
Epidural Injections
Thoracic Epidural Steroid Injection
A thoracic epidural steroid injection delivers anti-inflammatory medication into the epidural space of the mid-back (thoracic spine) to treat nerve root irritation and inflammation in this region.
Conceptual illustration
Medically reviewed by Joshua L. Hare, DO, Founder & Medical Director
Updated September 2026
Conditions Treated
Thoracic radiculopathy, post-herpetic neuralgia (shingles pain), thoracic disc herniation, compression fracture pain, thoracic spinal stenosis
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How It Works
Using fluoroscopic guidance, the physician carefully places a needle into the thoracic epidural space.[1] Due to the proximity to the spinal cord in this region, precise imaging guidance is essential for safety.

Treatment day
What to Expect
15-30 minute procedure requiring fluoroscopic guidance. You may feel pressure during needle placement. A driver is required.
Afterward
Recovery
Pain relief begins within 2-7 days. The thoracic spine has less mobility than lumbar or cervical regions, so recovery is generally straightforward.
Duration of Relief
Relief typically lasts from several weeks to several months, and in some cases up to 12 months.[1]
References
Clinical sources for this page.
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