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hi Iamp;#39;m Dr David green with prefer pain center.com where we bring you anything and everything education for pain management today the topic of discussion is how do epidural steroid injections work for spinal stenosis the answer is they work very well but Iamp;#39;m going to explain to you why so donamp;#39;t stop watching the video just yet what is spinal stenosis spinal stenosis is a word or word that mean constriction of the spinal canal or the area where the nerve roots are trying to get out stenosis stenotic losing space all right hereamp;#39;s a model of the spine and basically what you have here is nerve roots coming out this is your sacral area this is your pelvic Wing you can feel that on the side of your hip this is the bumps you feel on the back of your spine okay and this is the nerve Roots as they come out and in spinal stenosis these are what are getting pinched and whatamp;#39;s pinching them is typically arthritis in these joints these are called the facet joi