The patient lies flat on an x-ray table on their abdomen. Prior to the epidural injection, the skin is numbed with lidocaine
, which is similar to the novocaine that the dentist uses (a "local" anesthetic).
Many types of physicians can be qualified to perform an epidural steroid injection, including an anesthesiologist, radiologist, neurologist, physiatrist and surgeon. Using fluoroscopy (live x-ray) for guidance, the physician directs a needle toward the epidural space.