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Epidural Injections Houston & Bellaire

The epidural space is the area within the spinal column around the spinal cord and nerves. In this space, nerve roots exit the spinal column and connect to the peripheral nervous system. The epidural space is a sleeve-like substance encompassing the spinal cord, including the dorsal sac, fat, blood vessels, spinal nerves, and connective tissues. When inflammation occurs in this area, it can irritate the nerve roots, resulting in chronic pain lasting for weeks or even years. Texas Intergrative Pain Institute offers epidural injections in Houston and Bellaire for severe and chronic pain patients. If you want to learn more about the Epidural Injection treatment we offer, contact us. by clicking the button below so we can schedule a convenient time for our team of advanced pain specialists to review your pain symptoms and health history to see if ESI injections are right for you.

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What Are Epidural Injections

Epidural Injections, or ESI, are treatments that have been used for years to combat inflammation in or near the epidural space in your spine. Many conditions can cause inflammation, from herniated discs to sciatica, osteoarthritis, and several other causes of back pain. Other conditions that may irritate the nerve roots in the epidural space include:

Epidural injections contain an anti-inflammatory steroid that can reduce the inflammation around the nerve roots. The procedure is performed with image-guided needles to deliver the medication to the exact position in the epidural space.

The nerves within the region are then bathed in steroids and anesthetic, inhibiting the pain from being able to radiate. Beneficially to the patient, the injection delivers concentrated medicine directly to the source of the pain.

It is important to note that the injection is never administered to the spinal cord. There are three locations for the injection: cervical, thoracic, and lumbar, depending on where the source of your pain is. Dr. Warfield will be able to determine the best location approach for your ESI.


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Types of Epidural Injections

Our Houston and Bellaire patients may receive the following:


Caudal injections are a type of epidural injection administered to your lower back. The epidural injection contains a steroid that reduces pain and inflammation. This outpatient procedure means you can go home the same day. Most patients have minimal downtime and experience back pain relief within a few days. Extremely rare risks include infection, bleeding, Dural puncture, nerve damage, and hiccups. Over 60% of patients receiving CI epidural injections in Houston and Bellaire were able to decline surgery.

Interlaminar: Interlaminar epidural injection refers to a procedure that involves the delivery of steroids between the laminae of two adjacent vertebrae. This interventional pain medicine aims to relieve radicular pain by spreading the medication over a larger area, which can significantly impact patients with multi-level spinal pathology. One common side effect is temporary pain at the injection site which will diminish within 48 to 72 hours. Other symptoms can be headaches. In very rare cases, the patients may feel little to no pain relief.


Transforaminal: With a transforaminal epidural injection, the needle is smaller, and the patient will receive the medication lying on their belly as the pain management doctor uses X-ray guidance with dye to enhance the images. The transforaminal epidural steroid injection (also known as TFESI) is also injected into the epidural space, but the medical professional delivering the injection takes a lateral approach to the spine. TFESI is injected where the nerves from the spine move toward the rest of the body. This injection also offers diagnostic ability because it can be directed at specific nerve roots. 


Recovery from Epidural Steroid Injections: The procedure for an epidural steroid injection may take 15-30 minutes. The patient will be monitored for a short period after the injection and is able to go home with a driver to assist them. Patients are encouraged to only engage in light activity for a few days after their procedure because some soreness at the injection site is to be expected. Some patients may begin experiencing pain relief immediately, with the full benefit of the ESI taking effect between one to four weeks.


The Success Rate Of Epidural Injections?

For patients in our Houston and Bellaire clinics, epidural Injections can have many benefits to pain reduction. For those who experience only mild pain relief, one to two more injections may be performed a few weeks apart to achieve the full desired effect. Duration of relief can vary from weeks to years based on many factors of an individual’s affliction.



Dr. Brett Warfield is board-certified in  anesthesiologist and  interventional pain management. He has been practicing medicine for over 20 years. He is committed to alleviating your pain and restoring your well-being faster & without surgery. Contact TIPI Pain Management in Houston to schedule your consultation today. 


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