Epidural Steroid Injections in Loganville, GA
Image-guided spinal injections for back pain, sciatica, and herniated discs
Back pain, sciatica, and radiating leg pain can make every day feel like a battle. Epidural steroid injections (ESIs) are one of the most effective non-surgical treatments for these conditions — delivering powerful anti-inflammatory medication directly to the source of your pain.
At Southern Comfort Pain & Wellness, Dr. Michael Kissel performs epidural steroid injections using image-guided techniques for precision and safety. With over 20 years of experience in pain medicine and anesthesiology, Dr. Kissel tailors each injection approach to your specific anatomy and diagnosis.
What Is an Epidural Steroid Injection?
An epidural steroid injection delivers a combination of corticosteroid (anti-inflammatory) medication and local anesthetic into the epidural space — the area surrounding your spinal cord and nerve roots. By reducing inflammation at the source, ESIs can provide significant relief from pain, numbness, and tingling caused by irritated or compressed spinal nerves.
Types of Epidural Injections We Perform
Caudal Epidural
Administered through the sacral hiatus (the small opening at the base of your spine). Caudal epidurals are particularly effective for low back pain, sciatica, and pain following failed back surgery. This approach can deliver medication across a wider area of the lower spine.
Transforaminal Epidural (Selective Nerve Root Block)
A more targeted approach that delivers medication to a specific nerve root where it exits the spine. This technique is especially useful when we need to pinpoint and treat pain from a single herniated disc or compressed nerve.
Conditions Treated
- Herniated or bulging discs
- Sciatica and lumbar radiculopathy
- Spinal stenosis
- Degenerative disc disease
- Failed back surgery syndrome
- Cervical radiculopathy (neck and arm pain)
What to Expect
The procedure typically takes 15–30 minutes. You'll lie face down on a treatment table. After numbing the skin with a local anesthetic, Dr. Kissel uses fluoroscopic (X-ray) guidance to precisely place the needle. Most patients feel pressure but minimal pain during the injection. You may notice improvement within a few days, with full effect typically within 1–2 weeks.
After Your Injection
- Rest for the remainder of the day
- You may return to normal activities the next day
- Avoid strenuous activity for 24–48 hours
- Some patients experience temporary soreness at the injection site
- You will need a driver for your appointment
How Many Injections Will I Need?
This depends on your response. Some patients experience significant relief from a single injection. Others benefit from a series of 2–3 injections spaced several weeks apart. Dr. Kissel will evaluate your response and recommend the best approach for your situation. Most insurance plans cover up to 3 epidural injections per year.
Frequently Asked Questions
How long do epidural steroid injections last?
Relief varies by patient and condition. Many patients experience 3–6 months of significant relief. Some patients experience longer-lasting improvement, especially when combined with physical therapy.
Are epidural steroid injections safe?
Yes. ESIs are one of the most commonly performed pain management procedures in the United States. Risks are rare and include temporary soreness, headache, or infection. Dr. Kissel's image-guided technique minimizes risk.
Will the injection hurt?
We numb the area before the injection. Most patients report feeling pressure rather than sharp pain. The procedure is typically well-tolerated.
Can epidural injections help me avoid back surgery?
For many patients, yes. ESIs can reduce inflammation enough to restore function and quality of life, delaying or eliminating the need for surgery. Dr. Kissel will discuss all options with you.
How soon can I return to work after an epidural injection?
Most patients return to desk work the next day. Physically demanding jobs may require 2–3 days of modified duty. Your provider will give specific guidance based on your situation.
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Serving epidural steroid injection patients in Loganville, Snellville, Grayson, Monroe, Conyers, Dacula, Lawrenceville, Bethlehem, and surrounding communities across Gwinnett, Walton, and Newton counties.
Tired of living with back pain?
Schedule a consultation to see if epidural steroid injections can help.