Cervical/Thoracic/Lumbar Radicular Pain or Sciatica

Cervical Radicular Pain

Cervical radicular pain refers to a painful nerve root from the neck. Radiculopathy is a disease of the spinal nerve roots that usually causes a patient to feel pain, weakness, and numbness radiating from the spine. Patients often describe radicular pain as radiating, sharp, shooting, and/or electric-type pain and may be associated with numbness or weakness in the upper extremity.

What are epidural steroid injections? Epidural steroid injections (ESIs) are a common treatment option for some types of cervical, thoracic, arm, low back and/or leg pain. ESIs have been used for low back pain since the 1950s and are still an important part of the non-surgical management of low back pain and sciatica. The main goal of the epidural injection is to shrink the swelling in bulging or herniated discs, and to decrease any inflammation that surrounds the disc and the spinal nerve. This is a common procedure. Because of the low risk and low incidence of any significant problems or side effects, this is felt to be a reasonable procedure to pursue when traditional conservative therapy for disc pain has failed to provide improvement. SALEM PAIN & SPINE SPECIALISTS does not use any of the steroids that were implicated with the fungal meningitis outbreak in 2012. We take great effort to maintain safety for our patients. CDC information on this outbreak can be found here http://www.cdc.gov/hai/outbreaks/meningitis-map.html

How long will the steroid injection last? A large percentage of patients upon whom this procedure is performed will get complete resolution of symptoms; a small percentage may experience no real improvement at all. Additional injections have additive effect and are often recommended if only partial relief has been achieved. If there is improvement from the steroid epidural, it likely will occur over the next several days to two weeks. The improvement should not be expected immediately.

Sometimes the injection alone provides the patient with great relief. Your doctor may also recommend a combination of different services in order to help the restore   function and mobility. It is important to take an active role in your healthcare in order to restore function and activities of daily living. There are many effective tools once the pain begins to resolve. Examples may include physical therapy, spinal manipulation, weight loss, exercise, massage therapy, or other various treatments.

Thoracic Radicular Pain

The thoracic spine is the mid-section of the spine. Radiculopathy is a disease of the spinal nerve roots that usually causes a patient to feel pain, weakness, and numbness radiating from the spine. When a thoracic nerve is inflamed or irritated it typically causes pain that refers around the chest wall or abdomen in the corresponding dermatome of the nerve root.

Epidural steroid injections (ESIs) are a common treatment option for some types of cervical, thoracic, arm, low back and/or leg pain. ESIs have been used for low back pain since the 1950s and are still an important part of the non-surgical management of low back pain and sciatica. This is a common procedure. Because of the low risk and low incidence of any significant problems or side effects, this is felt to be a reasonable procedure to pursue when traditional conservative therapy for disc pain has failed to provide improvement. SALEM PAIN & SPINE SPECIALISTS does not use steroids that were implicated with the fungal meningitis outbreak in 2012. We take great effort to maintain safety for our patients. CDC information on reported cases can be found here http://www.cdc.gov/hai/outbreaks/meningitis-map.html There have been no reported cases in Oregon to date of this publication.

How long will the steroid injection last? A large percentage of patients upon whom this procedure is performed will get complete resolution of symptoms; a small percentage may experience no real improvement at all. Additional injections have additive effect and are often recommended if only partial relief has been achieved. If there is improvement from the steroid epidural, it likely will occur over the next several days to two weeks. The improvement should not be expected immediately.

Sometimes the injection alone provides the patient with great relief. Your doctor may also recommend a combination of different services in order to help the restore   function and mobility. There are many effective tools once the pain begins to resolve. Examples may include physical therapy, spinal manipulation, weight loss, exercise, massage therapy, or other various treatments.

Lumbar Radicular Pain:

Lumbar refers to the area of the back that is situated between the lowest ribs and the pelvis (L1-L5). Radiculopathy is a disease of the spinal nerve roots that usually causes a patient to feel pain, weakness, and numbness radiating from the spine. This pain is most commonly felt in the legs.

Epidural steroid injections (ESIs) are a common treatment option for some types of cervical, thoracic, arm, low back and/or leg pain. ESIs have been used for low back pain since the 1950s and are still an important part of the non-surgical management of low back pain and sciatica. This is a common procedure. Because of the low risk and low incidence of any significant problems or side effects, this is felt to be a reasonable procedure to pursue when traditional conservative therapy for disc pain has failed to provide improvement. SALEM PAIN & SPINE SPECIALISTS does not use any of the steroids that were implicated with the fungal meningitis outbreak in 2012. We take great effort to maintain safety for our patients. CDC information on these cases can be found here http://www.cdc.gov/hai/outbreaks/meningitis-map.html  There have been no reported cases in Oregon to date of this publication.

How long will the steroid injection last? A large percentage of patients upon whom this procedure is performed will get complete resolution of symptoms; a small percentage may experience no real improvement at all. Additional injections have additive effect and are often recommended if only partial relief has been achieved. If there is improvement from the steroid epidural, it likely will occur over the next several days to two weeks. The improvement should not be expected immediately.

Sometimes the injection alone provides the patient with great relief. Your doctor may also recommend a combination of different services in order to help the restore   function and mobility. There are many effective tools once the pain begins to resolve. Examples may include physical therapy, spinal manipulation, weight loss, exercise, massage therapy, or other various treatments.