Back Pain Management

About Epidural Steroid Injections:

Epidural steroid injections provide relief from back pain. A steroid injection includes both a corticosteroid and an anesthetic numbing agent. The injection works on the spinal nerves by flushing away the proteins that cause swelling. The pain relief can last from days to years, allowing your spinal condition to improve with physical therapy and exercise.


What to expect:

Each ESI procedure at Premier Diagnostic Imaging is staffed by a nurse, a radiology technologist and a radiologist. Needle placement is guided under fluoroscopy to deliver the medicine to the epidural space of the spine. Depending on the severity of the pain and inflammation, patients may receive a series of three injections.


How to prepare:

You must have a driver the day of your procedure, as you will not be allowed to drive home afterward. We recommend that someone stay with you for 12 hours following the injection. Drink plenty of clear fluid up to one hour prior to your procedure to stay hydrated. Caffeinated beverages (colas, teas, coffee, etc.) are recommended to help prevent post-procedure headache. You should not eat any solid food for four hours prior to exam. If you are on antiplatelet or blood thinning medications, stop medications for the recommended periods below:

  • Wardarin (Coumadin) - Stop 5 days prior to procedure
  • LMWH - Stop 24 hours prior to procedure
  • Antiplatelet medications:
    • Aspirin, NSAIDS, and Persatine, etc. - Stop 48 hours prior to procedure
    • Aprixaban (Eliquis) - Stop 3 days prior to procedure
    • Pradaxa (Dabigatran) - Stop 5 days prior to procedure
    • Plavix (Clopidrogell), Effient (Prasugrell) - Stop 7 days prior to procedure
    • Ticlopidine - Stop 14 days prior to procedure