Epidural Steroid Injections Specialist

Richmond Spine Interventions and Pain Center

Interventional Pain Management Physician & Spine Specialists located in Midlothian, VA

Patients whose back or neck pain doesn't improve with conservative treatments can often benefit from injections of steroid medication. If you have back pain that’s not responding to your current therapies, interventional pain management physician Nicolas Maxymiv, DO, of Richmond Spine Interventions and Pain Center can help. At their Midlothian, Virginia, location, Dr. Maxymiv and his colleagues specialize in administering epidural steroid injections using image guidance technology. Call to schedule a consultation or book an appointment online today.

Epidural Steroid Injections Q&A

What are epidural steroid injections?

Epidural steroid injections can help patients with persistent back or neck pain when initial treatments aren't providing sufficient relief.

Epidural refers to the placement of the injection. The dural membrane is a layer of tissue that covers your spinal cord and nerves and is surrounded by the epidural space. As nerves exit your spinal cord to branch out through your body, they pass through this epidural space.

Injecting medication into the epidural space gets the full dose to the tissues and nerves from where the pain is coming, making it more effective than oral or topical pain relief.

Why might I need epidural steroid injections?

Richmond Spine Interventions and Pain Center uses epidural steroid injections to treat conditions such as:

  • Degenerative disc disease
  • Disc herniation
  • Spinal stenosis
  • Arthritis
  • Lumbar and cervical radiculopathy
  • Sciatica

These conditions often result in nerve irritation and tissue inflammation that’s the cause of back and neck pain. Nerve compression can also cause unwanted sensations such as tingling, prickling, "pins and needles," or burning.

How do epidural steroid injections work?

Epidural steroid injections typically contain two types of medication. One is an anti-inflammatory steroid that acts over several months and sometimes longer to reduce inflammation and pain.

The other medication is a local anesthetic, which numbs the pain to great effect but lasts for a much shorter time — hours in most cases.

What is the procedure for receiving epidural steroid injections?

Your provider at Richmond Spine Interventions and Pain Center gives you a sedative medication before the procedure begins, which means you feel sleepy and relaxed. They then use a local anesthetic to numb the injection site.

X-ray technology called fluoroscopy provides images of your spine that assist your provider with placing the epidural steroid injection. This ensures that the medication is in the right place without the needle damaging any surrounding tissues.

After your procedure, you need to spend a couple of hours in recovery to allow the sedative to wear off, then you can return home.

Find out if you could benefit from epidural steroid injections by calling Richmond Spine Interventions and Pain Center today or booking an appointment online.