Understanding Epidural Steroid Injection Under Fluoroscopy

Epidural Steroid Injection under Fluoroscopy is a medical procedure aimed at reducing inflammation and providing pain relief in the spine. This technique involves the precise delivery of a corticosteroid medication directly into the epidural space, which is the area around the spinal cord and nerve roots. The procedure is guided by real-time X-ray imaging known as fluoroscopy, ensuring accurate needle placement.

Procedure Overview

Patient Evaluation

Before undergoing the injection, our experienced medical team will conduct a thorough assessment of your medical history, symptoms, and any relevant imaging studies. This evaluation helps tailor the procedure to your specific needs.

Preparation & Anesthesia

On the day of the procedure, you will be positioned comfortably on an examination table. The injection site is cleansed and sterilized to minimize the risk of infection. Local anesthesia is administered to numb the skin and tissues around the injection site, ensuring your comfort throughout the procedure.

Fluoroscopic Guidance

Fluoroscopy, a real-time X-ray imaging technique, is used to guide the precise placement of the needle into the epidural space. This guidance enhances the accuracy of the injection and minimizes the risk of complications.


Once the needle is correctly positioned, a mixture of corticosteroid medication and anesthetic is injected into the epidural space. The corticosteroid reduces inflammation, while the anesthetic provides immediate pain relief.

Benefits of the Injection

By targeting the epidural space, this procedure provides relief to specific nerves that are causing pain, reducing discomfort and improving quality of life. The procedure involves a small needle and requires minimal recovery time compared to surgical options.

By directly addressing the inflamed or compressed spinal nerve root, this procedure offers localized pain relief.

Many patients experience extended pain relief due to the anti-inflammatory effects of corticosteroids.

Most patients can resume their normal activities within a day or two after the injection, allowing for a faster return to daily life.

Recovery and Follow-Up

Following the injection, you might experience some initial soreness at the injection site. This is a normal reaction and should subside within a few days. It’s essential to keep track of your pain levels and any changes in your symptoms. Our medical team will provide you with post-procedure guidelines, including any activity restrictions. A follow-up appointment will be scheduled to assess your progress and the effectiveness of the injection.