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Chronic pain can be debilitating, impacting your ability to perform everyday tasks. Dr. Bakshi understands the frustration and discomfort associated with chronic pain, leading him to offer resources for pain management in NYC. He provides minimally-invasive options, like epidural steroid injections, to alleviate recurring pain.

What are epidural injections?

When you are plagued with chronic pain, corticosteroid injections into the epidural space of the spine can relieve pain. The injections work by reducing inflammation in the area, alleviating some of the pressure in the area, including the affected nerves. You are given a local anesthetic to numb the injection site, and then an x-ray is used to guide the injection process.

What types of pain can epidural injections help with?

An epidural steroid injection, also known as ESIs, is a procedure where corticosteroids are placed into the epidural space, with the aid of x-ray guidance, to reduce the inflammation caused by:

  • Chronic back or neck pain following an injury or other traumatic event, leading to rupture of a spinal disc.
  • Pain caused by medical conditions like spinal stenosis, sciatica, or others

Epidural injections are most commonly used to treat pain occurring in the lower back, leg, neck, or arm. After an injury, treatment often begins conservatively with NSAIDs, physical therapy, and/or chiropractic care. When these treatments fail to alleviate a patient's symptoms completely, ESI's can be considered after a thorough evaluation by Dr Bakshi. Patients may require anywhere from 1 to 3 injections, based on their response, to reduce the inflammation around the spinal nerves and alleviate a patient's symptoms.

Are there any side effects?

Epidural injections are generally well-tolerated with few side effects. Some patients may experience temporary discomfort at the injection site that should resolve after a few hours. Medication side effects are rare but are possible since a corticosteroid will be injected. Allergic reactions are possible but allergies to medications will be discussed with Dr. Bakshi and his staff prior to the procedure to avoid unwanted reactions. Any residual pain near the injection site can be treated with over-the-counter painkillers or an ice pack. You can return to work or other activities the next day

How long will epidural injections relieve my pain?

Though epidural injections are very effective for pain management, the exact duration of pain relief is different for everyone. You may experience pain relief for anywhere from weeks to several years. You can do several things to help increase the longevity of your pain relief, including:

  • Attending physical therapy
  • Continuing to perform stretches and exercises recommended by your physical therapist long-term
  • Maintaining a healthy lifestyle
  • Avoiding repetitive or difficult physical labor
  • Use caution to avoid accidents or trauma

Dr. Bakshi will work with you to determine a safe and effective pain management plan for long-term relief.

Why should I choose Dr. Bakshi for pain management?

Dr. Sanjay Bakshi is a compassionate doctor who wants to relieve the chronic pain that people sometimes suffer for years before seeking help. Dr. Bakshi is Board Certified and Fellowship trained at Johns Hopkins in the field of Interventional Pain Management. He focuses on minimally-invasive treatments that can help you have a better quality of life if you suffer from severe pain. After years of practical experience, Dr. Bakshi can effectively identify the underlying cause of your symptoms and develop a treatment to help you get real-world relief.

Frequently Asked Questions

Do epidural injections hurt?

You may feel pressure or some discomfort at the injection site during the treatment. Prior to treatment the area will be numbed with topical anesthetic to make you more comfortable during the procedure. Most patients experience few negative side effects, and often experience significant pain relief a few days following the injections. In some cases IV sedation will also be offered to make the procedure a more pleasant experience.

How often can I get epidural injections?

It is generally not recommended to receive epidural injections more than a few times each year. If you find that epidural injections are only providing short-term benefits, it is better to consider potential surgical techniques in order to alleviate your pain.

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Update Regarding COVID-19 View Update Virtual Consultation

Dear Patients:

Our patients' health and safety is our number one priority. Our office continues to be open for all email, telephone, and online inquiries. You can call us at 646-916-3962 or contact us via email to schedule your virtual telemedicine or in-person visit. Our doctors will be holding regular office hours for virtual video consultations and follow-up visits that permit you to stay in the comfort of your own home, utilizing your computer, tablet, or mobile device.

Additionally, we will continue to see select patients in the office for consultation and follow-up visits, including preoperative and postoperative appointments. Our doctors continue to perform procedures in our private, free-standing surgery center that offers an array of outpatient surgical services to treat spinal issues such as acute back pain, disc herniations, sciatica, and pinched nerves in the back or neck. We are also able to offer clean and efficient on-site x-ray capabilities in our office.

Please know that we join our community in taking all advised precautions* to limit the spread of the Coronavirus and ensure the safety of patients and staff.

Call today to schedule a consultation and explore your options with the Spine Center at OrthoManhattan.

The following precautionary measures have been established to ensure the safest environment possible:

  • All patients are screened both prior to and on the day of their office appointment. Patients will not be permitted in the office and will be asked to reschedule their appointment if:
    • You or anyone in your household are experiencing flu-like symptoms, such as fever, cough, congestion, runny nose, or shortness of breath.
    • You have been in contact with anybody who has tested positive for coronavirus or have traveled (both domestically and internationally) within the last 14 days.
  • We have updated our patient and visitor policies:
    • Only a limited number of patients will be permitted on the office hour schedule.
    • No additional visitors or family members are allowed to accompany the patient during their office visit, unless the patient is in need of an aide or a translator
    • Infants, children, and adolescents are asked to stay home and will not be permitted to accompany the patient to their appointment.

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