Lumbar Epidural Steroid Injection (without contrast)


This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.



The patient lays face down. A cushion under the
stomach area provides comfort and flexes the back.
In this position, the spine opens and allows for
easier access to the epidural space. A fluoroscope
assists the physician in locating the appropriate
lumbar vertebra and nerve root. A local anesthetic
is used to numb the skin.

Tissue Anesthetized
All the tissue down to the surface of the lamina
portion of the lumbar vertebra bone is anesthetized.

Needle Inserted
The physician slides a thicker needle through the
anesthetized track.

Guided to Epidual Space
Using the fluoroscope for guidance, the physician
slides the needle toward the epidural space
between the L-4 and L-5 vertebra.

Steroids Injected
A steroid-anesthetics mix is injected into the
epidural space, bathing the painful nerve root with
soothing medication.

End of Procedure
The needle is removed, and a small bandage is
applied to cover the tiny needle surface wound. In
some cases it may be necessary to repeat the
procedure as many as three times to get the full
benefit of the medication. Many patients get
significant relief from only one or two injections.