It’s up to the patient whether to have a local anesthetic at the injection site or to use an intravenous medication. In either case, a lumbar epidural steroid injection is an outpatient procedure and patients generally do not experience any pain.*
First, Dr. Skaribas will determine the optimum injection site for the patient’s condition, which will either be between the lamina and vertebrae of the middle back, the neural foramen on the side of the vertebrae or the large sacral canal at the tailbone.
Two injections are made for each procedure: one utilizes x-ray imaging to locate the injection site accurately and the other contains the corticosteroid medication. By targeting the injection site carefully, only the inflamed area is treated; no more medication is used than necessary.*
Most patients experience almost immediate relief after the injection and most can go back to their daily routines right away.* For some patients, the pain does not completely abate. In those cases, Dr. Skaribas simply repeats the treatment to achieve optimum results.