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Procedures
Epidural Block
Epidural steroid block An epidural block is performed under fluoroscopy to confirm a specific diagnosis and/or decrease pain and inflammation. This can be given in the cervical (neck), thoracic (upper back), and lumbar (lower back) area. The epidural space is a fairly tight bony canal containing fat that cushions the spinal cord and the nerve roots within the spinal canal. Lower back pain, leg pain, and arm pain are usually caused by inflammation and irritation of nerve roots. This may be due to arthritis, ruptured or bulging disc and continued post-operative scarred or swollen tissues, all likely contributing to interference in the blood supply sources and contributing to chronic ischemia (oxygen and nutrients deprivation). By injecting a steroid into the epidural space that surrounds the nerve roots, the inflammation and swelling are decreased, and shrinking the boggy , angry tissues we can allow at least a temporary improvement in that toxic environment.
