Epidural Steroid Injections & Spinal Stenosis in Calabasas, Agoura Hills, CA

Call Us: 818-501-PAIN (7246)

ESI for fast-acting pain relief

Looking for comprehensive back pain relief? Suffering from neck and shoulder pain? Jeffrey B. Glaser, MD, uses epidural steroid injections (ESI) to relieve low back, neck, arm and leg pain (sciatica pain) caused by the irritation of spinal nerves. ESIs are a nonsurgical treatment designed to alleviate pain caused by disc herniation, spinal stenosis, spondylolysis and spondylolisthesis.

The goal is to reduce pain so that patients can resume their normal activities and, in some cases, start or continue with physical therapy. The ESI delivers a long-lasting steroid and an anesthetic agent to the irritated, inflamed spinal nerve. Medicine is delivered directly to the nerve through the epidural space.

ESI’s effects vary

Most patients who are good candidates and carefully selected will get long-lasting relief from epidural steroid injections. ESIs can relieve symptoms caused by inflammation and pressure on spinal nerves. ESI includes both a corticosteroid and an anesthetic such as lidocaine. These drugs are delivered into the epidural space between the protective covering of the spinal cord and the vertebrae. Corticosteroids can reduce inflammation and pain when delivered directly to the source of back or neck pain. There are two types of ESIs:

Translaminar:

Placed between the lamina of two vertebrae from the back. This approach allows medication to spread through the epidural space. Translaminar injections are not nerve root-specific. If foraminal stenosis exists, injected medications may not exit the foramen.

Transforaminal injection/Selective nerve root blocks:

An approach for injecting therapeutic medications around nerve roots at the exact site of inflammation. This technique also allows medication to enter the epidural space through the foramen.

Candidates for ESI

Patients with pain or radiculopathy in the low back, neck, arm or leg may benefit from ESI if they present with the following conditions:

Herniated disc:

When the gel-like middle of an intervertebral disc squeezes out from the center and touches a spinal nerve, pain can result.

Spinal stenosis:

Narrowing of the spinal and nerve root canals most often due to osteoarthritis. This causes back and leg pain, especially when the patient is walking.

Radiculopathy:

When a nerve root does not work properly, numbness, weakness, referred pain or difficulty controlling specific muscles may result.

Spondylolysis:

This is a weakness or fracture to the upper and lower facets of a vertebra. The resulting instability can cause pain, as well.

Spondylolisthesis:

When a spinal vertebra slips forward, it is called spondylolisthesis. This condition can lead to compressed nerve roots and pain.

When the patient’s symptoms interfere with therapeutic exercise, ESI can reduce pain enough to help patients undergo physical therapy and rehabilitation. At Glaser Pain Relief Center, dual board-certified anesthesiology and pain management specialist Jeffrey B. Glaser, MD, uses ESI to treat selected pain patients.

We serve the residents of Encino, Agoura Hills, Calabasas, Sherman Oaks, Studio City and the nearby communities.

For fast, effective treatment for lower back pain relief, neck pain relief or sciatica pain relief, trust Dr. Glaser to deliver long-lasting solutions. Schedule an appointment with us at 818-501-PAIN (7246). For your convenience, you can use our Patient Portal book your consultation. Our ESI patients come to us from Agoura Hills, Beverly Hills, Burbank, Calabasas, Camarillo, Encino, Granada Hills, Lancaster, Los Angeles, Malibu, Northridge, Palmdale, Porter Ranch, Santa Monica, Sherman Oaks, Simi Valley, Stevenson Ranch, Studio City, Tarzana, Thousand Oaks, Toluca Lake, Valencia, Westwood, Woodland Hills and the nearby communities.

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Contact Details

16311 Ventura Boulevard, Suite 518,
Encino,CA 91436


Call us today:

818-501-PAIN (7246)

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