An epidural steroid injection (ESI) is a minimally invasive, pain-relieving procedure that helps to decrease neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI can be used to relieve a few common back conditions, such as spinal stenosis, spondylolysis, or disc herniation. During this procedure, medication is delivered to the damaged spinal nerves through the epidural space (the area between the spinal nerves and vertebrae). The primary goal of the treatment is to decrease back pain to such an extent that daily activities can be resumed. Pain relief following ESI may last weeks or even years.
Dr. Kendall Carll of Spine Care of North Texas is a board-certified spine surgeon with more than 15 years of experience treating back pain with proven surgical and nonsurgical procedures and therapies. By prioritizing minimally invasive treatments like ESI, Dr. Carll is able to help you return to an active lifestyle without the need to undergo surgery. Contact one of our North Texas facilities for more information.
"I recently experienced a pinched nerve that severely affected my ability to use my right hand. I contacted Dr. Carll who immediately went to work on my behalf. Knowing that this was a time sensitive situation Dr. Carll went out of his way to ensure that I received the appropriate MRIs, CAT scans, and nerve studies to properly diagnose my situation. After reviewing all the test Dr. Carll exhibited true professionalism and integrity by referring me out to Dr. Patty Young (I am so thankful for your referral) who specialized in the surgery that I would need. Dr. Carll could’ve chosen to operate because I had several degenerative disc, however he chose ethics over profit. Dr. Carll is a true professional that will put your health over profit! When it comes to your health there’s nothing more important than having a doctor that you can trust to be professional and ethical. Thank you Dr. Carll for providing me with both!"- K.H. / Google / Aug 29, 2018
"Dr. Carll is THE BEST!!! I had to have an A-lift spinal fusion and never before have I seen such a caring doctor and staff. They held my hand through my fears were actually there for me and more throughout the process. I don't believe there is a more caring, more compassionate doctor than Dr. Carll. Thanks to him and his amazing abilities I can feel my right leg again and now live without pain. I will forever be grateful to this office and Dr. Carll for being there for me as a person and as a patient.-Nicole Baucum"- Anonymous / Healthgrades / May 17, 2019
"Excellent care - Very compassionate doctor! Truly cares about your pain and issues."- Anonymous / Vitals / Feb 12, 2019
"Excellent Care!! - I had put off my 360 Spinal Fusion for over a decade, relying on epidurals to deal with the pain. After doing two years of thorough research, I chose Dr. Kendall Carll at the Spine Care of North Texas. Being that I’m in the medical industry, I did ask around, too.From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels.The staff did a great job setting up my home health care; which included a nurse and a physical therapist. They, too, did an outstanding job. A large part of my job involves air travel. I felt so “good” I reached out to see if I was ok to travel. I followed all restrictions, primarily lifting, and was able to take a two-hour flight. This is amazing considering it was only 23 days post-surgery.If you’re like me and will use insurance, be sure to do the match; to make sure your rehab will be completed by the end of the year.“I am 100% satisfied with my experience with Spine Care of North Texas. Every single person on staff was terrific, and the system worked flawlessly. I now refer all my friends and family to them."- Anonymous / Vitals / Feb 04, 2019
"From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels. They are the best!!!"- E.E. / Healthgrades / Feb 04, 2019
Dr. Carll can help determine if you are a candidate for ESI during a consultation and examination. It is important to keep in mind that ESI is not a cure for any condition, but instead, a means for managing your pain. Those who are most likely to benefit from ESI are patients who have attempted conservative treatments for their chronic back pain to no avail. ESI can also help treat sciatica and bulging or herniated discs. Those suffering from spinal stenosis are also candidates for this procedure. Patients suffering from spinal injuries that are the result of trauma or failed back surgery may also obtain ESI treatment to relieve their back pain.
Dr. Carll will refer you to a pain specialist to receive this injection. There are several different techniques that may be used for the ESI procedure, the most common of which is x-ray guidance (fluoroscopy), typically with the patient lying on their stomach. The procedure will be performed using local anesthesia but is occasionally performed under general anesthesia. The needle will be gently guided into the epidural space, where the steroid will be injected, treating the spinal injury responsible for your pain. ESI is typically performed in under ten minutes followed by a short (15 minutes) recovery before you are sent home.
What to Expect
You may notice a decrease in your back pain in the first two hours following the injection if a local anesthetic is used in conjunction with the steroid. However, when the anesthetic wears off, your pain will likely return to the severity it was before. True pain relief should begin within five days of your procedure, with some patients experiencing relief before or even after this time frame. Those with diabetes should monitor their blood sugar closely following the procedure, as it could cause a spike.
After being discharged, you should plan to return home to rest for the remainder of the day. If you have pain at the injection site, ice and over-the-counter pain relievers should help. Most patients are able to return to work the next day.
Dr. Kendall Carll and his skilled support team at Spine Care of North Texas are committed to helping you achieve pain relief. Back pain is a complex condition caused by a multitude of factors that can affect everyone in a unique way. Our team is committed to diagnosing the cause of your pain and helping you achieve relief in as minimally invasive a manner as possible. If you or a loved one is suffering from back pain and ready for a solution, we encourage you to contact one of our North Texas offices today. We look forward to working with you.