Nonsurgical · Injection

Lumbar epidural steroid injections

Lumbar ESIs deliver anti-inflammatory medication directly to an irritated nerve — often used to manage pain from disc herniation or spinal stenosis, and to help patients avoid or delay surgery.

Licensed illustration

Epidural injection
Suggested: cross-section of the lumbar spine showing needle trajectory into the epidural space under fluoroscopic guidance.

Who this treats

Lumbar disc herniation Sciatica Spinal stenosis Nerve root irritation

How it's performed

  1. 01

    Positioning & imaging

    Fluoroscopic (live X-ray) guidance confirms the correct spinal level.

  2. 02

    Needle placement

    A thin needle is carefully guided to the epidural space near the affected nerve.

  3. 03

    Medication delivery

    A steroid and anesthetic combination is delivered to reduce inflammation.

  4. 04

    Monitoring

    A brief observation period precedes same-day discharge.

Technology used

Fluoroscopic guidance

Live imaging ensures accurate needle placement at the intended level.

Recovery & expectations

Setting
Outpatient / same day
Relief onset
Days to 2 weeks
Often paired with
Physical therapy

Individual recovery varies by procedure complexity, overall health, and adherence to post-operative guidance. Discuss your specific timeline during consultation.

Starting with the least that will work

I was pleased that he is trying options before deciding if I need surgery. His office staff is on the ball and called me the next day to set up therapy, an appointment with their pain management doctor, and repeat MRIs.
Donna P. · Google review
As someone who has undergone back surgery before, I was in a panic. Dr. Zaidi worked with me to assuage my fears, prescribed physical therapy and a round of medicine, which worked wonders.
Matt T. · Google review
Very personable. Very matter of fact. Not aggressive with treatment plan; starts slow in order to try all options to avoid surgery.
Kaye M. · Google review

Verbatim from public Google reviews, shown with first name and last initial. Individual experiences, not a guarantee of outcome. More patient reviews →

Ready to talk about whether this procedure is right for you?

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