Chronic back or neck pain can be debilitating and significantly impact your ability to work, sleep, and enjoy daily activities. One of the most effective treatments recommended by specialists is the epidural steroid injection (ESI). As an increasingly common option in pain management Fort Worth, ESIs offer targeted relief by reducing inflammation around spinal nerves.
In this guide, a leading pain management doctor in Fort Worth explains what epidural steroid injections are, how they work, and what you can expect before, during, and after the procedure.
What Is an Epidural Steroid Injection?
An epidural steroid injection is a minimally invasive procedure that delivers corticosteroids directly into the epidural space—the area surrounding the spinal cord and nerve roots. The goal is to reduce inflammation, relieve pain, and improve mobility, especially in patients suffering from conditions like:
- Herniated discs
- Spinal stenosis
- Sciatica
- Degenerative disc disease
- Radiculopathy (pinched nerve)
While not a cure, ESIs are a powerful tool in managing pain and may reduce the need for surgery or long-term opioid use.
Why Pain Management Doctors in Fort Worth Recommend ESIs
Many pain management doctors in Fort Worth, Texas recommend ESIs as part of a conservative treatment plan for patients who have not responded well to physical therapy, oral medications, or lifestyle adjustments. These injections provide both diagnostic and therapeutic value. If the injection relieves pain, it helps confirm the source of the issue, guiding further treatment decisions.
Here’s why Fort Worth specialists trust ESIs:
- Non-surgical: A quick outpatient procedure with minimal recovery time
- Targeted relief: Medication is delivered exactly where it’s needed
- Flexible: Can be combined with physical therapy for better outcomes
- Repeatable: Can be administered up to three times per year if needed
The Procedure: What to Expect
If you’re considering an epidural steroid injection, here’s a breakdown of what you can expect when you visit a pain management doctor in Fort Worth:
- Initial Evaluation
Before performing the injection, your doctor will review your medical history, imaging studies (like MRI or CT scans), and current symptoms. They’ll explain the risks, benefits, and alternatives, and answer any questions you have.
- During the Injection
- You’ll lie on your stomach or side, depending on the injection site.
- The skin is cleaned and numbed with a local anesthetic.
- Using fluoroscopic (X-ray) guidance, the doctor inserts a thin needle into the epidural space.
- A mixture of corticosteroid and anesthetic is slowly injected.
The entire procedure typically takes 15 to 30 minutes and is performed in a sterile outpatient setting.
- After the Injection
- You’ll rest briefly and be monitored for any side effects.
- Most patients can walk out unassisted and resume normal activities within a day.
- Pain relief may begin within a few hours to a few days.
How Effective Are Epidural Steroid Injections?
Results can vary depending on the underlying condition, injection site, and severity of symptoms. Some patients experience relief for several months, while others may require multiple injections throughout the year. According to most pain management doctors in Fort Worth, Texas, the goal is to provide a window of relief that allows patients to participate in physical therapy and improve long-term outcomes.
Success rates:
- 50-70% of patients report significant pain reduction
- Improved mobility and function
- Reduced reliance on pain medications
Risks and Side Effects
Like any medical procedure, epidural steroid injections carry some risks, although serious complications are rare when performed by a skilled pain management doctor in Fort Worth.
Common Side Effects:
- Temporary soreness at the injection site
- Headache or dizziness
- Facial flushing
- Elevated blood sugar levels (short-term)
Rare Complications:
- Infection
- Bleeding
- Nerve damage
- Allergic reaction to medications
Always inform your doctor about any allergies, medications, or medical conditions before undergoing the procedure.
Who Is a Good Candidate?
ESIs are ideal for patients with radiating pain caused by spinal inflammation or nerve compression. You may be a good candidate if:
- You have back or neck pain that radiates into your arms or legs
- Other treatments (meds, therapy) haven’t provided relief
- You want to avoid or delay surgery
- You are in overall good health
Pregnant women, individuals with bleeding disorders, or those with active infections may not be eligible.
Finding the Right Pain Management Specialist in Fort Worth
Not all clinics offer the same level of care, so it’s important to choose a provider with extensive experience in interventional pain procedures. A top-rated pain management doctor in Fort Worth will:
- Be board-certified in pain medicine or anesthesiology
- Use advanced imaging technology for accuracy
- Offer a range of pain relief options
- Focus on patient-centered, conservative treatment plans
Several reputable clinics in Fort Worth, Texas specialise in epidural steroid injections and other non-surgical pain relief methods. Be sure to read patient reviews, verify credentials, and schedule a consultation to discuss your options.
Final Thoughts
Epidural steroid injections are a safe and effective way to manage chronic pain associated with spinal conditions. As part of a comprehensive treatment plan, they can provide lasting relief, reduce dependency on medications, and improve your overall quality of life.
If you’re struggling with back, neck, or nerve pain, consider scheduling an appointment with one of the top pain management doctors in Fort Worth, Texas. With the right care and treatment strategy, you can regain control of your life and move forward pain-free.
