How are Epidural Steroid Injections (ESI) performed?
Watch this short video that explains how cervical spine injections are performed.
ESI is a procedure that is routinely done by our Spine Surgeon Dr. Remi Nader, here at the Texas Center for Neurosciences in Houston Texas.
Epidural Steroid Injections (ESI) alleviate Neck, Arm, Back and leg pain.
Inflammation occurs at the Facet joint and at the nerves in the spine.
Dr. Nader injects a local anesthetic at the surface of the skin to numb the area.
He then changes the small needle to a larger one,.
Using an x-ray fluoroscope, he then inserts the needle through the skin into the epidural space.
He then injects a contrast dye to ensure that the needle is in the desired position.
The Epidural solution is finally injected into the epidural space to relive the pain.
Who is a candidate for ESI?
People with spinal stenosis, herniated discs, degenerative disc, sciatica and spondylolisthesis.
How long does ESI last?
Another injection is often given within the following month for optimal results. And successful procedures can provide years of relief.
Contact Dr. Nader for a consultation.



The part explaining that the injection is guided with an X-ray fluoroscope stood out to me, particularly the sequence of numbing the skin, positioning the needle, and using contrast dye to confirm its location before the epidural solution is delivered. That step-by-step description makes the procedure feel much more precise than the phrase “spinal injection” might suggest, and it made me wonder how much reassurance patients get simply from understanding what is happening during each stage. I also found the distinction between the local anaesthetic used at the skin and the later epidural medication interesting, because it shows that several separate parts of the procedure are involved rather than it being one straightforward injection. That attention to process reminded me,…
I didn’t realize the contrast dye was used to confirm needle placement before the steroid is injected—that’s a reassuring safety step, especially for something so precise. Thanks for explaining the process so clearly for patients like me. By the way, I keep a free GIF to MP4 converter I like to share: https://giftomp4.net/
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