Rehabilitation Medicine Center of New York

NYC Locations: 80 Maiden Lane | Park Ave
212-619-2610

Rehabilitation Medicine Center of New York

80 Maiden Ln, New York, NY 10038 | 212-619-2610

Rehabilitation Medicine Center of New York
Rehabilitation Medicine Center of New York

Authorized by the New York Workers’ Compensation Board

Lumbar Epidural Steroid Injection

Doctor examining patients back

A lumbar epidural steroid injection is administered to help relieve low back pain with or without leg pain (lumbar radiculopathy).  Similarly, a cervical epidural steroid injection is performed to decrease neck pain and cervical radiculopathy.  Dr. Jose Colon, MD  may perform an epidural spinal injection for one or two reasons:

  1. Reduce nerve inflammation, calm symptoms, aid healing
  2. Obtain important diagnostic information*

*Pain relief may prove a particular nerve root is causing or contributing to pain and symptoms.

The entire procedure often takes about 15 minutes.  However, if you have more than one spinal level treated, your procedure may take longer.

Medications injected

The procedure involves injecting a local anesthetic and corticosteroid into the epidural space.  As the medications are injected, they coat nerve roots. The local anesthetic provides immediate short-term pain relief.  Corticosteroids take time to be effective, but may provide long-term pain relief.

  • A corticosteroid is a powerful, slow-releasing man-made anti-inflammatory drug.
  • The epidural space is a protective tissue around the spinal cord.  It contains blood vessels and fat tissue.

About the procedure

An epidural injection is administered in a sterile setting.  After you change into a gown and lie down, medications are given intravenously to relax you.  In the procedure suite, you are positioned face down on the table.  A cushion is placed beneath your abdomen to flex your spine.  The skin area is cleansed using sterile soap.  A local anesthetic is injected to numb your skin and spine muscles.  Our doctors keep you comfortable during the entire procedure.

The procedure is performed using fluoroscopy (real-time x-ray) to guide the needle into position.  A contrast dye is injected to confirm needle placement.  Then the anesthetic and corticosteroid is injected into the epidural space.  Pain may temporarily increase during the injection.  After the injection, a small bandage covers injection site.

After the procedure

You are moved into a recovery area where your vital signs are closely monitored until Dr. Colon and his medical team deems you are ready to go home.

Before you are released to go home, our medical team gives you written home-care instructions.  It is common to feel some discomfort two or three days after a lumbar (or cervical) epidural steroid injection.  Post-procedural discomfort does not always mean the corticosteroid is not taking effect.  If you have any concerns or questions, please contact us.  We are here to help you.

Day after

A medical staff member telephones you the morning after your spinal injection to follow up.  We urge you to keep a pain journal to record your discomfort or pain and symptoms.  Your notes help Dr. Colon measure your response to the spinal injection.

We Understand Your Pain

  • You—your pain, expectations and treatment goals.
  • Precise diagnosis—our doctors specialize in precision diagnostics.  An accurate diagnosis is the first step to an effective and efficient treatment plan.
  • Provide patient-friendly educational materials, including illustrative videos to help you learn about spinal anatomy, conditions and treatments.
  • Interventional pain management.  Instead of masking pain, we “intervene” to stop and manage pain while you heal.
  • Functional rehabilitation.  Physical therapy helps you regain and build flexibility, strength and endurance.
  • Be available to answer all your questions and address each concern.

 

Meet Your Expert Pain Management Team

Jose F Colon MD

Jose Colon, MD

Pain Management

Michael Seidenstein MD

Michael Seidenstein, MD

Orthopedic Surgery

Allwyn J Levine MD

Allwyn Levine, MD, MPH

Pain Management

Milton Eng RPT

Milton Eng, RPT

Director of Physical Therapy

Edwin Perez MD

Edwin Perez, MD

Pain Management

Armando Villarreal MD

Armando Villarreal, MD

Pain Management

Dr. Alexios Apazidis

Dr. Alexios Apazidis, MD

Orthopedic, Spine and Scoliosis Surgeon

Why Choose NYC PAIN?

Top Medical Experts

Our expert team of board-certified surgeons, physical therapists, pain management specialists and knowledgeable staff, allows us to provide you with the highest quality care

Advanced Technology

Our facilities features advanced equipment that gives our team access to the tools they need to help ensure your success

Patient Support

We offer a full 360 degrees of support for our patients. From intake, diagnosis, therapy, surgery and aftercare. Our doctors are always here to help you with any questions or concerns you have

man running with wall in background that says PAINNYC helping you get back to what matters most

Convenient Locations

Serving Greater New York City, Northern New Jersey, Long Island, and Westchester. Our convenient location in lower Manhattan is close to subways, busses & the PATH train station

 

Lower Manhattan | NYC

80 Maiden Lane | Suite 703
New York, NY 10038

 

212-619-2610

Newark | New jersey

638 Mount Prospect Ave
Newark, NJ 07104

 

973-481-4040

NYC PAIN IS READY TO HELP YOU
DIAGNOSE AND TREAT YOUR CONDITION

 

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