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hello this is dr david green ceo of the arizona pain network where we bring you anything and everything educational for pain management today the topic is five things to know about epidural steroid injections epidural injections were first performed back in the 1950s so were talking about over 60 years of clinical use in america the purpose and pain management of the spine is to relieve the pain coming from pinched nerves and this is most commonly performed with cortisone which is steroid and thats been the case for like i said over 60 years that has not really changed now the first thing to know is what are the indications for an epidural steroid injection well the most common is when you have a herniated disc with sciatica and this is a disc pushing back this is the spinal cord and then one of the nerve roots coming off you can see that its getting pinched and the red indicates its being inflamed so thats a herniated disc with sciatica which is pain down one of the legs from th