Epidural Steroid Injection in Lyndhurst, NJ
Our Approach to Epidural Steroid Injection Treatment
At CORE Medical & Wellness, we use advanced techniques and imaging guidance to ensure safe, accurate, and effective epidural steroid injections as part of comprehensive pain management plans.
Comprehensive Evaluation
First We never recommend epidural injections without thorough evaluation. Every patient receives detailed assessment to confirm that epidural steroid injection is appropriate for their specific condition and pain pattern.
Image-Guided Precision
All our epidural procedures are performed using fluoroscopic (X-ray) guidance to ensure precise needle placement and optimal medication delivery. This advanced approach maximizes effectiveness while minimizing risks.
Individualized Treatment
Plans We recognize that spine pain affects everyone differently. Our treatment plans are tailored to your specific condition, pain severity, functional goals, and overall health status.
Comprehensive Pain Management
Epidural injections are part of broader pain management strategies that may include physical therapy, medication optimization, and other interventional procedures to achieve the best possible outcomes.
Our double board-certified pain management specialists, Dr. Richard Kang and Dr. Shelly Sharma, bring extensive fellowship training and experience in performing epidural procedures safely and effectively.
Diagnostic and Treatment Process
Comprehensive Pain Assessment
Our evaluation includes detailed review of your pain history, physical examination, and assessment of how your symptoms impact daily activities and function.
Advanced Imaging Review
- MRI Analysis: Detailed review of disc health, nerve compression, and spinal anatomy
- CT Scans: Additional imaging when needed for treatment planning
- X-rays: Assessment of spinal alignment and structural considerations
Treatment Planning
Based on your specific condition and imaging findings, we determine the most appropriate injection approach and develop a comprehensive treatment plan.
Types of Epidural Steroid Injections
Interlaminar Epidural Injections
This approach involves placing the needle between the laminae (back part of the vertebrae) to access the epidural space. It's effective for treating central disc herniations and spinal stenosis.
Transforaminal Epidural Injections
This technique targets specific nerve roots by placing medication near the neural foramen where nerves exit the spine. It's particularly effective for treating nerve root compression and radiating pain.
Caudal Epidural Injections
This approach accesses the epidural space through the sacral hiatus at the base of the spine. It's often used for lower lumbar conditions and post-surgical pain.
Cervical Epidural Injections
Specialized procedures for treating neck pain and upper extremity symptoms caused by cervical spine conditions.
The Epidural Injection Procedure
Pre-Procedure Preparation
Before your procedure, we review your medical history, current medications, and provide detailed pre-procedure instructions. We ensure you understand what to expect and answer any questions.
During the Procedure
- Sterile Preparation: The injection site is thoroughly cleaned and draped
- Local Anesthesia: The skin and deeper tissues are numbed for comfort
- Fluoroscopic Guidance: Live X-ray imaging guides precise needle placement
- Contrast Verification: Contrast dye confirms proper needle position before medication delivery
- Medication Injection: Anti-inflammatory medication is slowly injected into the epidural space
Post-Procedure Care
After the injection, you'll be monitored briefly before discharge. We provide detailed post-procedure instructions and schedule appropriate follow-up appointments.
Why Choose CORE Medical & Wellness
Fellowship-Trained Specialists
Our pain management physicians completed specialized fellowship training in interventional pain medicine, ensuring you receive the highest standard of care for epidural procedures.
Advanced Safety Protocols
We use state-of-the-art fluoroscopic equipment and follow strict sterile techniques to ensure safe, accurate procedures with optimal outcomes.
Comprehensive Approach
We don't just perform procedures - we address the underlying causes of your pain through integrated treatment plans that may include physical therapy, medication management, and lifestyle modifications.
Patient-Centered Care
Our team takes time to understand your specific pain concerns and develops personalized treatment approaches designed to help you achieve your functional goals.
Frequently Asked Questions
What are epidural steroid injections?
Epidural steroid injections are minimally invasive procedures that deliver anti-inflammatory medication directly into the epidural space around spinal nerves to reduce inflammation and provide pain relief.
How are epidural injections performed?
The procedure is performed using fluoroscopic guidance to ensure precise needle placement. After local anesthesia, a thin needle is guided into the epidural space and medication is injected.
What should I expect during the procedure?
Most patients experience only mild discomfort during the injection. The procedure typically takes 15-30 minutes, and you'll be monitored briefly afterward before going home.
What should I expect after epidural injection?
Some patients experience immediate relief, while others notice gradual improvement over days to weeks. You may have temporary soreness at the injection site, which is normal.
How long does pain relief from epidural injections last?
Relief duration varies among patients and conditions. Some experience several months of relief, while others may need repeat injections. The goal is to provide sufficient relief to participate in rehabilitative therapies.
Does insurance cover epidural steroid injections?
Most insurance plans cover medically necessary epidural steroid injections when conservative treatments have been tried first. Our staff will verify your coverage and obtain necessary prior authorizations.
