At Unique Pain Medicine of New York our caring physicians use the most effective treatments to help you live pain free. We are in network to most health insurance plans and offer same day appointments and treatments.
An epidural steroid injection is a safe and effective pain treatment that can help alleviate pain in the lower back, leg, neck or arm.
An epidural injection can be administered in the back (lumbar epidural) or neck (cervical epidural), depending on your symptoms. Epidural Steroid Injections are safe to use on a variety of back, neck, and nerve pain conditions, including Sciatica, Herniated Disks, and Lumbar/Cervical Radiculopathy. Most patients find that the injection provides much-needed pain relief and allows the patient to return to normal activities.
Typical Benefits Of Epidural Steroid Injections
- Reduction in pain, stiffness, weakness, numbness or tingling.
- Improvement in function and mobility.
- Increased effectiveness of physical therapy or other strengthening program.
- Reduction in pain medication consumption.
- Reduction in inflammation.
- Avoidance of surgery.
Conditions Treated With Epidural Injections
Epidural steroid injections reduce pain and inflammation related to back, neck or leg pain. Several conditions that cause acute or chronic pain from nerve irritation can be treated with epidural steroid injections.
- Low back pain
- Lumbar degenerative disc disease
- Lumbar radicular pain
- Lumbar disc bulge/herniation
- Neck Pain
- Cervical disk bulge/herniation
- Cervical degenerative disc disease
- Cervical radicular pain
- Cervical spinal stenosis
Commonly Asked Questions About Our Epidural Steroid Injection Procedure
What are the side effects of epidural steroid injections?
Side effects generally do not occur. When they do, they tend to be mild and easy to manage. Some possible side effects include temporary facial redness, mild sleep disturbances, menstrual changes, and elevated blood sugar in diabetics.
Are epidural steroid injections painful?
Epidural injections are generally minimally uncomfortable and very well tolerated. If you have a fear of needles or have severe pain, we do offer IV sedation which is administered by a board certified anesthesiologist. This will help you relax and make the procedure completely painless.
How often can epidural steroid injections be given?
Epidural injections can be given up to a maximum of 3 injections in a 6 month period, or a total of 4 injections in a 12 month period. It is safe to repeat the epidural injection 2 weeks later should it become necessary. For most patients, only 1 or 2 epidural injections is required for complete pain relief.
How long does it take before epidural steroid injection starts to work?
Epidural injections typically take 3-5 days to take full effect. There is some immediate pain relief right after the procedure, but we advise patients to give the medications a few days to work for maximal results.
What are epidural steroid injections commonly used for?
Epidural injections are used to treat low back pain, sciatica, leg pain/weakness/numbness, neck pain, arm pain and/or numbness/tingling, herniated disks, lumbar radiculopathy and cervical radiculopathy.
At what spinal level is an epidural steroid injection typically performed?
Lumbar epidural steroid injections are typically performed at the L5 – S1 level. If that space is fused, or if there is prior surgery at that level, an epidural may be performed at the L4 – L5 level. The spinal cord typically ends at L1 – L2 level, leaving a large margin for safety. Cervical epidural injections are typically done at the C7-T1 level.
Are epidural steroid injections safe?
Epidural injections are very safe. In expert hands, serious complications are extremely rare. The most common possible complication is a headache, which occurs < 1% of the time.
How long do epidural injections last?
This will depend on your condition and the degree of nerve damage or inflammation. For some people, epidural injections last for many years. For others, 6-12 months. Epidural injections will not work for everyone. If epidural injections are not working and pain persists, you will be referred to a surgeon for consultation.
What can I expect after an epidural steroid injection?
You will sit in the recovery room and be monitored for 30 minutes after the procedure. The band aid can be removed the next day. You may feel better right away, or it can take a few days for the full effect. You can expect your pain to slowly subside, and you can increase your activity level.
Epidural Injections Procedures Explained
Epidural Injection Procedure – Lumbar Epidural and Cervical Epidural
A lumbar epidural is performed for low back pain and lumbar herniated disks. A cervical epidural is performed for cervical herniated disks and neck pain that radiates into the arm.
An epidural steroid injection is a simple office based procedure. It typically takes 10 minutes, and there is no downtime after. It can be done with local anesthesia, or intravenous sedation for comfort if desired. It is generally not painful and well tolerated. During an epidural injection, a small needle is inserted into the epidural space with X-ray guidance (fluoroscopy). After proper placement of the needle is confirmed, an anti-inflammatory steroid medication is injected through the needle. This will decrease inflammation and swelling in the epidural space, which takes pressure off the nerves and soft tissues, and allows healing to begin. Some patients may feel better right away, but it generally takes a few days for inflammation to subside. Patients may return to work the same day or next day.
Schedule a detailed evaluation today to help us fully understand your specific needs and formulate a treatment plan. Contact our office at 929-363-0303 or book your appointment online today.
Transforaminal Epidural Injection Procedure for Sciatica
This safe and effective procedure that is done for patients suffering from sciatica and herniated disks. This procedure will help alleviate pain, numbness and weakness that typically travels into the leg. This procedure usually takes 10 minutes, and can be done with local anesthesia or intravenous sedation for comfort if requested. It is generally not painful and well tolerated. Using X-ray guidance (fluoroscopy), a small needle is placed into the epidural space near the inflamed nerve roots. After appropriate placement of the needle is confirmed by X-ray, a local anesthetic and an anti-inflammatory steroid medication is injected around the inflamed nerve roots. Some patients report immediate relief, but it typically takes a few days for inflammation to subside. Patients may return to work the same day or next day.
Is Cortisone Used For Epidural Steroid Injections?
Cortisone is an older steroid that is no longer commercially used. The term “cortisone” is now used to mean “corticosteroid”, which is a group of steroid medications that have anti-inflammatory properties. At Unique Pain Medicine, we use the corticosteroid Dexamethasone for epidural injections. Dexamethasone has an excellent safety profile, and produces fast, effective pain relief without unwanted side effects. It is the best available steroid for epidural injections.
What Our Patients Say About Our Services
I love this place! Staff is always friendly and Dr. Mila really knows her stuff. She's everything I could want in a Dr. If you are looking for a pain management Dr. in Brooklyn, she is definitely a great choice. My spine is a mess from a car accident and she can always pinpoint exactly where my pain is coming from and what I need. I've been seeing her for about a year now and she doesn't even begin to compare to the others I've seen who barely remember me and their offices are always packed. I always get in and out fairly quickly and she takes the time to assess what I need. It's great to find doctors like this.
I had low back pain for years and went to multiple doctors with no results. Dr. M has been treating me for almost a year, and for the first time in my life, I am pain free! She is the only one that was able to properly diagnose me and provide appropriate treatment. She is considerate, attentive and compassionate. Her office is modern and always clean. Her staff is friendly and helpful. She now treats my entire family with great results. Thank you Dr. M!
The office staff was kind and helpful with scheduling and insurance. The medical assistants, PAs, and Drs were all very kind. I never had a ton of time with any of them but didn't feel like I was missing out on it or being rushed. I ended up getting a steroid injection in the office and as someone TERRIFIED of needles and who was having mobility issues, I have to say that I was treated with great care and was comfortable throughout all of my visits.
Dr. Mogilevsky is AMAZING. I've been to 5 different doctors for pain management, and Dr. Mogilevsky is the first doctor to take my pain seriously and treat it as needed. I'm also extremely impressed with her staff. My anesthesiologist, the receptionists, and the nurses are all attentive and friendly. I finally found a doctor who I feel confident going back to.
I've been going to Unique Pain Medicine since they opened their practice on Lexington Avenue. Dr. Mogilevsky (Dr. M) is the best! I was injured back in 2001 and has progressively gotten worse throughout the years. Although I will never get better due to my injury, she is very proactive in her approach to help minimize my pain which has allowed me to have quality of life again. She always greets you with a smile and hug, and her anesthesiologist together with the rest of her staff are always very friendly and professional. And what's also very important is that you don't wait to be taken at the time of your scheduled appointment. I highly recommend Dr. M.
I have been dealing with low back problems for at least 20 years. I have had physical therapy and MRI done on my back with no results until a doctor recommended Unique pain management. From my very first appointment to all follow-up visits. I was and still is very impressed with the quality of service and care I experienced. Everything was top of the line including the office. The place was immaculate. I would recommend this place as a first choice for anyone seeking treatment for back problems or pain. The employees were very professional and patient and the wait time was good. I will always go there to continue treatment as long as I need to.
Dawn R.Google Local
Went to see Dr Mogilevsky for my plantar fasciitis problem. She by far has been the best doctor for a first experience of any physician I have had in 20 years living in NYC. My appointment was at 9am and was seen even EARLIER than that. She was fantastic. She is pleasant and very personal. She took the time to listen to what my problem was, the history and my prior treatments. She was quick to provide a remedy and did the PAINLESS procedure right in the office. The entire office staff was nice, helpful and accommodating. I would 10000% recommend this practice to anyone looking for a solution to their pain!
I was treated for sever Sciatica Pain by Dr. Mogilevsky and I couldn't be more happier with the results. I came in hopping on one foot and was driven in a horizontal position. The pain was so bad that even the prescribed ibuprofen 800 wasn't helping anymore. From the time I called for an appointment to the moment I WALKED out of the facility was a great experience. Throughout the entire time they set expectations by letting me know what will take place and all those expectations were met. Dr. Mogilevsky was terrific and made the actual procedure go smoothly. Would highly recommend this practice as pain management specialists to anyone that is searching. Thank you!!!
Everyone at Unique Pain Medicine is wonderful. The staff is friendly, professional, polite and caring, including everyone from the front desk to anesthesiology. The doctors are terrific and personable. I actually love coming here, despite my pain. The treatment I receive manages my pain, and my condition has become increasingly easier to deal with. I trust them, and believe in the treatment. I have referred several of my friends to Dr. Mogilevsky and Unique Pain Medicine. I highly recommend them. Vince S (pigseye12).
Vince S.Google Local
This place was wonderful! The facility is clean and The support staff were very friendly and patient. The health care providers took as much time needed to explain my issue so I fully understood my medical condition and the treatment options available to me. I had chronic lower back pain for an entire year, with occasional flares. After treatment, about 2 weeks ago, I've started getting my life back in order- able to work out/get fit, work with random back spasm, and just enjoyed life without the annoyance that's been bothering me over the last year. I wholeheartedly recommend this practice and would come here again for my problems.
Danny C.Google Local
AMAZING service, professional caring doctors & staff. Doctors care and want to help you get better. Doctors explain in detail every service that they provide. I am so thankful for Unique Pain Medicine i can't thank them enough for helping me with my back pain.
Desiree G.Google Local
This place is Great. The doctors are warm and courteous. They listen to you and are very informative. Their bedside manner is the best and not only do they treat you like a patient but more importantly they treat you like a person. Their staff is also very kind and gracious. But most of all they are VERY GOOD at their jobs. I appreciate them and highly recommend them if you are dealing with pain.
Ya G.Google Local
I had a great experience with this office. Not one to write reviews, but I have to say that I was impressed by the doctors and staff. They really helped me with my shoulder pain. They also had a great bedside manner. They constantly checked in with me about how I was feeling. Plus they had snacks and juice- which I very much appreciated after my procedure. Super hospitable office.
Keren S.Google Local
My experience at Unique Pain Medicine was exceptional from start to finish! The front desk staff is always friendly and helpful. The doctor accurately identified the cause of my lower back pain and discussed my condition and MRI results in great detail. Together we decided on a course of treatment that I fully understood and felt comfortable with. My back hasn't felt this great in years!
Simona M.Google Local
Everyone here I'm talking the receptionists, the medical assistants, nurses, anesthesiologists, etc...) is polite, educated, informative, and genuinely make me feel that they want what is best for my health and treating my chronic back pain. I even have an annoying insurance company and they have no problem taking the extra steps to make sure my insurance will cover their services. This is not a place where you walk in and a doctor throws pain medication at you and wishes you on your way - this is a place that takes strategic and curated steps to make sure that your individual pain is recognized, understood, and has a comprehensive plan of action. Thank you to everyone here!!!
Stephen C.Google Local
We Accept Most Insurances:
- 1199 SEIU Funds
- BlueCross BlueShield
- New York State: The Empire Plan
- Consolidated Health Plans
- Fidelis Care
- HIP – Emblem Health
- Meritain Health
- MetroPlus Health Plan
- Oxford Health Plans
- United Healthcare