Lumbar Epidural Steroid Injection (LESI)
Targeted Relief for Lower Back Pain
Lumbar Epidural Steroid Injection (LESI) is a minimally invasive procedure designed to reduce inflammation and provide pain relief in the lower back. Using real-time fluoroscopic (X-ray) guidance, a corticosteroid is delivered directly into the epidural space of the lumbar spine—helping calm irritated nerves that may be causing pain, numbness, or tingling.
Conditions Commonly Treated with LESI
-
Sciatica
-
Lumbar disc herniation
-
Degenerative disc disease
-
Lumbar spinal stenosis
Procedure Overview
-
Image-Guided Precision: Fluoroscopy ensures accurate needle placement and optimal medication delivery.
-
Quick & Comfortable: The procedure typically lasts 15–20 minutes, followed by a short observation period.
-
Anti-Inflammatory Medication: A corticosteroid, often paired with a local anesthetic, is injected to reduce swelling and relieve nerve pressure.
Post-Treatment Results
-
Onset of Relief: Pain relief may begin within 3–7 days.
-
Duration: Relief can last from several weeks to months, depending on the individual.
-
Repeatability: Injections may be repeated up to 3–4 times per year as needed and recommended by your physician.
Before & After the Procedure
-
Preparation: Do not eat or drink for 6 hours prior. Arrange for transportation.
-
Aftercare: Light activity may resume the same day; normal activities typically resume by the next day.
-
Showering: Permitted on the same day, but avoid soaking the area for 24 hours.
-
Medication Notes: Continue regular medications unless otherwise advised. Discuss blood thinners in advance.
Cervical Epidural Steroid Injection (CESI)
Focused Treatment for Neck and Arm Pain
Cervical Epidural Steroid Injection (CESI) offers targeted pain relief for patients experiencing neck, shoulder, or arm discomfort due to irritated spinal nerves. Utilizing live fluoroscopic imaging, CESI ensures precise delivery of anti-inflammatory medication into the epidural space of the cervical spine.
Conditions CESI Helps Treat
-
Cervical radiculopathy
-
Pinched or compressed nerves
-
Herniated or bulging cervical discs
-
Cervical spinal stenosis
-
Post-surgical neck pain
Procedure Highlights
-
Precision Injection: Local anesthesia is used before inserting the needle under X-ray guidance.
-
Procedure Time: Typically 15 minutes, followed by monitoring.
-
Medications Used: Dexamethasone (a corticosteroid) combined with local anesthetic.
What to Expect After CESI
-
Relief Timeline: Pain relief may begin within 3–7 days.
-
Duration of Relief: Varies by patient; may last weeks or months.
-
Repeat Injections: Safe up to 3–4 times per year under clinical supervision.
Pre-Procedure Instructions
-
Fasting: No food or drink 6 hours before the injection.
-
Medication Management: Discuss all current medications, especially blood thinners.
-
Driver Required: Arrange for someone to accompany you post-procedure.
-
Comfortable Clothing: Wear loose-fitting clothes; a medical gown may be provided.
-
Optional Sedation: Light IV sedation available upon request.
Post-Procedure Guidelines
-
Activity: Resume light activity the same day; full activity typically the next day.
-
Bathing: You may shower, but avoid soaking the injection site for 24 hours.
-
Diabetic Precaution: Blood sugar may rise temporarily—monitor accordingly.
Safety Considerations
-
Minimally Invasive: Low systemic absorption, reducing the risk of side effects.
-
Pregnancy Warning: Notify your provider if you may be pregnant due to imaging exposure risks.