COVID-19 Update: We offer virtual telehealth and in-clinic appointments. Safety Procedures
  • Conditions
    Conditions We TreatChronic pain has many causes, and we have broad expertise in treating a wide range of conditions. Before beginning any treatment, however, we focus closely on identifying the precise nature of your pain. Pinpoint diagnosis provides the foundation to deliver maximum relief with minimum risk.View All
    • Back and Neck Pain
      • Back Pain Overview
      • Neck Pain Overview
      • Disc Degeneration
      • Disc Herniation
      • Sciatica (Lumbar Radiculopathy)
      • Cervical and Thoracic Radiculopathy
      • Spinal Stenosis
      • Facet Joint Syndrome
      • Spondylolisthesis
      • Compression Fractures
    • Arm and Leg Pain
      • Complex Regional Pain Syndrome (CRPS/RSD)
      • Peripheral Neuropathy
      • Diabetic Neuropathy
      • Joint Pain: Shoulder, Hip, Knee
      • Phantom Limb Pain
      • Piriformis Syndrome
      • Carpal Tunnel Syndrome
    • General Body Pain
      • Chronic Abdominal Pain
      • Pelvic Pain
      • Postherpetic Neuralgia
      • Fibromyalgia
    • Head and Face Pain
      • Migraine Headache
      • Cervicogenic Headache (Whiplash Syndrome)
      • Trigeminal Neuralgia
    • Cancer Pain
    • Sports Injury
    • Work Related Injury
  • Treatments
    Treatment SolutionsNura combines pinpoint diagnosis with multi-point treatment to zero in on the source of chronic pain and attack it from every angle. Designed to provide real and lasting relief, precise pain management focuses your treatments exactly where they’re needed – dialing down your pain while dialing up your long-term health and well-being.View All
    • Interventional Procedures
      • Therapeutic
        • Epidural Steroid Injections
        • Epidural Lysis of Adhesions
        • Epidural Blood Patch
        • Sympathetic Nerve Blocks
        • Peripheral Nerve Blocks
        • Trigeminal Ganglion Block
        • Radiofrequency Ablation
        • Intradiscal Heat Therapies: IDET and Biacuplasty
        • Joint Injections
        • Trigger Point Injection
        • mild Procedure
        • Minuteman Minimally Invasive Spinal Fusion
    • Interventional Procedures
      • Diagnostic
        • Medial Branch Block
        • Selective Nerve Root Block
        • Discography
        • Electromyography (EMG)
      • Spinal Fracture Repair
        • Vertebroplasty
        • Kyphoplasty
    • Neuromodulation
      • Neurostimulation
        • Spinal Cord Stimulation (SCS)
        • Dorsal Root Ganglion Stimulation (DRG)
      • Targeted Drug Delivery
        • Spinal Pain Pump
        • Home Infusion Service
    • Medication Management
    • Physical Therapy
    • Behavioral Health
    • Occupational Health
    • Chronic Pain Program
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  • Conditions
    • Back and Neck Pain
    • Arm and Leg Pain
    • Head and Face Pain
    • General Body Pain
    • Cancer Pain
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    • Work Related Injury
  • Treatments
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    • Chronic Pain Program
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Epidural Steroid Injections

An epidural steroid injection is perhaps the single most useful intervention available in the modern interventional pain clinic.

Epidural injections are effective in treating many painful conditions, including intervertebral disc pain, acute herpes zoster, postherpetic neuralgia, complex regional pain syndrome, radicular pain in pregnancy, cancer pain and post-surgical pain. Epidural therapy facilitates rehabilitation efforts and may allow patients to participate more fully in physical therapy and behavioral health programs.

Types of Epidurals available at Nura:

Cervical Epidural Steroid Injection

Thoracic Epidural Steroid Injection

Lumbar Epidural Steroid Injection

Caudal Epidural Steroid Injection

Epidural Techniques:

Interlaminar Epidural Injection

Transforaminal Epidural Injection

Selective Nerve Root Block

Inflammation as a Source of Pain

Research has identified that inflammation within and around neural structures is common in painful conditions. Neural inflammation has been shown to sensitize pain processing and increase the firing of pain neurons within the spinal nerve roots and spinal cord and it may lead to the development of chronic pain. Epidural injections are a safe and effective method to “put out the fire” of inflammation.

Epidural Injections Deliver Medication Directly to the Targeted Tissues

The epidural space allows unique access to the spinal cord and nerve roots at every level of the spine. Epidural steroid injections are a safe, low-risk way to deliver a variety of medications directly to the nervous system. Medications used alone or in combination include steroids, local anesthetics and opioids. Once delivered into the epidural space, these medications may block pain impulses, stabilize irritated nerves, reduce swelling and reverse the inflammatory changes and “spinal cord wind-up” that take place within the nervous system when pain persists.

An Extension of Conservative Care

Epidural steroid and local anesthetic injections may effectively decompress the spinal canal by shrinking swollen soft tissues, thereby relieving symptoms without surgery while the body reabsorbs herniated disc material over time. Since persistent inflammation may cause pressure damage to nerves and result in fibrosis and the formation of scar tissue within the spinal column, reversal of inflammation should be a prime goal of therapy. Spinal injections are considered an extension of conservative care by many spine specialists and are typically performed in a series of three injections at two-week intervals, if symptoms are persisting.

Although rare, risks of epidural steroid injection procedure may include infection, allergic reaction to the medication, spinal headache, nerve damage, spinal cord injury and prolonged increase in pain.

back to Therapeutic Interventional Procedures

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Edina Clinic

7400 France Avenue South
Suite 100
Edina, MN 55435
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Coon Rapids Clinic

2104 Northdale Boulevard NW
Suite 220
Minneapolis, MN 55433
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appointments, scheduling, preauthorization & billing

2104 Northdale Boulevard NW
Suite 220
Minneapolis, MN 55433
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Business Fax: 763.537.6666

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