Lumbar Steroid Epidural Injections for Chronic Back Pain Relief

By The Pain Experts of Arizona

At The Pain Experts of Arizona, our pain specialists are dedicated to providing effective, non-surgical treatments for chronic back pain. One highly effective option is the lumbar epidural steroid injection (ESI), which can offer significant relief for patients suffering from spinal nerve irritation in the lower back. If you’re struggling with conditions like herniated discs, spinal stenosis, or sciatica, our pain clinic provides targeted treatments to help you regain your mobility and improve your quality of life.

What is a Lumbar Epidural Steroid Injection?

A lumbar epidural steroid injection is a minimally invasive procedure in which a corticosteroid (anti-inflammatory medication) is injected into the epidural space surrounding the spinal nerves in the lower back. The goal is to reduce inflammation, relieve nerve irritation, and provide long-term relief from chronic pain. Many patients visit our pain doctor seeking relief from radiating leg pain, commonly known as sciatica, as well as other spine-related conditions.

This procedure is commonly used to treat:

• Herniated or bulging discs
• Spinal stenosis
• Sciatica (nerve pain radiating down the leg)
• Degenerative disc disease
• Axial back pain

How Does a Lumbar Epidural Steroid Injection Work?

Our pain specialists use fluoroscopic (X-ray) guidance to ensure precise placement of the needle into the epidural space of the lumbar spine. Once the corticosteroid is injected, it works to reduce swelling, alleviate nerve compression, and decrease inflammation at the nerve roots. Many patients at our pain clinic experience significant pain relief, improved mobility, and a reduction in the need for oral medications.

Conditions Treated with Lumbar Epidural Steroid Injections

The lumbar spine consists of five vertebrae and their associated discs. When these structures are damaged or deteriorate over time, nerve roots can become compressed, leading to persistent pain. Lumbar ESIs are frequently recommended by our pain doctor for conditions such as:

• Lumbar Herniated Discs – When the inner material of a disc protrudes and presses on a nerve.
• Spinal Stenosis – A narrowing of spaces within the spine, leading to nerve compression.
• Sciatica – Radiating pain from the lower back into the legs caused by nerve irritation.
• Degenerative Disc Disease – A breakdown of the spinal discs leading to pain and stiffness.

Procedure Details

Who Performs the Procedure? Lumbar epidural steroid injections are typically administered by a pain specialist trained in interventional pain management. At our pain clinic, highly experienced professionals—including anesthesiologists and physiatrists—ensure the highest level of precision during the procedure.

What to Expect During the Procedure:

1. Preparation – You will change into a medical gown and lie face down. The treatment area will be sterilized.
2. Fluoroscopy Imaging – Live X-ray guidance ensures accurate needle placement near the inflamed nerves.
3. Injection – A local anesthetic numbs the area before the corticosteroid is injected into the epidural space. The entire procedure typically lasts 15-30 minutes.
4. Post-Procedure – After a brief monitoring period, most patients can return home the same day.

Benefits of Lumbar Epidural Steroid Injections

Many patients at our pain clinic report significant improvements, including:

• Reduced leg pain, numbness, and tingling
• Increased mobility and flexibility
• The ability to resume daily activities with less pain
• Decreased reliance on oral medications

Relief from a lumbar epidural steroid injection can last for weeks to months, with some patients experiencing benefits for up to a year. This treatment is especially valuable in allowing patients to participate in physical therapy and strengthening exercises, which support long-term spinal health.

Potential Risks and Side Effects

As with any medical procedure, there are potential risks. Although serious complications are rare, some possible side effects include:

• Temporary pain flare-up at the injection site
• Minor bruising or soreness
• Headache (if the epidural punctures the dura mater)
• Infection or bleeding (extremely rare)
• Increased blood sugar levels for patients with diabetes

At The Pain Experts of Arizona, our pain specialists take every precaution to ensure a safe and comfortable experience for our patients.

Who is a Candidate for Lumbar Epidural Steroid Injections?

If you’re suffering from chronic lower back pain that hasn’t responded to other treatments, a consultation with our pain doctor may help determine if lumbar ESIs are right for you. This procedure is commonly recommended for individuals who:

• Have pain radiating into the legs or feet (sciatica)
• Experience nerve pain from conditions like herniated discs or spinal stenosis
• Have not found relief from physical therapy or medications
• Want to avoid or delay surgery

What to Expect After a Lumbar Epidural Steroid Injection

Some patients experience immediate relief, while others may have a temporary pain increase before improvement. Full effects can take several days to develop, and relief may last for several weeks to months. In some cases, additional injections are necessary for sustained results.

Localized Pain Treatment in Phoenix, Scottsdale, Gilbert, and Mesa

At The Pain Experts of Arizona, we are proud to serve patients throughout Phoenix, Scottsdale, Gilbert, and Mesa, offering state-of-the-art pain management solutions. Whether you need a consultation with a pain doctor or ongoing care at our pain clinic, our team is committed to providing expert treatment tailored to your needs.

Start Your Journey to Pain Relief Today

If you’re struggling with chronic back pain, a lumbar epidural steroid injection could be the solution you need. Contact The Pain Experts of Arizona today to schedule a consultation with a pain specialist and take the first step toward lasting pain relief.

Call us today at 480-950-9393 to schedule your consultation and take the first step toward feeling better.

The Pain Experts of Arizona – Your Partners in Pain Relief and Recovery.

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