Recent research reports that lumbar epidural steroid injections are successful in patients with persistent sciatica from lumbar disc herniation, with more than 80% of the injected group with disc herniation experiencing relief.

An epidural steroid injection can deliver substantial benefits for many patients experiencing low back pain.

Preparing to Receive an Epidural Steroid Injection

An epidural steroid injection usually takes between 15 and 30 minutes and follows a relatively standard protocol:

The patient lies flat on an X-ray table or with a small pillow under their stomach to slightly curve the back. If this position causes pain, the patient can be allowed to sit up or lie on their side in a slightly curled position.

The skin in the low back area is cleaned and then numbed with a local anesthetic similar to what a dentist uses.
Using fluoroscopy (live X-ray) for guidance, a needle is inserted into the skin and directed toward the epidural space. Fluoroscopy is considered important in guiding the needle into the epidural space, as controlled studies have found that medication is misplaced in many (> 30%) of epidural steroid injections that are done without fluoroscopy.

Once the needle is in the proper position, contrast is injected to confirm the needle location. The epidural steroid solution is then injected. Although the steroid solution is injected slowly, most patients sense some pressure due to the amount of the solution used (which in lumber injections can range from 3mL to 10mL, depending on the approach and steroid used). The pressure of the injection is not generally painful.

Following the injection, the patient is monitored for 15 to 20 minutes before being discharged home.

At Midwest Chiropractic – We have a high success rate
For more information contact us at 773 229-9600 to ask quesitons or set up a consultation