What are the approaches used for epidural steroid injections (ESIs)?

Updated: Aug 06, 2018
  • Author: Boqing Chen, MD, PhD; Chief Editor: Stephen Kishner, MD, MHA  more...
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A variety of approaches can be used to inject corticosteroids into the epidural space. For purposes of this article, the authors generally refer to all epidural steroid injections as ESIs, only specifying the specific type of approach if needed for a point of distinction or clarification.

Cervical and thoracic epidural injections can be carried out using interlaminar and transforaminal approaches. Lumbar epidural injections can be performed using 3 approaches: transforaminal, interlaminar, and caudal.

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