Types of injections
- Epidural steroid injections (ESI): reduce inflammation around irritated nerve roots, used for sciatica, radiculopathy and stenosis. Performed in the cervical, thoracic or lumbar spine.
- Selective nerve root blocks: target a single nerve to confirm which one is causing symptoms before surgery.
- Facet joint injections and medial branch blocks: treat or diagnose arthritic facet joint pain.
- Sacroiliac (SI) joint injections: address pain from the joint linking the spine and pelvis.
What to expect
Injections are performed under fluoroscopic (X-ray) guidance for accuracy and safety. The procedure usually takes 15 to 30 minutes and you go home shortly after. Relief may begin within days and can last weeks to months.
Role in your treatment plan
Injections are part of a broader plan that usually includes physical therapy and activity changes. For some patients they provide lasting relief; for others, they help confirm the pain source and guide whether surgery is likely to help.
Common questions
How many epidural injections can I have?
Most physicians limit steroid injections to a few per year to reduce side effects. Dr. Ferachi will tailor the plan to your response and health.