Epidural Steroid Injection

An epidural steroid injection is an injection of a long lasting steroid in the epidural space (which is the area surrounding the spinal cord and the nerves coming out of it).
An ESI is used to reduce the inflammation or swelling in the epidural space. This may reduce the symptoms you are experiencing.

Before the Procedure
Certain medications may increase your risk of bleeding and may need to be held prior to your procedure. You may resume these medications the day after your procedure unless otherwise instructed.

During the Procedure
During the ESI you will lie on your stomach on the x-ray table. Your skin is cleaned and a numbing medication will be given where the needle will be placed, using x-ray guidance to ensure proper placement. You may feel some pressure in your back when the needle is inserted. A short acting anesthetic agent is injected for temporary pain relief (4-5 hours). A steroid is injected for longer pain relief, and begins working in 3-5 days.

After the Procedure
After the procedure avoid standing up quickly, since the medications used may cause dizziness. If dizziness occurs, lie down or sit down until it resolves. If the dizziness persists, notify your doctor. You may resume your normal activities as tolerated. Notify your doctor of any signs of infection such as redness, swelling, tenderness or drainage from the site. Other symptoms to notify your doctor about are persistent headache, rigid neck or neck pain, new weakness in legs, or loss of bowel or bladder control.

Your doctor will be contacted with the results of your test and will discuss the results with you.

Providing safe, quality patient care is our highest priority. To help ensure quality and safety, we ask that you do not bring young children with you to your appointments, as children are not allowed to accompany you during Imaging procedures. Staff is unable to monitor your child in your absence.

If you have any questions or concerns, please contact your doctor or contact Imaging Services at (320) 255-5619.

Your appointment is on:

Date: ________________ Time: ________________ at the following location:

____ St. Cloud Hospital - please check in at Door A / South Entrance

____ CentraCare Health Plaza - please check in at Woodlands Entrance