Epidural Steroid Injection in Patna

Name: Epidural Steroid Injection in Patna - Dr. Shrutika Bhagat
Creator: Dr. Shrutika Bhagat

Precision C-Arm fluoroscopy-guided transforaminal, interlaminar & caudal epidural injections for slip disc, sciatica, and spinal stenosis by Dr. Shrutika Bhagat.

INTERVENTIONAL SPINE PROCEDURE

Targeted Non-Surgical Relief for Pinched Spinal Nerves

An Epidural Steroid Injection (ESI) is a specialized, minimally invasive interventional spine procedure designed to relieve severe inflammation, swelling, and pain caused by compressed or irritated spinal nerve roots.

When an intervertebral disc bulges or herniates (Slip Disc), it releases caustic chemical proteins (phospholipase A2, TNF-alpha) that trigger intense inflammatory swelling around the exiting spinal nerves, causing severe radiating pain (Sciatica / Radiculopathy). Oral medications often fail to reach sufficient concentrations inside the spinal canal.

Under real-time C-Arm Fluoroscopic X-Ray guidance with radiographic contrast dye verification, Dr. Shrutika Bhagat places a micro-needle directly into the epidural space, bathing the inflamed nerve root in a concentrated anti-inflammatory solution. This rapid anti-inflammatory action relieves pain, halts nerve damage, and allows the herniated disc material to naturally shrink and heal.

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Key Clinical Facts

Direct Target

Concentrated medicine delivered directly onto the nerve.

C-Arm Precision

Live imaging & contrast dye verify 100% safe placement.

Daycare Procedure

Takes 15–20 minutes under local numbing; walk home same day.

C-Arm Fluoroscopy Guided Epidural Steroid Injection

C-Arm Image Guidance

Contrast Dye Verified Epidural Spread Around Compressed Nerve

CLINICAL APPROACHES

Types of Epidural Steroid Injections We Perform

The specific anatomical route is customized based on your MRI findings and symptoms.

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Most Targeted Approach

Transforaminal Epidural (TFESI)

The needle enters obliquely through the neural exit foramen directly adjacent to the inflamed nerve root and herniated disc fragment (Selective Nerve Root Block).

Best For: Sciatica, Single-Level Slip Disc, Arm Radiculopathy

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Wide Coverage Approach

Interlaminar Epidural (ILESI)

The needle is positioned centrally between the vertebrae through the interlaminar window, allowing medication to spread across multiple contiguous spinal segments simultaneously.

Best For: Multi-level disc bulges, central spinal stenosis

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Sacral Hiatus Approach

Caudal Epidural Injection

Delivered safely through the sacral hiatus at the base of the spine with a larger volume of anti-inflammatory wash to bathe lower lumbar and sacral nerves (L4, L5, S1).

Best For: Post-surgery scar tissue, L5-S1 disc collapse

CLINICAL INDICATIONS

Spine Conditions We Treat with Epidural Injections

Epidural steroid injections provide non-surgical relief for acute and chronic disc and nerve disorders.

Disc Herniation

Lumbar Slip Disc (L4-L5 / L5-S1)

Extruded disc material inflames adjacent spinal nerves. ESI rapidly shuts down the chemical burn and swelling, stopping pain and allowing disc healing.

Sciatica

Sciatica & Lumbar Radiculopathy

Shooting electrical pain, burning, and tingling traveling down the buttock, thigh, calf, and foot successfully relieved with precision TFESI.

Neck & Arm Pain

Cervical Disc Bulge & Arm Pain

C5, C6, and C7 nerve root compression causing neck stiffness, shoulder blade pain, and shooting numbness down the arm into the fingers.

Spinal Stenosis

Lumbar Spinal Canal Stenosis

Narrowing of the spinal canal causing cramping, heaviness, and weakness in both legs when walking or standing (neurogenic claudication).

Vertebral Slip

Lumbar Spondylolisthesis

Vertebral slippage causing mechanical narrowing and irritation of exit nerve roots, treated safely with C-Arm transforaminal epidural wash.

Post-Op Relief

Post-Surgical Epidural Scarring

Recurrent leg and back pain resulting from fibrotic scar adhesions after previous open spine surgery, treated with targeted caudal/neuroplasty epidural washes.

PROCEDURAL EXCELLENCE

How We Ensure 100% Safety & Accuracy

Every epidural procedure is performed in a sterile operation theatre under live fluoroscopic C-Arm guidance with contrast dye.

Sterile Local Numbing

The patient lies comfortably prone. The skin and overlying soft tissues are thoroughly numbed with a gentle local anesthetic.

Live C-Arm Navigation

Under continuous real-time fluoroscopic imaging, the micro-needle is guided with sub-millimeter precision into the epidural space.

Contrast Dye Verification

A small drop of non-ionic radiographic contrast dye (epidurogram) confirms accurate flow around the nerve root and rules out blood vessel entry.

Targeted Bath & Discharge

The anti-inflammatory medication is gently injected. The patient rests for 30 minutes in recovery and walks home comfortably the same day.

Fellowship-Trained Interventional Spine Specialist

Dr. Shrutika Bhagat

MBBS, MD, FIRA, FIAPM | Interventional Pain & Spine Endoscopy

Dr. Shrutika Bhagat brings specialized fellowship credentials in interventional pain medicine and full-endoscopic spine surgery. Having trained at India's top spine and orthopaedic referral centers (Ganga Hospital Coimbatore & Cheers Hospital Ahmedabad), she has performed thousands of precision image-guided epidural steroid injections, helping patients recover from debilitating slip disc and sciatica without major surgery.

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FREQUENTLY ASKED QUESTIONS

Epidural Steroid Injection FAQs

Clear answers regarding epidural injection safety, relief duration, and procedure recovery.

Pain relief typically begins within 2 to 7 days as the anti-inflammatory medication calms nerve swelling. For acute disc herniations, relief often lasts from several months to permanent resolution as the disc material naturally shrinks and resorbs while the patient completes physical rehabilitation.

No. The skin and deep tissues are thoroughly numbed with local anesthetic prior to needle insertion, so patients feel only mild pressure. Because Dr. Shrutika Bhagat performs every injection with real-time C-Arm fluoroscopic guidance and contrast dye confirmation, the procedure is exceptionally safe with near-zero complication rates.

A transforaminal epidural (TFESI) is a highly selective procedure that enters through the side of the spine directly at the neural foramen where the disc is pressing on the nerve. This delivers maximum medicine concentration precisely at the pain epicenter with minimal volume, achieving superior relief compared to blind injections.

Many patients experience complete long-lasting relief after just a single injection. If needed, the procedure can be safely repeated 2 to 3 times in a year under specialist guidance without steroid-related side effects.

ESI is an outpatient daycare procedure. Patients rest in our recovery area for 20 to 30 minutes and are discharged home immediately. You can resume normal walking and light activities the very same day, avoiding strenuous heavy lifting for 48 hours.

Stop Living with Sciatica & Disc Pain

Consult Dr. Shrutika Bhagat in Patna for precision C-Arm guided epidural injections and personalized spine care.

Call: +91 9229262603 Book Consultation Online