An Epidural Steroid Injection (ESI) is a simple, safe, and effective non -surgical treatment that involves the injection of a steroid medication similar to cortisone into the Epidural Space of the back. The epidural space is the portion of the spine where inflamed nerves are located. The intent of this procedure is to reduce inflammation and therefore relieve pain. Performed by an interventional pain management, ESI is a minimally invasive technique used to relieve a variety of painful conditions, including chronic pain anywhere in the spine.
The most common technique employed by interventional pain management specialists now is with X-Ray guidance (fluoroscopy), usually with the patient lying on his or her stomach. The injection is performed under local anesthesia and, on occasion, with intravenous sedation. Patients are not deeply sedated or completely asleep for this procedure because it is unnecessary and unsafe to do so. The procedure usually takes no more than 5-10 minutes, followed by a brief 15-20 minute recovery before discharge home.
For over forty years, ESI has been used to effectively treat chronic neck and back pain as well as a variety of other conditions. The most common diagnoses treated with ESI include herniated or bulging discs, spinal stenosis, and recurrent pain following spine surgery. Other conditions that may also respond to ESI include spondylolisthesis {slippage of the vertebral column) and post-herpeticneuralgia {pain after shingles).
The injection of local anesthetic {numbing medicine) at the beginning of the procedure may sting some, but ESI is an otherwise routine procedure that is extremely well tolerated by patients ranging in age from the mid teens to well over ninety years old.
If you are scheduled to receive sedation during the procedure, you must have someone available to drive you home. If you usually take medication for high blood pressure or any kind of heart condition, it is very important that you take this medication at the usual time with a sip of water before your procedure. If you are taking any type of medication that can thin the blood and ca,u. se excessive bleeding, you should discuss with your doctors whether to discontinue this medication prior to the procedure. These anticoagulant meds are usually prescribed to protect a patient against stroke, heart attack, or other vascular occlusion event. Therefore the decision to discontinue one of these medications is not made by the pain management physician but rather by the primary care or specialty physician (cardiologist) who prescribes and manages that medication. Examples of medications that could promote surgical bleeding include Coumadin, Plavix, Aggrenox, Pletal, Ticlid, and Lovenox.
You may notice some reduction in your pain for the first 1-2 hours after the injection if local anesthetic is injected with the steroid. When this anesthetic wears off, your pain will return as it was before the procedure. The pain relief with ESI generally occurs within 3 - 5 days, some patients experience improvement before or after this time period. Diabetic patients should be on the alert for a rise in blood sugar during the first few days after injection and must monitor blood sugar accordingly.
Following discharge home, you should plan on simple rest and relaxation. If you have pain at the injection site, application of an icepack to this area should be helpful. If you receive intravenous sedation, you should not drive a car for at least eight hours. Patients are generally advised to go home and not return to work after this type of injection. Most people do return to work the next day.
Sometimes it may require three injection sessions with an interval of two weeks between each session. However, the number of injections that you may require will depend on your response to each individual injection. If you have no pain following one injection, you will probably not need any additional treatment.
Minor side effects from the injected medications are not uncommon and can include nausea, itching, rash, facial flushing and sweating among other things. Some patients notice a mild increase or worsening of their pain for the first day or two after injection. Fortunately Epidural Steroid Injection has an extremely good safety profile, and serious complications are quite rare. Just like any other medical procedure, there are potential complications associated with ESL.
Most studies show that this treatment helps relieve pain for approximately half (50%) of the patients treated. The degree and duration of pain relief are variable and depend on many different factors, including the underlying diagnosis or condition being treated, duration of symptoms before treatment, whether previous back (neck) surgery has been performed and other factors.
YES! This ESI can definitely be repeated if it was helpful for your pain in the past. Although there is some flexibility in the timing of repeat injection, the doctor will probably want you to wait for at least four to six months after your last injection. This issue can be discussed during a follow-up office visit.
Epidural steroids may rarely produce unwanted side effects. Some of these potential side effects include increased blood sugar or hyperglycemia (especially in diabetic patients), fluid retention, elevated blood pressure, and transient redness or facial flushing. (Side effects from steroids may be common if they are taken daily over a length of time, rather than as an isolated epidural injection.)
The staff was always very friendly and helpful. They went out of their way to make my experience as hassle free as possible. They helped me get back to feeling the way i did before my accident, even a little better.
Eric Zofcin
So caring! These ladies are always on point and make you feel wonderful. You always leave better than when you came in. I recommend them for any accident needs.
C Hayes
The friendly staff, everyone is very sweet and always smiling!
Reneka Ingram-McAnear
Dr. Jones is amazing!!!
Shardell Torrence
My husband and I love this place! The ladies are all wonderful. It's a homey type feeling when you walk in. Very friendly and puts you at ease.
Crystal Moon Fedd
They are kind and attention to detail
Rosevelt Pickens
Nice Clean friendly atmosphere.Everyone is a team player and work great together to get you back to normal activities
Nashield Thomas
The ladies are great always happy and cheerful and no matter how much pain you’re in you will walk out of there with a smile on your face because of the cheerful atmosphere they keep their
Jayni Wyatt
Staff was very professional. Chiropractor Doctor was very informative in detail explaining my injury and treatment, therapy was very effective in treatment of my injury and recovery. Would highly recommend anyone with personal back or neck pain or auto accident injury to this Chiropractor center located Texarkana Arkansas on state line ave.
berry davis
Helped me get my life back to normal everyday routine??????
Shakiella Akkard
The office is very clean and the staff was extremely friendly and Dr. Jones is amazing!!! My neck has been sore and stiff and I have been having headaches. Dr. Jones was able to adjust my neck and I could feel immediate relief. She definitely has the magic touch!!!
Gaye Yates
They are always so friendly and polite. My moments here are so relaxing.
Latonya Rone
I absolutely love this place . This is my first time having to be seen by a Chiropractor and I’m glad I chose to come here. Everyone is so sweet and they really care about getting you back to your normal self. Will definitely recommend 100%.
Kadijah Coulter
Awesome staff alot of help.#Thanks BPC
Plu Ford
Everyone is kind and well mannered. Upon my first visit I was nervous but it didn't even take one minute for it to go away. That was thanks to the staff
Ziona Larry
Love the lady's they'll get you back up and on your feet and sure will have you feeling so much better!
Ariel Dancer
It’s a very clean place. The staff is great very fast and very sweet people. I definitely recommend their services! Very friendly atmosphere! Services are wonderful!
Kayla Ward
Some of the nicest people in Texarkana
Lashonda Glover
DrJones is the best and caring, I will recommend everyone to go see her.
Edwin Angwenyi
The staff was always very friendly and helpful. They went out of their way to make my experience as hassle free as possible. They helped me get back to feeling the way i did before my accident, even a little better.
Eric Z
The office is very clean and the staff was extremely friendly and Dr. Jones is amazing!!! My neck has been sore and stiff and I have been having headaches. Dr. Jones was able to adjust my neck and I could feel immediate relief. She definitely has the magic touch!!!
Gaye Y
Dr. Jones is very knowledgeable and strives to provide excellent care.
Keshia C
Highly recommended!!From the receptionist Randi to the CNA all the way to Dr. Jones the staff was amazing!! Dr. Jones was great she made me feel very comfortable from the time she first walked into the room, she listens, she is very patient and you can definitely tell she really cares about her patients and loves what she does!! Keep up the good work!!!!
Erin W
The staff is very friendly and very caring!!!
Latosha H
I highly recommend this office. The staff is amazing! Dr Jones, Abby and Charlotte were so sweet, caring and professional. I felt like my care was as important to them as it was for me. And best of all I was in and out in no time. Busy office but they value your time, no long waits to be seen.
Wendy S
Dr. Jones is the best! I highly recommend her if you are in need of a chiropractor!!!
Cambree Roberson
Dr. Jones is very knowledgeable and strives to provide excellent care.
Lakeshia Cooper
The Dr. and all the staff are very friendly and professional. They are very considerate, attentive, and show concern for your well being. They all are very personable and make you feel comfortable. The Dr also listens attentively and addresses your concerns. I feel my treatment went well. I would recommend this clinic to anyone.
Madeline Hunt
Dr jones is great
Theo Purifoy
I went to see Dr. Jones after an accident I was in. I explained what happened and where my pain was. She then checked me out, showed me my ex rays and went into detail as far as what she would like to see on the ex ray. After a couple of treatments I could already feel the relief. I’m very thankful for her and her sweet staff to help me when I thought there was nothing that would help.
Emily McDonald
Friendly yet knowledgeable personnel and very prompt in attending to clients. A casual, yet homey atmosphere makes you feel welcome. I highly recommend Dr. Jones, Randi, and all the staff if you need chiropractic help!
Patty Howell
I highly recommend this office. The staff is amazing! Dr Jones, Abby and Charlotte were so sweet, caring and professional. I felt like my care was as important to them as it was for me. And best of all I was in and out in no time. Busy office but they value your time, no long waits to be seen.
Wendy Stinson
The staff is always so friendly and helpful!! The facility is always clean and never crowded. Dr. Jones is the best!!
Share Dodd
If you've been in a car accident or any type of personal injury accident, this is the clinic to go to! Dr. Jones is the best chiro ever! Her adjustments got me back to where I needed to be in no time!!! #1 chiropractor in Texarkana!!
Porcha Anderson
Very friendly staff. Always welcoming and caring. Would recommend this business to friends and family.
Stacy Brophy
Very friendly and very considerate group of ladies. From Randy at the front desk, Abby and Charlotte with therapy, Dr. Jones with the works, and all the other ladies that make it all happen. Always felt welcome every time I visited. Thank you ladies!!
Robert Shaw
Fantastic ???? I wouldn't change anything about it with my decision everyone was kind & polite Thank you for your service
Roshonda Hughes
Everyone was friendly and I'm really going to miss them. They all treated me good!
Patricia wright
I always got prompt and courteous service in a warm, friendly environment at Back Pain Chiropractic.
Roshunda Gulley
Took amazing care of me and treated me like family.
Skylar Schooler
Dr. Venita really helped me get back to myself after my wreck. I had excruciating pain & after my treatments, I felt so much better! They get you in & out fast with no long waiting. I would highly recommend Back Pain Chiropractic to anyone!
Kristian Edmonds
Everyone in the office are so welcoming and genuinely want you to get better! They remembered me by name every time I walked through the door. They helped me get back to my regular range of motion after my wreck and feel like my normal self.
Kellie Taylor
Friendly service who got me back on my feet after a car accident.
Mel Macintosh
Great group of caring people that made me feel welcomed, more like family. Would recommend anyone who requires these services, they are the best. Thank you
Lonnell Williams
A great place, with a nice group that makes you feel at home.
Rollo Cobb
THIS PLACE WAS HANDPICKED FOR ME BY GOD YES EVERYTHING THAT I NEEDED THEY SUPPLY AS FAR AS MY SITUATION GOES... THEY ARE RESPECTFUL THEY ARE PROFESSIONAL THEY ARE ON POINT AND THEY TREAT YOU LIKE FAMILY AND YES THE DOCTORS ARE ABSOLUTELY AMAZING
Louis Braggs
Gentle on my back with massage table. Friendly staff. Great environment for healing.
Douglas Vansickle
I loved the staff. They were very friendly and concerned about your progress everytime I walked in the door
Terries Wilson
The entire staff was amazing.
Lichaela Briggs
Fast friendly service. Everyone there is so caring.
Melissa Davis
They are friendly all the time.
Guadalupe Ramirez
They immediately made me feel welcome and are all so nice. The staff are all so helpful and attentive. The doctor genuinely listened and put me on the path to recovery! Abbey was always helpful and I appreciate all of the extra paperwork, phone calls and help she gave. I appreciate each and every one of them!
Natalie Jensen
Highly recommend backpain chiropractor.very friendly, caring awesome staff
Carolyn White
The staff is very sweet and polite. They walk you through everything that they are going to do and make sure you feel comfortable.
Anna Ronning-Batton
Everyone at back pain chiropractic was so nice and helpful, the doctor is wonderful the staff was amazing I'm going to miss seeing them every week, 10/10 definitely recommend.
lora Pinder
Awesome highly recommend
Tamekia Larry
The Doctor and staff are very friendly. There is not a long wait. They get me to the back quickly. I would highly recommend this clinic.
Lonita Davis
Never been to a place like this one here they take good care of you and make sure all your needs are met, if anyone liking for a good chiropractor this is the one I promise they won’t let you down
Kristy Lee
Excellent and professional care! If you are looking for chiropractic care, this is the place to be! They are fantastic! Each and every visit! Cheers to Back Pain Chiropractic!
Kristina Evans
I highly recommend Backpain Chiropractic if you’ve been in an auto accident. Great treatment, wonderful staff, short wait time, and easy to schedule appointments. Dr Venita listened so well and was very attentive to my needs. Everyone was so personable and friendly. Great experience????
Shelbie Vaughn
Everyone there is so nice and friendly. Easy to talk to. They took good care of me for the time I went.
Shaleisha Watson
Friendly nurses, knowledgeable staff, always greeted with a smile and always left feeling better.
fred mcvey
It's my 2nd day and I've got nothing but good things to say and I'm hard to please... all the staff is caring and tend to things quickly. The doctor listens... good place
Meghan Caldwell
great staff super friendly and fun to work with and got good relief with the pain I was having
Olivia Anderson
Back Pain Chiropractic will not disappoint you. They are excellent at caring for their patients and they are all so kind. They really do go above and beyond. If you are in an accident you definitely want Back Pain Chiropractic involved in your recovery process. Five Stars just isn't enough.
S McK
Very sweet and nice people they make me feel welcome they do a good job taking care of me
Laura Peek
Great place to go friendly atmosphere that takes care of your pain. They have helped me tremendously.
reshelle turner
After my accident I went to Back Pain Chiropractic to receive treatment for my low back. They were fantastic. They were there for all of my needs and were so nice. The dr really took the time to listen to my concerns and she was amazing. I feel like I made friends for life with those ladies. My back is so much better too. Highly recommend.
Kelley Vasquez
Nice friendly team currently helping me through my therapy.
Randy Dorsey
I was in an accident and called Back Pain Chiropractic for my back injury. They were amazing. They treated me like family from the time I walked in the door until my treatment was over. Highly recommend.
Melissa Cole
Everyone here is very nice and I’ve enjoyed my experience and found it helpful!
Paige Formby
