Epidural Steroid Injections in Novi, MI
About Epidural Steroid Injections
An epidural steroid injection (ESI) delivers anti-inflammatory steroid medication into the epidural space, the area surrounding the spinal nerves. When a nerve root is irritated, for example by a herniated disc, the inflammation can cause pain, numbness or tingling that travels into an arm or leg.
By reducing that inflammation, an ESI aims to relieve radiating pain and make it easier to participate in physical therapy and daily activities. Epidural injections are generally performed with image guidance to help direct the needle.
Who may benefit
ESIs are commonly considered for cervical or lumbar radiculopathy (pain radiating into the arm or leg, such as sciatica), herniated discs, and some forms of neck and low back pain when conservative care has not provided enough relief.
What to expect
- A physiatric assessment and review of any imaging to identify the level and side of the irritated nerve.
- The procedure itself is usually short; you will be positioned comfortably and the skin numbed before the injection.
- You will be monitored briefly afterward and are usually advised to take it easy for the rest of the day.
- Relief, if it occurs, typically develops over several days; follow-up guides next steps in your rehab plan.
Physician-led care in Novi
Treatment at Excel Physical Medicine and Rehab is provided under the direction of Dr. Augustus (Peter) Evangelista, who is board certified in Physical Medicine and Rehabilitation and in Pain Medicine. Treatment plans can include on-site physical therapy in Novi.
Verify this physician's specialty and practice address in the Corewell Health directory or Trinity Health Michigan directory.
Common questions
- Will an epidural steroid injection fix a herniated disc?
- An ESI does not repair the disc. It targets inflammation around the nerve so pain can settle while the body heals and you rebuild strength and mobility.
- Is an epidural steroid injection the same as a trigger point injection?
- No. Epidural steroid injections deliver medication near spinal nerves; trigger point injections target tender areas within muscles. A physician evaluates your symptoms before recommending either option.
- How do I know if this treatment is right for me?
- Every treatment plan at Excel Physical Medicine and Rehab starts with a comprehensive physiatric assessment. Dr. Evangelista reviews your history, examines how the problem affects your function, and discusses whether this option makes sense alongside alternatives such as physical therapy.
This page is general patient education, not medical advice. Whether a treatment is appropriate for you is decided after an in-person evaluation. For emergencies, call 911.
Schedule a consultation
Start with a comprehensive physiatric assessment at our Novi office.