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Testimonials
I'm a (long) retired EMT-II who has suffered from chronic bilateral shoulder pain for years. An MRI revealed a substantial left shoulder tear which over time resulted in a `frozen shoulder'. My range of motion was greatly reduced, and I was in constant pain, which affected my ability to sleep, and many other facets of my life. I started seeing Dr. Tang in 2010, and received several steroid injections, which provided temporary relief. In 2012, while skeptical, I (finally) agreed to try prolotherapy. After 3 or 4 treatments the pain in my left shoulder was reduced by about 75%, enough to allow me to take several weeks of physical therapy (including `joint mobilization' which unfroze my shoulder). I continue to do PT exercises at home. Today, a year later, my range of motion remains good, and my pain levels remain a fraction of what they used to be. My need for analgesics is far lower than before, as well. I'm very pleased at the results, and wanted to express my thanks. –Michael Coston EMT-II (Ret.)

Epidural Injection

Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They have been used for low back problems since 1952 and are still an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.

An epidural steroid injection delivers steroids directly into the epidural space in the spine. Sometimes additional fluid (local anesthetic and/or a normal saline solution) is used to help ‘flush out’ inflammatory mediators from around the area that may be a source of pain.

The epidural space encircles the dural sac and is filled with fat and small blood vessels. The dural sac surrounds the spinal cord, nerve roots, and cerebrospinal fluid (the fluid that the nerve roots are bathed in).

Typically, a solution containing cortisone (steroid) with local anesthetic (lidocaine or bupivacaine), and/or saline is used.

  • A steroid, or cortisone, is usually injected as an anti-inflammatory agent. Inflammation is a common component of many low back conditions and reducing inflammation helps reduce pain. Triamcinolone acetonide, Dexamethasone, Methylprednisolone acetate and Celestone are commonly used steroids.
  • Lidocaine (also referred to as Xylocaine) is a fast-acting local anesthetic used for temporary pain relief. Bupivacaine or Sarapin a longer lasting medication, may also be used. Although primarily used for pain relief, these local anesthetics also act as ‘flushing’ agents to dilute the chemical or immunologic agents that promote inflammation.
  • Saline is used to dilute the local anesthetic or as a ‘flushing’ agent to dilute the chemical or immunologic agents that promote inflammation.

If you want to find out more about Epidural Injection Contact Us today for an appointment.