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
"My name is Mark Walter. Doctor Carll and his staff are simply the best when it comes to spine and back care, bar none ! Ive had a total of 6 spine surgeries to date. My first one was done by a different doctor and it failed. I found Dr Carll after exhaustive research and countless inital consultations with numerous other doctors and I'm so glad I found him. He has since then performed five additional spine surgeries on me. I was badly screwed up to say the least and he literally gave me my life back. I highly recommend him to everyone including my own family members, one of which he also done surgery on and like me she was totally thrilled with him and the results. His staff are hands down the best in the business and the only team that Ive NEVER had a single complaint or issue with !!! This man knows his stuff and sets the standard other doctors and surgeons only dream of achieving. No games and no lies. Just kindness, honesty, and most importantly, he treats people like his friends and neighbors and not an ATM machine like so many doctors do now days. Give his office a call. Its the best thing you will ever do for your spine & your own peace of mind."- F. / Google / Nov 07, 2019
"Dr Carll was a lifesaver for me! I fought the back pain from a pinched/herniated sciatic nerve for 7 months. I tried everything from PT, chiropractic, spinal decompression, antigravity table, ibuprofen and more ibuprofen and steroids. Eventually, the pain was so unbearable that I could not sit through a meal or even drive. I finally gave up avoiding surgery and went to Dr Carll. I had minimally invasive microdisctectomy and the results were excellent. A few months of rehab later and I’ve got my life back. I’m so glad I saw Dr. Carll! He was so caring and explained everything thoroughly, including what to expect after surgery. His staff was just as wonderful and caring. I’d go back to him in a heartbeat. I’m very grateful for his skilled hands. God bless them."- M.J. / Healthgrades / Oct 15, 2019
"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
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.