What is a thoracic epidural steroid injection (TESI)?
A thoracic epidural steroid injection (TESI) is a procedure performed in your mid-back (thoracic spine), in which a corticosteroid is injected into the space within the bony confines of the spinal canal outside the spinal cord. The purpose of this procedure is to reduce the inflammation that is caused by bulging or herniated discs putting pressure on your spinal nerves.
"Dr. Maniam is great and you took care of my knee. My knee feeks great and i can walk again. The visit was beautiful and they treat me with respect."- K.D. / Google / May 18, 2021
"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
"The nicest people, the best care. I feel so much better already. Would recommend to any and all friends, dancers, athletes, who are having pain."- C.J. / Google / May 14, 2021
"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
Who is a good candidate for a TESI?
Patients who experience radiating, sharp mid-back pain who have not responded to conservative treatments like physical therapy, over the counter medications, and RICE (rest, ice, compression, elevation), may be a candidate for a TESI. During your consultation, your physician will perform a comprehensive history and physical exam, as well as review any diagnostic imaging to determine if you would benefit from a TESI.
How is a TESI performed?
All TESI’s are performed in our in-office AAAASF surgical suite and can be done with conscious sedation if needed. We use live x-ray guidance to target the specific vertebral level that corresponds to your area of pain. During the procedure, your physician will use a contrast medication to ensure proper placement and spread of the medication throughout the epidural space. This is the area just outside the spinal cord where the inflamed nerves lie. Once placement of the needle is confirmed a steroid solution is injected. The procedure takes less than 30 minutes and there is little to no downtime. Patients who receive sedation for their procedure will need to recover in our recovery room for 20-30 minutes before being discharged.
If you are experiencing mid-back or flank pain and want to know if a thoracic epidural steroid injection is the right treatment option for you, please call our midtown Manhattan office to book a consultation.