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Lumbar Epidural Steroid Injection
Lumbar Epidural Steroid Injection (ESIs) is a regular medical care of choice for a number of types of low back pain and leg pain.
Allen Finney
Review
Young ladies behind the counter were nice and professional. Dr. Khan was and is awesome. You felt he really cared which I have not felt in the 2 years I've been injured. Only reason I did not give it 5 stars was the hard time I had finding it.
Allen Finney
Review
Young ladies behind the counter were nice and professional. Dr. Khan was and is awesome. You felt he really cared which I have not felt in the 2 years I've been injured. Only reason I did not give it 5 stars was the hard time I had finding it.
charles griffin
Review
Have been doing a wonderful job with help with my nerve pain, listen to me, and my request no to be put on pain killers but to help find the problem, always return calls so glad is was referred to them.
Stacey Mejia
Review
Awesome staff Dr. Kahn is a really good Doctor he listens and is a helping man!! I appreciate all of your guys work you do for your patients!! You even call to give reminder the day before your appointment! Again that's so awesome!!
Forrest Hammer
Review
NOTHING BUT THE BEST. ABLE TO WALK. ABLE TO PERFORM TASKS THAT I COULDN'T FOR A LONG TIME, LIKE DAILY WALKING, BENDING OVER, CARRYING GROCERIES AND ENJOYING A MOVIE AT THE CINEMA. THANK YOU DR. ASIM KAHN.
Jeanne Neathery
Review
Dr RYklin is amazing. He treats each patient as if you’re his only one. I’ve been seeing him for 7yrs due to a neck injury. He definitely finds what pain management meets your individual needs. The practitioners are amazing as well!!!!
Marty Klopper
Review
Pain Dr office. Staff is friendly and professional. Lots of paper work to be filled out. Office was clean and neat. Masks on Staff at all times and required for patients to enter. Will be going back for follow-up appointments.
Kim LindL
Review
The staff is very pleasant and Dr. Khan is very good with a needle I've been getting epidurals and shots in my foot and lower back for about 4 years now, he is very good and I would never go to another place
Angel Bussert
Review
The doctor actually listens. I have been a patient for years and love the staff and doctors. I've been to all the locations the country club one is always super busy queen creek location is never packed so I go there.
Guy Romero Jr
Review
Every Staff personnel are very professional, courteous and patient respectful in caring for each medical problem. We live out in Laveen, but finding good patient care are hard to find, Truly Blessed Guy E Romero
John Crosby
Review
They do a great job in today's challenging health care system. Great Nurse Practitioners who work hard. Great support staff. Doctors are expert practitioners. Stable practice. I have over five years personal experience with them.
Stacey Mejia
Review
Awesome staff Dr. Kahn is a really good Doctor he listens and is a helping man!! I appreciate all of your guys work you do for your patients!! You even call to give reminder the day before your appointment! Again that's so awesome!!
Kim LindL
Review
The staff is very pleasant and Dr. Khan is very good with a needle I've been getting epidurals and shots in my foot and lower back for about 4 years now, he is very good and I would never go to another place
Guy Romero Jr
Review
Every Staff personnel are very professional, courteous and patient respectful in caring for each medical problem. We live out in Laveen, but finding good patient care are hard to find, Truly Blessed Guy E Romero
Angel Bussert
Review
The doctor actually listens. I have been a patient for years and love the staff and doctors. I've been to all the locations the country club one is always super busy queen creek location is never packed so I go there.
Forrest Hammer
Review
NOTHING BUT THE BEST. ABLE TO WALK. ABLE TO PERFORM TASKS THAT I COULDN'T FOR A LONG TIME, LIKE DAILY WALKING, BENDING OVER, CARRYING GROCERIES AND ENJOYING A MOVIE AT THE CINEMA. THANK YOU DR. ASIM KAHN.
Jeanne Neathery
Review
Dr RYklin is amazing. He treats each patient as if you’re his only one. I’ve been seeing him for 7yrs due to a neck injury. He definitely finds what pain management meets your individual needs. The practitioners are amazing as well!!!!
Marty Klopper
Review
Pain Dr office. Staff is friendly and professional. Lots of paper work to be filled out. Office was clean and neat. Masks on Staff at all times and required for patients to enter. Will be going back for follow-up appointments.
John Crosby
Review
They do a great job in today's challenging health care system. Great Nurse Practitioners who work hard. Great support staff. Doctors are expert practitioners. Stable practice. I have over five years personal experience with them.
Carol Gravatt Davidson
Review
Absolutely the best place I have been too...so many doctors and always just prescribed pain pills for over 10 years. There is hope, after starting injections I feel so much better. I know I'm in the right place.
Tim Tuzon
Review
Been with Kahn for over a year and wouldn't want to be anywhere else. He is not a pharmacy! He solves the issues instead of hiding them with tons of drugs. Have had multiple procedures to correct the problems.
Brooke Keifer
Review
I was nervous when I brought my mom into the office. They are clearly a very busy office, but the front staff was kind, and the doctor was very confident in a treatment plan. Overall my Mom was very pleased with her visit.
Kari Lynn Plo
Review
I love Dr Ryklin and his assistant Liza! They've always been super good to me and very sympathetic to all my needs! They've done everything they can to make me comfortable and to help me with my pain! I'd refer anyone to them!
Lacey Smithson
Review
This office keeps getting better every time I go. Staff is friendly, doctors are very well educated and good at what they do. And they have helped decrease my mom's back pain by 80%! Everyone with pain should go to this place!
Katty Miller
Review
Dr. Khan is truly carrying, understanding and the VERY BEST AT ADMINISTRATING SGB INJECTIONS!!! I look forward to driving from California to be seen by him. I just can't say enough. Thank you Dr. Khan.
Britt Montoya
Review
Great place. Dr Khan is an awesome Dr and goes above and beyond to help you. Meghan is a wonderful P.A. as well. It says so much to have a Dr that truly cares about your outcome of your procedures. This is a goodhearted Dr
Julie Kierzek (Julz)
Review
Love them all. Dr Ryklin is so helpful and understanding. He takes helping people seriously & I'm extremely grateful for everything he & the PA's & MA's have done for me. Dr Ryklin has gone above & beyond for me.
Delicia N
Review
The team here are genuinely the most helpful providers I have ever had. I went through my worst lupus flare ever last year and mentally did not think I would make it. They truly saved me and made me feel like I could ask for help!
Caroline Copeland
Review
We are Dr. Ryklin's patients. He is an amazing pain management physician. All of the treatments that we receive work extraordinarily well. His entire staff, from front to back, are exceptional. Patient care is really the specialty here.
What is a lumbar epidural steroid injection?
This treatment option has been regularly used since its inception in 1952 and remains to be an important part of non-surgical management if not a conservative alternative in addressing sciatica and low back pain. The main objective of the procedure is to alleviate pain. In numerous cases, the procedure alone is enough to stop the pain, but in practice, an epidural steroid injection is administered in conjunction with a bespoke rehab (including physical therapy) to produce additional comfort. This medical procedure is done to help alleviate low back and emanating leg pain. On the other hand, steroid prescription can help manage the swelling and inflammation resulting from this spinal condition.
How is a lumbar epidural steroid injection administered?
1. Patient Positioning
Lying face down, the patient puts a pillow under the abdominal are for additional comfort as it flexes the back. With the patient in this position, the spine opens up which makes it easier for the physician to access the epidural space.
2. Tissue Anesthetized
To desensitize the skin, a local anesthetic is applied to numb the tissue from the surface of the lamina up to the lumbar vertebra bones. Then the doctor inserts a bigger needle through the anesthetized track.
3. Fluoroscopic Guidance
The doctor inserts a contrast solution via the needle through the epidural space in between the L-4 and L-5 vertebra. The doctor utilizes a fluoroscope (a kind of x-ray equipment) to ensure that the end of the needles is accurately in place within the epidural space. Then, a contrast solution is administered. Injected through the track, the contrast dye needle was securely positioned close to the inflamed nerve roots. The doctor utilizes the fluoroscope to validate the position of the needle tip.
4. Steroids Injected
Following the careful validation of the needles exact position, the doctor positions a steroid-anesthetic medication. This prescription bathes the inflamed nerve roots which will help ease the pain being experienced by the patient.
5. End of Procedure
After the procedure, the needle is withdrawn and the entry point in the skin is cleaned and bandaged. Some of the patients that undergo this procedure require only one injection. For others, it will require more than one injection before the pain is alleviated.
Learn more about Lumbar Epidural Steroid Injection and how AZ Pain and Spine Institute uses it to treat conditions and alleviate pain.
Why choose AZ Pain and Spine Institute for your treatment?
We are a team of pain management doctors and specialists. Our physicians have double board certification in their chosen fields and have undergone additional fellowships in pain management. Our professionals have also received advanced medical training in minimally invasive spinal procedures and pain management, including Lumbar Epidural Steroid Injection.