Epidural Injections Bergen County
Most of the time, your spine nerves are damaged or inflamed due to disc herniation or spinal stenosis. The inflamed spinal nerves can cause pain in your neck, arm, back, and leg.
Conditions Treated with Epidural Injections:
Epidural Q & A
An epidural injection is an injection that goes into the space outside the membrane that protects your spinal cord. This space is called the ‘epidural space.’ The injection delivers steroids directly into your epidural space. Additional fluid is sometimes used to flush out inflammatory agents from around the area which may be the source of the pain. The procedure is usually not uncomfortable and is performed by an anesthesiologist, radiologist, neurologist, physiatrist, or a surgeon.
• Degenerative disc
• Herniated disc
• Sciatica
• Spinal stenosis
• Spondylolisthesis
An epidural injection has proven helpful for a few patients in the treatment of inflammatory conditions. It also helps determine whether surgery is required if you have a herniated disc. Epidurals ease your pain and let you continue physical therapy when the pain interferes with your rehabilitative exercises.
Dr. Ali at the Complete Pain & Spine Institute will review your medical history before confirming whether you are the right candidate for the procedure. He will also discuss your allergies, the medications you are taking and may prescribe other medications based on your health. You will be asked to stop taking blood thinners several days before the procedure. The procedure usually takes 15 to 30 minutes.
You will be asked to lie on the X-ray table in a slightly curved position or with a pillow under the stomach. The skin on your lower back is cleaned and numbed using local anesthesia. Using live X-ray/fluoroscopy, Dr. Ali will insert a needle into the skin and direct it towards the epidural space. The fluoroscopy is vital to guide the needle to the epidural space and avoid misplacing the steroid injection. You will experience some discomfort during this step, but patients more commonly report feeling pressure than pain.
• Cervical epidural: The needle entry site is from the side of the neck to reach just above the opening for the nerve root and outside the epidural space.
• Lumbar epidural: The needle entry site is slightly off midline of the back to reach the nerve canal.
• Caudal epidural: The needle is placed above the tailbone to reach the lowest spinal nerves. Once the needle is in its position, the contrast dye is injected to confirm the needle location. Adjustments if any, are made, and the epidural steroid injection is injected into the space. We will monitor you for 15 to 30 minutes after the procedure before you are discharged.
If you are suffering due to pain and are looking for relief from inflammation or discomfort in your spine, arms or legs, please reach out to us and we will be more than happy to help you find freedom from your pain.
