As mentioned above, there may be more than one spinal structure causing your spine pain. Sometimes, there are multiple causes for your spine pain or radiculopathy. In this case, Dr. Lee may recommend alternative treatment options or steriod injections. For example, if your sciatica/leg pain or hand pain improves with epidural steroid injection but you still have low back pain or neck pain, you may benefit from facet joint injections. But, whatever the case, you will need further evaluation by Dr. Lee to decide on further treatment. Remember that there are multiple treatments available now for pain and just because one method yielded partial or no response DOES NOT necessarily mean you will “just have to live with the pain”!
Epidural steroid injections have been used for decades as part of a rehabilitation program to relieve back or neck pain and the associated radicular nerve component that often accompanies these problems. These injections are minimally invasive and offer many patients substantial relief without the need for more invasive procedures. Although effective and generally simple, they must be performed accurately and properly for maximum benefit and complication avoidance. This article discusses the various technical aspects of the procedure that must be observed by the operator to accomplish these ends.