Conditions we treat

Understanding Epidural Injections : What You Need to Know About Epidural Steroid Injections for Pain Relief
Epidural injections are a minimally invasive option offered at Hess Spine and Orthopedics to help relieve pain caused by spinal inflammation and nerve irritation. These targeted treatments deliver medication directly into the epidural space surrounding the spinal cord, easing discomfort and improving mobility for patients dealing with herniated discs, sciatica, spinal stenosis, and other related conditions.
How Epidural Injections Work
The injection combines a corticosteroid (to reduce inflammation) with a local anesthetic (to numb the area). It is administered into the epidural space under image guidance. This reduces pressure on nerves, leading to pain relief.
Types of Epidural Injections
Transforaminal Epidural – Medication is delivered to a specific nerve root.
Interlaminar Epidural – Injected between vertebrae in the back of the spinal canal.
Caudal Epidural – Delivered through the sacral hiatus at the base of the spine.

What to Expect
Before the Procedure
- Share your medical history and medications
- Avoid blood thinners as instructed
- May need to fast a few hours before
During the Procedure
- Local anesthetic applied
- Needle guided via fluoroscopy or ultrasound
- Medication injected into the epidural space
After the Procedure
- Mild soreness is common
- Avoid strenuous activities for 24 hours
- Pain relief may begin within a few days
- Follow-up scheduled to assess outcome
Risks and Side Effects
Epidural injections are generally safe, but potential side effects include:


Why Choose Hess Spine and Orthopedics
- Experienced, board-certified providers
- Image-guided precision for every injection
- Personalized care plans based on your condition
- Trusted by patients across New Jersey for non-surgical spine care
Related Services
We also offer treatment and surgical solutions for:
FAQ
How do epidural injections relieve pain?
They reduce inflammation around irritated nerves by delivering medication directly into the epidural space.
How long does relief last?
It varies—some patients feel better within days, with relief lasting weeks or months. Multiple injections may be recommended.
Are epidural injections painful?
Most patients report only minor discomfort, similar to a flu shot. The injection site is numbed beforehand.
Can I return to work after the procedure?
Many patients return to light activity the next day, but strenuous tasks should be avoided for 24–48 hours.
How often can I get an epidural injection?
It depends on your condition and response to treatment, but typically no more than 3–4 times a year.
Serving patients in Old Bridge, Clifton, Sewell, Union, Paramus, Raritan, Wayne, Avenel, and Totowa.