Thoracic Epidural Steroid Injection

Thoracic Epidural Steroid Injection

A Thoracic Epidural Steroid Injection (TESI) is a minimally invasive procedure used to treat chronic pain in the mid-back (thoracic spine) caused by conditions like herniated discs, spinal stenosis, or inflammation of the nerves. This procedure involves the injection of a corticosteroid medication directly into the epidural space of the thoracic spine, reducing inflammation and alleviating pain. The epidural space surrounds the spinal cord and nerves, and the injection aims to decrease swelling and irritation around these structures.


This treatment is often recommended for patients who suffer from persistent mid-back pain that radiates to the ribs, chest, or arms, and who have not found sufficient relief from conservative treatments such as physical therapy, medications, or rest.

Thoracic Epidural Steroid Injection can be utilized as a treatment for:


-Back Pain

-Leg Pain



Thoracic Epidural Steroid Injection

This outpatient procedure is an injection performed to relieve pain in the upper back.

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What to Expect for the Treatment?

A Thoracic Epidural Steroid Injection (TESI) is a minimally invasive procedure used to treat chronic pain in the mid-back (thoracic spine) caused by conditions like herniated discs, spinal stenosis, or inflammation of the nerves. This procedure involves the injection of a corticosteroid medication directly into the epidural space of the thoracic spine, reducing inflammation and alleviating pain. The epidural space surrounds the spinal cord and nerves, and the injection aims to decrease swelling and irritation around these structures.


This treatment is often recommended for patients who suffer from persistent mid-back pain that radiates to the ribs, chest, or arms, and who have not found sufficient relief from conservative treatments such as physical therapy, medications, or rest.

Recovery and post-treatment care

After the injection, patients are typically monitored for a short time to ensure there are no adverse reactions. Some mild discomfort or soreness at the injection site may occur, but this usually resolves within a few hours to a couple of days. Patients are advised to avoid strenuous activity for 24-48 hours following the procedure but can resume normal activities shortly thereafter.


The relief from a Thoracic Epidural Steroid Injection can last anywhere from a few weeks to several months, depending on the patient’s condition and response to the treatment. For some, a series of injections may be necessary to maintain long-term pain relief.

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Many patients have found significant relief from Thoracic Epidural Steroid Injections, particularly those with nerve-related pain in the mid-back. For example, a 54-year-old patient with spinal stenosis experienced a 60% improvement in pain levels within a week of receiving the injection, allowing them to return to daily activities and reduce their reliance on pain medication. Another patient with a herniated disc reported substantial relief from chest and rib pain, enabling them to engage in physical therapy and avoid more invasive treatments.

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