Home > Tests & Procedures > Non-Surgical > Epidural Steroid Injections
Lumbar zygapophysial joints are found on the posterior aspect of the spine in the lateral aspects where the two vertebrae meet. Injections can be performed for therapeutic or diagnostic reasons, as well as a combination of the two. Anesthetic may be injected, commonly referred to as a “nerve block,” to isolate the problematic joint connection by numbing the offending nerve and temporarily relieving associated pain.
Once determined, corticosteroids may also be injected to the affected region to provide more long term relief. To facilitate injection a physician will typically utilize x-ray imaging to help guide directly to the desired location. Local anesthetic will also be applied to limit the pain involved in performing this procedure, and it should not take longer than 30-60 minutes to complete.
DAY OF SURGERY INFORMATION
Drive to the South parking garage. Free Valet parking is available during business hours. If you self-park, take the elevator from the garage to the first floor to enter the main hospital lobby. Wheelchairs are available if needed. Take the D elevator to the 2nd floor. Proceed to the Surgical and Endoscopy Check-In Desk. Here you and your family will be checked in and escorted to the Pre-op Area to be prepared for surgery. Up to two family members may wait with you until you are taken to surgery. Your family may then wait in the Surgical Waiting room until notified by the surgeon that the surgery has been completed. A receptionist will take down contact information so that your family may be easily reached to speak with Dr. Paul. Complimentary coffee is available for your family while in the Surgical Waiting room. The cafeteria and gift shop are on the ground floor in the North area of the hospital and the coffee shop is in the South area of the hospital for your family’s convenience.
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In the preoperative room you will be prepared for surgery. The team will be checking your vital signs, starting your IV, validating your medications, health history, lab results and any follow up for additional testing needed. At this time, they will obtain your consent for surgery and answer any questions you may still have. Your anesthesiologist will see you and your family prior to your surgery. Dr. Paul, Adam or Kevin will mark your surgical site. You will be escorted to the operating room by cart. Your family can wait in the surgical waiting room. Dr. Paul will call them when surgery is completed. If he can not reach them, he will leave a message with the Patient Liaison. Following surgery you will be taken to the Post Anesthesia Care Unit (PACU) where you will recover for an hour or more. During this time, pain and nausea control will be established and your vital signs will be monitored frequently.