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

North Meridian Office CLOSED, April 8, 2019

Patients, Our 8805 N. Meridian St. location is closed today, April 8, due to a water main break.  If you have questions please call 317-706-7246 tomorrow (April 9) during normal business hours. Thank you, Center for  Pain Management

New Research Shows Long Term Results from Spinal Cord Stimulation (SCS) Implants

Patients Report Improvement in Pain Relief & Daily Life Activity Two Years After Spinal Cord Stimulation (SCS) Implants The European Journal of Pain recently accepted a research article for peer review, “Spinal cord stimulation for chronic refractory pain: long‐term effectiveness…
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WEATHER ALERT: All Locations are OPEN During Regular Office Hours

Worried about the weather? Follow us on social media for updates! ALL locations for the Center for Pain Management are OPEN during regular office hours. This includes our Indianapolis, Greenwood and Lafayette, Indiana pain treatment centers. We will update our…
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Dr. Edward Kowlowitz Named One of America’s Top Doctors in Pain Medicine

Castle Connolly Medical Ltd. named Edward Kowlowitz, MD one of America’s Top Doctors in Pain Medicine. Dr. Kowlowitz is 1 of 7 physicians in Indiana to earn this distinguished designation. He has been practicing medicine since 1988 and founded Center…
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September is Pain Awareness Month

Center for Pain Management joins the global health care community in recognizing September as Pain Awareness Month.  This international campaign was first established in 2001 to create greater understanding that pain is a serious public health issue. Pain Awareness Month…
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