Epidural steroid injections are a safe, effective and minimally invasive means of controlling spine and extremity pain caused by bulging discs, surgical scar tissue or degenerative disc changes. These injections control pain by reducing inflammation and swelling. Rather than simply masking the symptoms, epidural steroid injections address the actual cause of pain and can control symptoms for prolonged time periods.

The goal is to inject the medication as close to the pain source as possible, using one of two types of injections. Which injection we use will depend on your condition and which procedure will likely produce the best result, we determine this upon proper diagnosis.

Fluoroscopy Imaging Device

A brief increase in discomfort for one to two days after the injections is common and nothing to be concerned about. The steroid injection will reduce inflammation and pain after two to three days. Most patients experience a 50 percent or greater reduction in radicular pain that lasts for weeks to years. Radicular pain is pain that is "radiated" along the sensory distribution of a nerve due to inflammation or other irritation of the nerve root at its connection to the spinal column.

One type of injection that is used is called a "Translaminar" injection. This injection delivers medication into the epidural space adjacent to the inflamed or degenerated disc, bathing the irritated nerve roots in a potent anti-inflammatory steroid solution. Medication is simultaneously delivered to the nerve roots on both the right and left sides of the inflamed area. Translaminar injections are often done in the office without x-ray or fluoroscopic guidance. X-rays may be needed in special cases, such as with a patient who has had back surgery or has spinal problems.

The second type of injection we use is called a "Transforaminal" injection. This injection delivers medication at the opening for a specific nerve root and into the adjacent epidural space. Transforaminal injections are often done in the office and require the use of fluoroscopic x-ray for a more precise needle placement.

Epidural steroid injections may be repeated up to three times within a six-month period. It is best to limit the patient’s exposure to steroids, as high dosages can cause side effects.

Epidural steroid injections are safe and unlikely to result in a complication. Approximately 10 percent of patients may experience side effects that last a few days following the injection, including:

  • Hyperactivity, sleeplessness
  • Lethargy, drowsiness
  • Headaches
  • Mood swings
  • Night sweats
  • Temporary increase in appetite
  • Temporary increase in blood glucose levels (diabetic patients)
  • Fluid retention

All of these side effects are temporary and generally last no longer than two to three days. Oracle Pain Clinic can treat more serious side effects with medications. 

Contact Us

4523 Cemetery Rd
Hilliard, OH 43026
Call for Appointment: 614-876-1618
Fax: 888-990-1755


About Us

Dr. Samuel Essandoh M.D. had his residency training at the Columbia College of Physicians and surgeons at the Harlem Hospital in New York, NY.  He did his fellowship in Pain Management at the Memorial Sloan Kettering Cancer Center in Manhattan, New York one of the top two cancer centers in the entire United States where he was thought of as one of the best in the field of Pain management.

He holds three board certifications in Pain Management, Internal Medicine and Palliative Medicine.

He has multiple publications to his credit including pain management in cancer survivors and was a content review expert for palliative medicine guidelines when he was working at the Marshfield Clinic, the main competitor of Mayo Clinic in northern Wisconsin. 

In 2011 and 2012 he was recognized as one of the top pain management physicians in America by the Prestigious Consumers' Research Council of America because of his dedication to patient care and the recognition from his peers and mentors.

Dr Essandoh is also a full member of the American Society of Interventional Pain Physicians.