Epidural Injections

Why do I need an epidural injection?
When symptoms of pain are the result of spinal problems, an epidural injection may be considered. The pain may be the result of an injury, accident, surgery or normal age-related degeneration of the spine. The pain can be present in the neck (Cervical Spine), the mid back (Thoracic Spine) or the low back (Lumbar Spine). Different approaches can be used to inject into the spine (Transforaminal, Caudal, Intralaminar). Typically, epidural steroid injections are more commonly used to treat disc herniations and spinal stenosis.

How does an epidural injection work?
When the spine is injured, diseased or degenerated, mechanical and chemical changes can cause inflammation and swelling of the nerve. The injection of a numbing medication (local anesthetic) or saline combined with a steroid can be used to reduce the inflammation. This treatment is usually administered in a series of three injections. If relief is not obtained after two injections, other treatment options may be considered.

How is an epidural injection performed?
A number of approaches can be used to perform epidural steroid injections. Which one is used depends on the specific problem. The patient may or may not receive sedation. During this procedure the patient is positioned on an x-ray table. If fluoroscopy is not deemed necessary or not available, the patient may be positioned in a sitting position at the bedside. The skin is then numbed with a local anesthetic and the needle is inserted in the proper position. Fluoroscopy is used to precisely place the needle.

What are the potential risks?
As with any invasive procedure, there is the risk of infection and bleeding at the injection site. The patient may also experience a spinal headache.

What should I expect following the procedure?
In most patients, pain relief is noted within two to seven days. It is common to have localized pain at the site of the injection for one to five days. There is the possibility that low back and leg pain could increase until the steroids take effect and relief is experienced. This procedure is most effective when combined with other methods to control pain, which may include physical therapy, medication management, weight loss, smoking cessation and other recommended interventions.


Orthopedics & Sports Medicine

Our highly experienced and regarded orthopedic surgeons specialize in the diagnosis and treatment of disorders that affect bones, joints, muscles, cartilage, ligaments and nerves of the extremities and spine. They are proud to be affiliated with both St. Mary Mercy Hospital and St. John Macomb Hospital..

Back, Neck & Spine

You’ll have the advantage of the latest surgical and non-surgical procedures in back and neck pain. A team approach to your spinal problems may include physical therapy, medication, exercise, weight loss and therapeutic spinal injections. Additionally, we offer the area’s best orthopedic spine surgeons for repair or reconstruction of structural disorders.

Pain Management

The pain management / physical medicine and rehabilitation physicians at Mendelson Kornblum have a tremendous amount of experience and knowledge regarding pain-relieving techniques and treatments. Areas of specialty include back pain, neck pain, herniated discs, pinched nerves, post-surgical pain, cancer-related pain, musculoskeletal injuries, and rehabilitation for back and neck injuries. If you have acute or chronic pain that affects your mobility and ability to function, Mendelson Kornblum Orthopedics can help restore your quality of life.

Physical Therapy

Our rehabilitation approach complements your surgeon’s intervention with continual sharing of diagnostic information that can help promote a speedy recovery. In addition, due to our exclusive dedication to orthopedic conditions, we have developed many techniques that can significantly reduce the amount of pain during your rehabilitation.