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Steroid Injection Treatments

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Steroids

Steroids, also known as corticosteroids, play a pivotal role in interventional pain management, offering significant relief for patients suffering from a variety of conditions. These potent anti-inflammatory agents are utilized in targeted therapies to alleviate chronic pain, reduce inflammation, and improve quality of life. Their application spans numerous medical scenarios, such as spinal disorders, arthritis, and nerve compression syndromes.


Mechanism of Action

Steroids work by mimicking the effects of hormones your body produces naturally in your adrenal glands. When administered, they suppress inflammation and immune responses, thereby reducing inflammation and pain in the affected areas. This is particularly beneficial in conditions where inflammation is a major contributor to pain.


Administration Methods

Steroids can be administered through various routes, depending on the condition being treated:


  • Epidural Steroid Injections (ESIs): These injections deliver steroids directly into the epidural space around the spinal cord, providing relief from conditions such as herniated discs, spinal stenosis, and sciatica.
  • Facet Joint Injections: These are used to treat pain originating from the small joints in the spine, known as facet joints. The steroids reduce inflammation and pain in these joints.
  • Sacroiliac Joint Injections: These are administered into the sacroiliac joints, located at the base of the spine, and are particularly useful for treating lower back pain.
  • Peripheral Joint Injections: Steroids can be injected into joints such as the shoulder, hip, and knee to relieve pain caused by arthritis and other inflammatory conditions.


Benefits and Effectiveness

The use of steroids in interventional pain management has several benefits:


  • Rapid Pain Relief: Steroids provide quick pain relief by reducing inflammation and swelling.
  • Improved Functionality: By alleviating pain, steroids help patients regain mobility and functionality, enhancing their quality of life.
  • Reduced Need for Surgery: For some patients, steroid injections can delay or even eliminate the need for surgical intervention.
  • Minimized Use of Oral Medications: Targeted steroid injections can reduce the reliance on oral pain medications, which often have more systemic side effects.

Epidural Steroid Injection


An epidural steroid injection is a simple, high-volume injection of steroid in the epidural space. This treatment is not aimed to diagnose or treat a specific structure in the spine. It is designed to reduce inflammation, swelling, and pain around the structures of the spine. An epidural steroid injection can effectively treat a large region of the spine with just one injection. These injections can be done in the cervical, thoracic, or lumbar spine.

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Sacroiliac Joint Injection



Sacroiliac joint injections can be helpful for those experiencing low back and buttock pain that has been identified as not originating from the spine. The injections are done by flooding the joints with local anesthetic and steroid. The steroid injected into the joint works to decrease inflammation, swelling, and pain. This injection can also serve to diagnose the sacroiliac joints as primary pain generators. Once these joints have been identified as pain generators, there are several treatment options for the long-term treatment of the joints.

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Sympathetic Block



Sympathetic blocks are designed to treat a component of the central nervous system, the sympathetic nervous system. These injections are intended for the treatment of neuropathic pain that originates from the nervous system rather than from a physical structure. The injections target the sympathetic nervous system chains located on the front of the spine. The goal of the injections is to interrupt and reset the neuropathic pain cycle that is causing pain. Sympathetic blocks are performed on the cervical spine, lumbar spine, and pelvis. Injections are typically done in a series of a least two injections separated by 10 to 14 days.

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Chronic pain doesn't have to mean complex treatments. Our minimally invasive techniques offer a straightforward path to relief.

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