Interlaminar (Midline) Lumbar Epidural Steroid Injection
This procedure is directed specifically toward an irritated or compressed nerve in the lower back.
This procedure directly targets the space around the nerve that is the presumed problem area. Direct injection around the nerve of anti-inflammatory steroid medication and numbing medicine is accomplished with a small needle under x-ray guidance.
If you have temporary improvement in your pain immediately after the procedure from the numbing medication it can confirm that your pain is coming from the nerve that was targeted.
Pre Injections Instructions
If you are anxious about your procedure, sedation may be an option for you.
If your plan of care involves sedation, you must meet the following criteria:
Come to your appointment with a responsible adult driver.
Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions.
If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.
If you are taking blood thinners your pain physician may ask they be discontinued prior to injection. Never stop these medications without permission from the physician prescribing them. Please call our office if your blood thinner is not listed:
If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.
Start the Path Towards Healing
Our physicians offer diagnostic testing, fluoroscopic guided procedures and steroid injections. Our goal is to restore function of damaged joints, nerves, and muscles to treat low back, neck, and other pain. Our mission is to have all patients living their lives with minimal pain and to meet each of our patients’ needs with the highest quality care. We offer innovative solutions utilizing the latest, minimally invasive technologies.