Expert

Choose your doctor effectively. Confused about who to contact? And what’s the best treatment for your pain? Contact Dr. Zaki Anwar! Dr Zaki is very experienced in interventional treatments. He is a world renowned Pain Medicine Physician and has been practicing ways to cure pain leading to serious problems for the past several years and has achieved remarkable results. Get his expert opinion by just making a phone call at 815-464-7212.

Read More

Epidural steroid injection and your back pain

Epidural steroid injections are the most accepted therapeutic alternate for several kinds of back pain and leg pains. The epidural steroid injection has been used for decades as a remedy for back pain and has become a significant non invasive treatment for sciatica and lower back pain.

The basic purpose of epidural steroid injections is to provide temporary relief of lower back pain. In addition to relieving back pain the epidural steroid injections have worked wonders in treating cervical pain and pain in the mid of the spine

Conditions in which epidural steroid injections are helpful

Epidural steroid injections have proved to be helpful in several conditions that cause back pain either  it is chronic or acute back pain. Or pain arising from pinched nerves. The specific conditions may include;

  • Lumbar disc herniation; the nucleus of the disc leaks out from the outer hard surface and spreads into the spinal canal pinching the nerves
  • Degenerative disc disease; where the disc space is crumpled between the two discs causing severe pain  and inflammation by the pinched nerves
  • Lumbar spinal stenosis; where the spinal canal has been shrunk pinching the spinal nerves
  • Compression fracture; fracture caused due to severe injuries and lifting heavy weight
  • Cyst; tumors in the spine deforming the whole spinal structure
  • Annular tear; a painful, tear presented in the outer layer of the spinal disc

Epidural steroid injection procedure

The epidural steroid injection procedure is initiated by cleaning the targeted area, the injections may take 15 to 30 minutes and is followed by standard steps;

The patient is allowed to lay on the  examination table laying face down with a pillow beneath the belly to give it a slightly curved shape. If the said position causes pain, then the patient might sit or lie on a side in a little curled position The skin is cleaned and the patient is given with local anesthetic

The patient lies flat on an X-ray table or with a small pillow under their stomach to slightly curve the back. If this position causes pain, the patient can be allowed to sit up or lie on their side in a slightly curled position. The skin is cleaned and the patient is given with local anesthesia. The needle is injected using the X-ray guidance  directly into the epidural space. Once the needle reaches the correct position  a contrasting dye is  injected to make sure the needle has reached the correct position. The steroid solution is slowly injected which may be experienced by some patients as putting pressure on the spinal cord, however, the pressure felt by the patients are not usually painful. The patient is observed for 15 to 20 minutes after the procedure and is allowed to go home soon

Read More