What an Epidural Steroid Injection Is
An epidural steroid injection (ESI) delivers corticosteroid medication directly into the epidural space of the spine — the area around the protective covering of the spinal cord. The steroid reduces inflammation around compressed nerve roots, decreasing pain and allowing the nerve to heal. The procedure is performed under fluoroscopic (X-ray) guidance to ensure precise needle placement.
What to Expect During the Procedure
The procedure is performed as an outpatient service and takes approximately 20 to 30 minutes. You will be positioned on a procedure table and a local anesthetic will be used to numb the injection site. The physician inserts a needle into the epidural space under fluoroscopic guidance, confirms correct placement, and delivers the steroid medication. Most patients feel relief within 3 to 5 days, with maximum benefit at 2 to 3 weeks.
No-Fault Coverage for ESI
Epidural steroid injections are covered under New York No-Fault insurance when medically indicated, with prior authorization required. MAIC's pain management team handles all ESI authorization requests in-house, including preparation of the MTG-compliant authorization package and all carrier appeals. Call (888) 991-5290 to schedule a pain management consultation.