Currently accepting new patients
Address

170 Benney Ln Suite 203
Dripping Springs, TX 78620
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Office hours

Mon: 8AM – 5PM
Tues: 8AM – 5PM
Wed: Closed
Thur: Closed
Fri: Closed
Weekends: Closed

Phone

Phone: (512) 298-1645

Fax: (512) 298-1795

Accepted insurance

- Aetna
- Blue Cross/Blue Shield (BCBS)
- Champ VA
- Cigna
- CMS
- Connected Senior Care Alliance
- Friday
- GEHA
- Humana
- Medicare
- Multiplan
- Oscar
- Railroad Medicare
- Smarthealth
- Tricare
- Triwest
- United Healthcare
- WellMed
- Worker's Compensation
- Private Pay

What Are Epidural Steroid Injections and How Do They Work?

An epidural steroid injection (ESI) is a minimally invasive procedure that delivers a corticosteroid medication directly into the epidural space, a fat-filled area just outside the dural sac surrounding the spinal cord. By placing the steroid medication close to the source of irritation, the injection works to reduce inflammation along the spinal nerves and flush away the proteins that contribute to swelling and nerve irritation.

Because the corticosteroid is delivered directly to the affected area rather than taken systemically, epidural injections can provide more targeted relief than oral medication alone. One corticosteroid injection typically begins to affect most patients within two to three days, peaking at around two weeks. The goal is to diminish pain enough that patients can return to the activities that matter most to them.

Epidural steroid injections are an outpatient procedure, meaning patients go home the same day. The procedure generally takes under 30 minutes from start to finish, and most patients are able to walk around shortly after it is complete.

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What Conditions Do Epidural Injections Treat? Back Pain, Neck Pain, and More

Epidural steroid injections are used to treat pain caused by inflammation and nerve compression along the spinal column. They are commonly recommended for patients dealing with chronic lower back pain, neck pain, arm pain, and leg pain that originates from a spinal condition. Specifically, epidural injections may benefit patients with:

Steroid injections can help treat chronic pain conditions affecting the neck, mid-back, and lower back by reducing the inflammation that amplifies pain signals traveling through the spinal cord. For patients dealing with chronic lower back pain in particular, epidural steroid injections are one of the most commonly used interventional pain treatments available. They may also be used to treat pain caused by herniated discs pressing on spinal nerves, or by spinal stenosis narrowing the spinal canal and creating nerve compression.

Because epidural injections address the underlying cause of nerve-related pain rather than simply masking pain symptoms, they are often incorporated into broader treatment plans aimed at improving function over time.

What Conditions Do Epidural Injections Treat? Back Pain, Neck Pain, and More

Epidural steroid injections are used to treat pain caused by inflammation and nerve compression along the spinal column. They are commonly recommended for patients dealing with chronic lower back pain, neck pain, arm pain, and leg pain that originates from a spinal condition. Specifically, epidural injections may benefit patients with:

Steroid injections can help treat chronic pain conditions affecting the neck, mid-back, and lower back by reducing the inflammation that amplifies pain signals traveling through the spinal cord. For patients dealing with chronic lower back pain in particular, epidural steroid injections are one of the most commonly used interventional pain treatments available. They may also be used to treat pain caused by herniated discs pressing on spinal nerves, or by spinal stenosis narrowing the spinal canal and creating nerve compression.

Because epidural injections address the underlying cause of nerve-related pain rather than simply masking pain symptoms, they are often incorporated into broader treatment plans aimed at improving function over time.

A physical therapist in blue scrubs examines a woman's lower back as she sits on an exam table in a clinic, lifting her shirt slightly to expose the area.

What to Expect: A Minimally Invasive Path Toward Pain Relief

Epidural steroid injections are minimally invasive procedures that do not require general anesthesia or an overnight stay. Most patients do not require sedation, though it is available when needed. The skin at the injection site is cleaned and numbed with a local anaesthetic before the steroid medication is introduced into the epidural space, so the most discomfort most patients report is a brief stinging or burning sensation at the site. If you feel anything beyond a mild pressure, an additional local anaesthetic can be applied.

Because steroid medication takes time to work, pain relief is not always immediate. The corticosteroid typically begins to reduce inflammation within two to three days, with effects often peaking around two weeks after the injection. Patients can generally expect some degree of pain relief lasting approximately three months from a single injection. Individual results vary, and your care team will work with you to evaluate how well the treatment is working and whether additional epidural injections or other minimally invasive therapies designed for your specific condition are appropriate.

After the procedure, most patients can walk around right away and typically resume full activity the following day. Plan to have someone drive you home from our Dripping Springs pain management center on the day of the injection, as driving and strenuous activity should be avoided for 24 hours. If any soreness develops afterward, ice or a mild analgesic can help manage it during the short recovery time.

For patients who achieve significant relief from epidural steroid injections but find that pain returns over time, additional interventional pain treatments such as radiofrequency ablation, nerve ablation, spinal cord stimulation, or regenerative medicine may be explored as part of your ongoing care plan. Your GAPC provider can also coordinate with your primary care physician and, when appropriate, refer you to physical therapy to support your progress between visits.

Woman at elevators in front of San Antonio Eye Specialists sign.

The Epidural Injection Process at GAPC

1

Schedule Your Appointment

Call GAPC's Dripping Springs office directly or use the online scheduling form to request an appointment. The team will reach out to confirm your visit and answer any initial questions about what to bring or how to prepare. GAPC is currently accepting new patients at this location.

2

Initial Evaluation

At your first appointment, a pain management specialist will review your medical history, current medications, any x-ray or imaging results, and the treatments you have already tried. This evaluation guides the team in selecting the most appropriate type of epidural injection and approach for your specific pain condition. Comprehensive care means your treatment plan is built around your situation, not a one-size-fits-all protocol.

3

Your Epidural Steroid Injection

The injection itself generally takes under 30 minutes. The skin in the treatment area is cleaned and numbed, and the corticosteroid solution is carefully delivered into the epidural space using image guidance to help ensure accurate placement. Depending on your anatomy and the location of your pain, your provider may recommend an interlaminar injection, a caudal injection delivered through the sacral hiatus, or a transforaminal injection (sometimes called a nerve block) that places medication near the nerve as it exits the spinal column. Each approach represents a targeted injection method designed to reduce inflammation at the source of pain.

4

Short Post-Treatment Recovery

Most patients are able to walk around immediately after the procedure and return to normal activity the following day. Arrange for someone to drive you home, since driving should be avoided for 24 hours after your injection. If soreness develops at the injection site, ice or a mild analgesic can help, and any persistent or worsening symptoms should be reported to the clinic promptly.

Testimonials

5 gold stars

"Dr. Jarzembeck is AMAZING. I HIGHLY recommend her for anyone suffering in pain. She goes above and beyond to make sure her patients pain has been dealt with."

Genia G.
5 gold stars

"Everyone is so friendly and helpful, Dr. Bednar came to me and explained the procedure and answered my questions. Highly recommend!"

Maggie G.
5 gold stars

"Dr. Julia is the best! The staff is professional and friendly to all. Best of all, Dr. Julia is finding solutions for my chronic pain! Never thought that it would be possible. It's a journey for me, but it seems like there is a solution."

Nancy M.

Frequently Asked Questions

What types of epidural steroid injections are available?

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GAPC offers three main approaches to epidural steroid injections. The interlaminar injection is the most common type, inserting a needle into the back of the epidural space to deliver steroid medication over a broader area. The caudal injection delivers the steroid through the sacral hiatus, a small bony opening just above the tailbone, at the very bottom of the epidural space. The transforaminal injection, often called a nerve block, places the needle near the nerve as it exits the spinal column, allowing for a more concentrated delivery of medication into the epidural space from the side. Your provider will recommend the approach best suited to your pain condition and anatomy.

How long does pain relief from a corticosteroid injection typically last?

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The steroid medication generally begins to reduce inflammation within two to three days, with effects typically peaking around two weeks after the injection. Most patients can expect some degree of pain relief lasting approximately three months from a single epidural injection. Individual results vary depending on the underlying cause of pain and the patient's overall health. Your care team will monitor your response and discuss whether additional injections or other interventional pain treatments are appropriate.

What are the possible side effects of epidural steroid injections?

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The risk of significant complications from an epidural steroid injection is very low. Serious complications such as bleeding or infection at the injection site occur in fewer than one in a hundred patients. More common, temporary side effects may include slightly numb or weak legs, dizziness, headaches, or a localized increase in pain near the injection site. These side effects typically resolve within a few hours. Contact the clinic if your symptoms persist for more than 24 hours or if you experience new or worsening symptoms after the procedure.

How painful is a lumbar epidural steroid injection?

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Most patients describe the most uncomfortable part of an epidural injection as a brief stinging or burning sensation at the site where the local anaesthetic is applied. The treatment area is cleaned and numbed before the injection, so discomfort is generally minimal. If you feel more than a slight pressure during the procedure, an additional local anaesthetic can be used. Most patients do not require sedation, though it is available for those who need it.

Why might pain feel worse after an epidural steroid injection?

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Although uncommon, some patients experience a temporary increase in their usual pain for a few days following the procedure. This is generally mild and tends to resolve on its own within a short period. Because the steroid medication takes two to three days to begin reducing inflammation, some patients may not notice improvement right away. Epidural steroid injections are considered a low-risk, non-surgical approach to pain management, and any persistent or unexpected worsening of symptoms should be reported to your care team.

Are there other pain management treatments that may complement epidural injections?

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Yes. Epidural steroid injections are often one part of a broader, personalized pain management plan. Depending on your pain conditions and how you respond to treatment, your GAPC provider may discuss additional minimally invasive options such as radiofrequency ablation, spinal cord stimulation, nerve ablation, or regenerative medicine. For patients whose pain has a musculoskeletal component, your care team can also coordinate with your primary care physician and refer you to physical therapy to support your recovery. Medication management may also be considered as part of a comprehensive care approach tailored to your needs.

Lunch & Learn With Our Doctors

Curious about interventional pain treatments in Austin, TX? Join our doctors for an in-person lunch and learn session to find out more about these treatments and ask any questions you may have. This event will be 12–1pm, sign up below to receive more details and RSVP.

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Connect with GAPC's Interventional Pain Management Specialists Near Dripping Springs

If back pain, neck pain, or radiating nerve pain is affecting your daily life, the pain management specialists at Greater Austin Pain Center are here to help. Schedule an appointment at our Dripping Springs location or explore our other Central Texas clinics in Austin, Kyle, and San Marcos to discuss whether epidural steroid injections are right for you.

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