Maximizing Relief: Dr. Jordan Sudberg’s Guide to Getting the Best Results from Epidural Injections
For individuals suffering from chronic back or neck pain, epidural steroid injections (ESIs) can offer significant relief—sometimes enough to avoid surgery altogether. These injections, designed to reduce inflammation and nerve irritation in the spine, are a cornerstone of interventional pain management.
But, as Dr. Jordan Sudberg, a leading pain management specialist, points out, the success of epidural injections depends on more than just the procedure itself. Preparation, timing, aftercare, and lifestyle adjustments all play a crucial role in achieving the best possible outcome.
“Epidural injections can be transformative when used properly,” says Dr. Sudberg. “But they’re not a magic bullet. It’s important to treat them as part of a broader pain management strategy.”
In this post, Dr. Sudberg shares expert tips on how to prepare for, recover from, and maximize the results of epidural steroid injections.
What Is an Epidural Injection?
An epidural steroid injection involves delivering corticosteroid medication directly into the epidural space of the spine, where irritated nerve roots are located. It’s most commonly used for:
- Herniated discs
- Spinal stenosis
- Sciatica
- Degenerative disc disease
- Chronic lower back or neck pain
The goal is to reduce inflammation, relieve pressure on spinal nerves, and allow the body to heal more effectively.
Before the Injection: Set the Stage for Success
- Get an Accurate Diagnosis
Epidural injections are most effective when they target the right area of the spine. Dr. Sudberg stresses the importance of diagnostic imaging—such as MRI or CT scans—to pinpoint the exact source of pain.
“An injection in the wrong level of the spine won’t do much good,” he explains. “Precision is everything.”
- Avoid Anti-Inflammatories (If Advised)
Depending on your case, your doctor may advise avoiding NSAIDs (like ibuprofen or naproxen) for several days before the injection. These medications can interfere with the action of corticosteroids.
- Stay Hydrated and Eat Light
In most cases, patients are advised to drink plenty of water the day before and have a light meal a few hours prior to the procedure unless fasting is required for sedation.
- Communicate Your Health History
Be sure to tell your provider about any allergies, infections, or blood thinners you’re taking. These factors can influence the timing and safety of your injection.
During the Procedure: Stay Calm and Informed
Most epidural injections are performed under fluoroscopic (X-ray) guidance to ensure the medication is delivered to the precise location. The procedure typically takes 15–30 minutes and involves minimal discomfort.
“Knowing what to expect can help reduce anxiety and muscle tension, which in turn improves the experience,” says Dr. Sudberg.
After the Injection: Maximize the Benefits
- Rest but Don’t Overdo It
While some soreness is normal after an injection, patients should avoid strenuous activities for 24–48 hours. Gentle walking is encouraged to keep the spine mobile.
“Rest is important, but complete immobility can be counterproductive,” Dr. Sudberg notes.
- Track Your Response
It can take anywhere from 24 hours to a week for the full effect of the injection to be felt. Keeping a pain diary to log changes in symptoms can help determine effectiveness—and guide future treatment decisions.
- Pair with Physical Therapy
One of the biggest mistakes patients make, Dr. Sudberg says, is treating the injection as a stand-alone solution. “Epidural injections reduce inflammation, which creates a window of opportunity for rehab,” he explains. “That’s the time to engage in physical therapy and core strengthening.”
When paired with a structured exercise program, injections can accelerate recovery and reduce recurrence.
Long-Term Considerations
While some patients may experience long-term relief from a single injection, others may require a series of injections spaced weeks or months apart. However, most physicians recommend limiting the number of injections per year due to potential side effects of corticosteroids.
Dr. Sudberg also emphasizes a holistic approach for long-term success, including:
- Ergonomic adjustments at work/home
- Weight management
- Stress reduction techniques
- Anti-inflammatory nutrition
“Pain is multifaceted,” says Dr. Sudberg. “You’ll get the best results when you address it from multiple angles.”
Final Thoughts
Epidural injections can be a powerful tool in managing spinal pain, especially when used wisely and in combination with other therapies. According to Dr. Jordan Sudberg, preparation, precision, and follow-through are the keys to success.
“If you approach your pain treatment like a partnership—with your provider, your body, and your habits—you dramatically increase your odds of real, lasting relief.”
If chronic back or neck pain is limiting your life, talk to a pain management specialist like Dr. Sudberg to see if epidural injections could be the right next step for you.
