Epidural Nerve Block

Powerful Pain Relief without Surgery or Down Time

epidural nerve block pain treatmentEpidural nerve blocks are corticosteroid injections which are used to decrease pain and inflammation caused by a herniated disc, sciatica, or spinal stenosis.

Safe and effective, epidural nerve block treatments may offer substantial pain relief without surgery.

With the help of today’s technology, the pain management specialists at National Spine & Pain Centers accurately diagnose, target, and relieve the source of pain, to help you return to an active lifestyle.

What is an epidural nerve block?

An epidural nerve block is the injection of corticosteroid medication into the epidural space of the spinal column. This space is located between the dura (a membrane surrounding the nerve roots) and the interior surface of the spinal canal formed by the vertebrae.

After a local skin anesthetic is applied to numb the injection site, a spinal needle is inserted into the epidural space. To ensure accuracy and safety, our physicians perform the procedure under fluoroscopic (x-ray) guidance, using a contrast agent to confirm needle placement. Local anesthetic and corticosteroid anti-inflammatory medication are delivered into the epidural space to shrink the swelling around nerve roots, relieving pressure and pain.

How long does it take?

Epidural nerve blocks are performed on an outpatient basis. The procedure typically requires 20 to 30 minutes, including preparation time. It is followed by 45 minutes of observed recovery time.

How often should this procedure be done?

Up to three injections may be given within a six-month time frame. Usually, the injections are performed two to three weeks apart. A set of three injections is the norm; however, you may gain considerable relief after the first or second injection. In that instance, further injections may not be necessary.

What are the expected results?

Epidural nerve blocks are very effective in providing pain relief. The benefit from these injections will typically occur two days following the procedure. In conjunction with physical therapy, many individuals enjoy a pain free lifestyle.


Patient Success Stories

Kate Krukiel → It means everything to have a team of doctors that are always there for you and present fresh ideas about managing chronic pain. They cared about my pain and my future.


Helen Morgan, Flight Attendant → I would like to take this opportunity to say how much I appreciate the opportunity of having your physician’s assistant, Maggie, treat me. She is extremely knowledgeable, answers all my questions, and never makes me feel like I am taking up her time. Maggie’s patience, compassion, and knowledge is priceless. I hope you know what a true “gem” you have working for you. She gave me all the information (and courage) I needed to start my prolotherapy sessions. Thank you.


Dr. K Jung, Clergy → I’m 79 years old, have a wretched spine, have suffered with lower back pain for many yrs. I have been on Hydrocodone 4-6 per day to find relief. When the pain increased, I “graduated” to duragesic 25mcg/h patches for help. I visited a spine surgeon. After taking a multitude of tests, his final diagnosis came down to this: “I’m not going to touch your spine”… A friend mentioned that I see Dr. Mayo Friedlis of National Spine & Pain. Without too much hope, I made my way to the office. Dr. Friedlis encouraged me to try prolo… It worked! Awesome! Not only do I not use vicodin or duragesic patches anymore, I don’t even need to take tylenol. What a relief to be able to live without pain. My thanks go to Dr. Friedlis for his expertise (and his helpful staff). Life is good.

Over 250,000 patients helped and counting. Reach out to us for the very best in pain management.