Thoracic Epidural Steroid Injections

December 10, 2024

How Thoracic Epidural Steroid Injections Provide Targeted Relief for Chronic Mid-Back Pain

Chronic mid-back pain can disrupt your daily activities and make even simple tasks challenging. If you’ve been struggling with this type of pain and other treatments haven’t provided relief, a thoracic epidural steroid injection might be the solution you need. This minimally invasive procedure targets the source of pain, offering relief and improving your quality of life. In this blog, we’ll explain what thoracic epidural steroid injections are, how they work, and why they might be right for you. 

What Is a Thoracic Epidural Steroid Injection?

A thoracic epidural steroid injection is a minimally invasive procedure designed to reduce pain and inflammation in the thoracic spine—the middle portion of your back. This procedure is particularly useful for people suffering from pain caused by conditions like herniated discs, spinal stenosis, or nerve compression. 


During the injection, a combination of a corticosteroid (to reduce inflammation) and an anesthetic (to numb the area) is delivered directly into the epidural space surrounding the spinal nerves in the thoracic region. This precise delivery helps to reduce pain at its source. 

Preparation:

  • You’ll lie face down on an exam table, and the area around the injection site will be cleaned and sterilized. 
  • A local anesthetic is applied to numb the skin, ensuring minimal discomfort during the procedure. 

Imaging Guidance:

The doctor uses fluoroscopy (live X-ray) to guide a thin needle into the epidural space in your thoracic spine. This imaging ensures precise needle placement. 

Injecting the Medication:

Once the needle is correctly positioned, the doctor injects a combination of corticosteroid and anesthetic. The corticosteroid reduces inflammation, while the anesthetic provides immediate pain relief. 

Post-Procedure Monitoring:

After the injection, you’ll be monitored for a short period to ensure there are no immediate side effects. Most patients can go home the same day. 

What Are the Benefits of a Thoracic Epidural Steroid Injection?


Thoracic epidural steroid injections offer several important benefits for people with chronic mid-back pain: 


  • Targeted Pain Relief: The injection delivers medication directly to the affected area, providing focused relief. 


  • Reduced Inflammation: The corticosteroid reduces swelling and inflammation around the spinal nerves, alleviating pain. 


  • Minimally Invasive: The procedure is quick, minimally invasive, and doesn’t require surgery. 


  • Improved Mobility: By reducing pain, the injection can help you move more freely and get back to your daily activities. 

Who Can Benefit from a Thoracic Epidural Steroid Injection?


This treatment is often recommended for people with chronic mid-back pain caused by: 


  • Herniated Discs: When the soft material inside a spinal disc pushes out, it can press on nearby nerves, causing pain. 


  • Spinal Stenosis: Narrowing of the spinal canal can compress nerves, leading to discomfort in the thoracic region. 


  • Nerve Compression or Irritation: Conditions like sciatica can cause radiating pain in the back and surrounding areas. 


  • Thoracic Degenerative Disc Disease: Wear and tear on the spinal discs can lead to inflammation and chronic pain. 


If you’ve tried other treatments like physical therapy, medications, or over-the-counter remedies without success, a thoracic epidural steroid injection may provide the relief you need. 

What to Expect After the Procedure:


After the procedure, you may feel some soreness at the injection site, but this typically resolves within a day or two. Many patients experience immediate pain relief due to the anesthetic, while the full effects of the corticosteroid may take a few days to develop. 


Most people can resume normal activities within 24 hours, but your doctor may recommend avoiding strenuous exercise for a few days. The pain relief from the injection can last several weeks to several months, depending on your specific condition and how your body responds to the treatment. 

Are There Risks or Side Effects?


Like any medical procedure, thoracic epidural steroid injections carry some risks, though they are generally safe. Potential side effects include: 


  • Temporary Soreness or Pain at the Injection Site: This is usually mild and resolves quickly. 


  • Temporary Numbness or Weakness: Some patients may experience numbness or weakness in the back or arms, which typically wears off within a few hours. 


  • Infection or Bleeding: Rarely, there is a risk of infection or bleeding at the injection site. 


  • Allergic Reaction: In rare cases, patients may have an allergic reaction to the anesthetic or corticosteroid. 


Your doctor will discuss these risks with you and take steps to ensure your safety during the procedure. 

How Effective Are Thoracic Epidural Steroid Injections?


Studies have shown that thoracic epidural steroid injections are effective in reducing pain for many patients. Research published in Pain Medicine Journal indicates that patients with nerve compression or inflammation often experience significant pain relief and improved function after the procedure.

How Effective Are Thoracic Epidural Steroid Injections?


Studies have shown that thoracic epidural steroid injections are effective in reducing pain for many patients. Research published in Pain Medicine Journal indicates that patients with nerve compression or inflammation often experience significant pain relief and improved function after the procedure.

At Arizona Pain Solutions, we understand how debilitating chronic mid-back pain can be. Our team is committed to providing compassionate, expert care and advanced treatments like thoracic epidural steroid injections to help you find relief. We’ll work closely with you to develop a personalized treatment plan tailored to your needs. ï»¿


If you’re ready to explore thoracic epidural steroid injections for chronic mid-back pain, contact Arizona Pain Solutions today to schedule a consultation. Our knowledgeable providers are here to answer your questions and help you regain comfort and mobility. Leave a comment below or share this post with someone who might benefit from this information! 


This post has been carefully reviewed and edited to ensure clarity and accuracy, reflecting our commitment to providing high-quality, reliable information. 

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