Epidural Injection Specialist

Mathew Lefkowitz, MD -  - Interventional Pain Medicine

Mathew Lefkowitz, MD

Interventional Pain Medicine located in Brooklyn Heights, NY

As the main conduit for your nervous system, your spine plays host to many nerve roots that can cause pain in your extremities. To go straight to the source of your pain, Mathew Lefkowitz, MD, offers epidural steroid injections that provide almost instant relief from debilitating pain that originates in your neck or back. If you’re in the Brooklyn Heights, New York, area, and you’d like to learn more about epidural injections, please call to request an appointment.

Epidural Injection Q & A

What is an epidural injection?

When it comes to non-surgical management of low back pain, epidural steroid injections have played an important role since the early 1950s, providing fast relief by reducing inflammation.

A dural sac, which houses your spinal cord, nerve roots, and cerebrospinal fluid, encloses your spine. Your epidural space surrounds the dural sac and contains fat and blood vessels.

With an epidural steroid injection, Dr. Lefkowitz uses a mixture of steroids (cortisone), an anesthetic, and saline fluid, to temper the irritated nerve root by reducing the inflammation in the area. Dr. Lefkowitz accesses your epidural space using fluoroscopy (guided X-ray technology) and releases the compound. The local anesthetic immediately goes to work to numb the nerve root while the cortisone reduces the inflammation that is irritating the nerve.

What conditions can an epidural injection treat?

Dr. Lefkowitz recommends epidural injections for a number of different conditions, including:

  • Sciatica pain that radiates down your leg
  • Neck pain that radiates down your arm (or stays local)


By and large, these conditions are brought on by:

  • Herniated discs
  • Spinal stenosis
  • Degenerative disc disease
  • Compression fractures
  • Disc tears


There are other, less common, causes of radiating pain that originates along the spine, such as tumors, but the list above represents the vast majority of problems.

How does an epidural injection procedure work?

Dr. Lefkowitz has two fluoroscopy machines at his practice, which means he’s able to perform the epidural injections on-site. The equipment allows him to accurately guide the injection into the precise spot where the inflammation is causing problems. He gives you a local anesthetic for your comfort, but an epidural injection is an outpatient procedure, which means you’re free to go home afterward.

What happens after my epidural injection?

Once Dr. Lefkowitz administers the epidural injection, you should feel an almost immediate relief of the radiating pain. Conditions like sciatica or a problematic disc in your neck often cause pain in your extremities (legs and arms), which is what Dr. Lefkowitz is able to relieve with the injection.

This immediate relief allows you to pursue physical therapy or other treatments to address the underlying source of the inflammation, if necessary, giving you the much-needed relief that lasts.

If the radiating pain is immobilizing you, call Mathew Lefkowitz, MD, to find out about epidural injections. Or you can use the online booking tool to schedule an appointment.