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Epidural Injection

Epidural injection is a targeted treatment that places medicine near irritated spinal nerves to help reduce pain and inflammation.

  • Nonsurgical Spine Care & Pain Management

    We have decades of experience caring for patients with back and spine conditions, pioneering minimally invasive treatments and leading research for new treatments to improve patient outcomes.

What Is an Epidural Injection?

An epidural injection is a treatment that delivers medicine into the epidural space, the area around the nerves in the spine. The medicine usually includes a steroid to calm inflammation and, in some cases, a numbing medicine for short-term relief.

This treatment may help people with pain that starts in the spine and travels into the arm or leg. It is often used when symptoms are linked to nerve irritation from conditions such as herniated disc, spinal stenosis, degenerative disc disease or sciatica.

Why Choose Baptist Health?

Baptist Health Brain & Spine Care offers evaluation and treatment for spine-related pain with a focus on clear communication and personalized care. For some patients, epidural injection may be part of a broader treatment plan that can also include physical therapy, medicine, activity changes or other procedures.

Because back pain can have many causes, careful evaluation matters. Baptist Health Brain & Spine Care experts can help determine whether symptoms may be related to nerve inflammation and whether an injection, nerve block, facet joint injection or radiofrequency ablation may be appropriate.

Why Choose Baptist Health?

How It Works

An epidural injection places anti-inflammatory medicine near a spinal nerve that may be irritated or compressed. By reducing swelling around the nerve, the treatment may help lessen pain, tingling or numbness. Relief can vary from person to person, and some people may need more than one treatment as part of an overall pain management plan.

Who May Benefit

This treatment may be considered for people with back or neck pain that radiates into an arm or leg, especially when symptoms have not improved enough with conservative treatment. It may also be considered when pain is limiting daily activities, sleep, walking or participation in physical therapy.

A physician will review your symptoms, exam findings and imaging to decide whether epidural injection may be a reasonable option. Not everyone with back pain is a candidate.

Benefits and Risks

Potential Benefits

  • May reduce inflammation around a spinal nerve
  • May help ease radiating pain, such as arm pain or leg pain
  • May improve comfort so you can return to daily activities or take part in rehabilitation

Possible Risks

  • Temporary soreness at the injection site
  • Bleeding, infection or headache
  • Temporary numbness or weakness, depending on the medicines used
  • Limited or short-lived symptom relief
  • Rare nerve or spinal fluid complications

What to Expect

  • Your care team will review your symptoms, medicines, allergies and prior imaging. You may receive instructions about eating, drinking and whether to pause certain medicines before the procedure. Be sure to arrange a ride home if your physician recommends it.

  • The procedure is usually done with you lying on a table while the physician uses imaging guidance to place the needle in the correct area. The skin is cleaned, and a local anesthetic may be used to numb the area. Once the medicine is injected, the procedure is typically brief.

  • You will usually be monitored for a short time before going home. Some people notice relief soon, while for others it may take several days for the steroid medicine to begin working. Mild soreness can happen at first. Your physician will explain activity limits, warning signs and next steps.

Recovery

Recovery is usually short, but your experience can vary based on the injection site, your overall health and the cause of your symptoms. Many people return to light activities within a day, while others may need more time or ongoing treatment. Your physician may recommend follow-up care, physical therapy or additional evaluation if symptoms continue.

Frequently Asked Questions

  • An epidural injection is used to help reduce pain and inflammation around irritated spinal nerves. It may be recommended for symptoms related to conditions such as herniated disc, sciatica or spinal stenosis when pain travels into the arm or leg.

  • No. An epidural injection is a nonsurgical treatment. It is done with a needle to place medicine near the spine, while surgery involves repairing or removing the cause of nerve pressure through an operation.

  • Pain relief varies. Some people have short-term improvement, while others may feel relief for weeks or months. The result often depends on the cause of the pain, how inflamed the nerve is and how your body responds to the medicine.

  • Many people feel pressure or a brief pinch rather than severe pain. The skin is usually numbed first, and the procedure is typically short. You may have mild soreness afterward for a day or two.

  • Your physician will give instructions based on your health history and medicines. You may be asked about blood thinners, allergies, diabetes or recent illness. Follow all guidance about eating, drinking and transportation on the day of treatment.

  • Yes. As with any procedure, epidural injection has risks. These can include bleeding, infection, headache, temporary numbness or little to no pain relief. Serious complications are uncommon but possible.

  • The number can vary based on your symptoms, response to treatment and your physician’s judgment. Your care plan should balance potential benefits with safety considerations, especially if steroid medicine is being used.

  • If relief is limited, your physician may reassess the source of pain and discuss other options. These may include physical therapy, medication changes, other image-guided procedures or surgery in selected cases.

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