Lumbar Epidural Steroid Injections

The Center for Pain Management uses lumbar epidural steroid injections as a pain management treatment option to relieve chronic back pain and spine pain. No matter if performed at the lumbar, cervical, or thoracic level of the spine, an epidural steroid injection is a common procedure to treat spinal nerve irritation caused by tissues next to the nerve pressing against it. The nerve root is most often irritated by an inflamed intervertebral disc directly touching the spinal nerve.

An epidural steroid injection involves bathing an inflamed nerve root in steroids (potent anti-inflammation medicine) in order to decrease the irritation of the nerve root that is causing pain.  Epidural steroid injections are most commonly used in situations of radicular pain, which is a radiating pain that is transmitted away from the spine by an irritated spinal nerve. Irritation of a spinal nerve in the low back (lumbar radiculopathy) causes pain that goes down the leg. Epidural injections also are used to treat nerve compression in the neck (cervical spine), referred to as cervical radiculopathy.

The spinal cord itself rests in the spinal canal. The nerve roots branch out from the spinal cord at each level of the vertebae (the bony building blocks of the spine). The cord is protected by cerebrospinal fluid (CSF), which serves as a sort of shock absorber for the cord. The CSF is held in place by a membrane with several layers, one of which is called the dura.  The epidural space is outside of this tough membrane.

During an epidural steroid injection, a needle and syringe are used to enter the epidural space and deposit small amounts of long-lasting steroids around the inflamed spinal nerve. A fluoroscope (a viewing instrument using x-rays) is used to see the appropriate anatomy during the injection. The epidural steroid injection specifically targets the inflamed area and treats it with a maximal amount of steroids, thereby minimizing exposure of the rest of the body to the steroids.

Updates + Announcements

Labor Day Schedule: All Offices Will Be CLOSED Monday, September 3

All of the Center for Pain Management’s locations will be CLOSED for Labor Day on Monday, September 3, 2018. We will re-open Tuesday, September 4 and operate during regular office hours: 8:00 am – 4:30 pm. If you have a…
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CBS Affiliate WLFI-18 in Lafayette Indiana Interviews Dr. Edward Kowlowitz About Prescribing Pain Medications

Reporter Kayla Sullivan with WLFI-18 TV (CBS affiliate), interviewed Lafayette pain management doctor, Dr. Edward Kowlowitz, MD at the Center for Pain Management. The news channel has been investigating why major pharmacies are denying prescriptions for pain medications. Dr. Kowlowitz…
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Meet Dr. David Miller, MD in Our Lafayette, Indiana Pain Center

Dr. David C. Miller is a Board Certified interventional pain management physician with more than 25 years of experience. He specializes in the evaluation and treatment of complex pain problems utilizing advanced interventional therapies, injections, implantable technologies, regenerative medicine, palliative…
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Meet Dr. Scott Kim, MD in Our Greenwood Pain Center

Dr. Scott Kim, MD is board certified in Anesthesiology and Pain Medicine. He has notable expertise in a wide range of interventional medical procedures for treating acute and chronic pain conditions. Learn More About Dr. Scott Kim, MD at the…
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Meet Dr. David Gordon, MD in Our Indianapolis Pain Center

Dr. David M. Gordon is a board certified anesthesiologist with expertise in neuromodulation. He specializes in the evaluation and treatment of acute and chronic pain conditions. Learn More About Dr. David M. Gordon, MD of the Center for Pain Management…
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