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Unlocking the Benefits of Epidural Steroid Injections for Chronic Pain

Chronic pain in the neck, back, and limbs can severely impact your quality of life, making everyday activities a challenge. At Pain Management Services, Dr. Calvin Cajigal and his team in Des Peres, St. Peters, Washington, and St. Louis, MO, provide a variety of treatments to alleviate pain, including the increasingly popular epidural steroid injections (ESIs). This blog explores the uses, effectiveness, and patient experiences with ESIs, offering insights into why it might be the right choice for your pain management needs.

What are Epidural Steroid Injections?

Epidural Steroid Injections are minimally invasive treatments used to relieve pain caused by inflamed spinal nerves. During the procedure, a corticosteroid and an anesthetic are injected into the epidural space of the spine. Corticosteroids reduce inflammation and can decrease pain significantly, while the anesthetic temporarily numbs the pain.

Conditions Treated by ESIs

ESIs are primarily used to treat conditions that cause inflammation of the spinal nerves, including:

  • Herniated Discs: Softening or rupture of the disc pushes against spinal nerves.
  • Spinal Stenosis: Narrowing spaces within your spine can put pressure on the nerves.
  • Degenerative Disc Disease: Breakdown of discs, which can lead to inflammation and pain.
  • Sciatica: Pain that radiates along the sciatic nerve from the lower back down to the legs.

How Effective are Epidural Steroid Injections?

The effectiveness of ESIs can vary depending on the patient’s condition and the severity of their pain. Research shows that many patients experience significant pain relief that lasts from a week to a year after receiving an injection, facilitating active rehabilitation and a return to normal activities.

The Procedure Explained

Dr. Calvin Cajigal conducts a thorough evaluation, including medical history and imaging studies, to determine if ESIs suit you. The procedure itself is performed in an outpatient setting and typically includes the following steps:

  1. Preparation: You will lie face down on an X-ray table, and the area where the injection will be given is cleaned and numbed.
  2. Guidance: Dr. Cajigal guides the needle into the epidural space using fluoroscopy.
  3. Injection: The steroid and anesthetic mixture is injected.
  4. Recovery: After a brief monitoring period, you can go home with post-procedure instructions.

Safety and Side Effects

While ESIs are generally safe, as with any medical procedure, there are potential risks and side effects, which may include:

  • Temporary increase in pain
  • Nerve damage
  • Infection at the injection site
  • Dizziness or headache

Dr. Cajigal discusses all potential risks with patients, ensuring they are fully informed before deciding to proceed with the treatment.

Patient Experiences

Patients at Pain Management Services often report substantial pain reduction that allows them to engage in physical therapy and other activities that were previously too painful. These stories underscore the potential of ESIs to enhance quality of life.

Choosing the Right Treatment for You

If you’re suffering from chronic pain, a consultation with Dr. Cajigal can help determine if epidural steroid injections are suitable for you. Every patient’s condition is unique, and treatments are tailored to individual needs and health profiles.

Looking Forward: A Life Less Defined by Pain

Epidural steroid injections are just one of many tools used by Pain Management Services to combat pain. They can be a pivotal part of a comprehensive pain management plan, including physical therapy, medication, and lifestyle adjustments. With the right approach, you can regain control over your life and move beyond the limitations set by pain.


  1. Journal of Pain Relief Studies
  2. Clinical Pain Management Guidelines
  3. Patient testimonials and feedback at Pain Management Services



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