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Thoracic Epidural Steroid Injection

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There’s a simple, non-invasive treatment for middle back pain available near you. The spine specialists at the Spine & Rehab Group offer an epidural for thoracic back pain called a thoracic epidural steroid injection. It’s a painless procedure, and for many people, it’s an ideal solution. Find a spine doctor experienced in thoracic epidurals and other back pain treatments at a Spine & Rehab Group office in New York City’s Financial District, Greenwich Village and Midtown Manhattan. If you’re in New Jersey in Bergen County, Morris County or Union County, call the office in Paramus, Riverdale, Englewood Cliffs, Cranford, or East Brunswick. Don’t stay in pain.

Why Do I Need a Thoracic Epidural Steroid Injection?

A thoracic epidural steroid injection is a minimally invasive procedure used to treat middle back pain and upper back pain. This injection contains medication that mimics the hormones cortisone and hydrocortisone. These drugs reduce inflammation and relieve pain.

Pain and other conditions in this part of your back occur because the spinal nerves exiting your spinal cord have become compressed. An injury to an intervertebral disc or degenerative disc disease often leads to this added pressure on your spinal nerves. And this causes inflammation, irritation and other incapacitating symptoms.

If you have back pain affecting your life, Dr. Amr Hosny and the experienced spine doctors at the Spine & Rehab Group can help relieve it. The board-certified spine doctors in NYC and northern NJ use the latest equipment for diagnosis and highly effective treatment for spinal conditions.

Our Board certified doctors Amr Hosny, MD, MBA, FASA
Amr Hosny, MD, MBA, FASA
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David Chu, MD, FAAPMR
David Chu, MD, FAAPMR
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Vivek Mehta, MD, FAAPMR Board Certified Interventional Spine Medicine
Vivek Mehta, MD, FAAPMR
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Deepali Gupta, MD, DABA, DABPM Board Certified Interventional Spine Specialist
Deepali Gupta, MD, DABA, DABPM
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What Can Thoracic Epidural Steroid Injection Treat?

Middle and upper back pain can originate from multiple spine conditions, mostly involving pinched nerves in your middle and upper spine. Your doctor can recommend a thoracic epidural injection to relieve the pain in your middle back and shoulders for a wide range of conditions, including:

Your spine specialist in New York City or northern New Jersey performs a comprehensive examination to determine the underlying cause of your spinal pain. The results form the basis of your treatment. While spine doctors usually prefer to start with conservative, non-invasive treatment modalities first, using an injection of the epidural for thoracic back pain is available when needed.

What Symptoms Require a Thoracic Epidural Steroid Injection?

Back pain is one of the most common disorders in the country, but only your spine specialist can determine whether a thoracic epidural steroid injection can help. Your doctor examines the symptoms pointing to a spinal nerve irritation and inflammation. Other tests follow to qualify you as a candidate for this procedure. You may be a good candidate for thoracic epidural steroid injection if:

These symptoms can point to other spinal problems, too, which is why you need an expert diagnosis. An early diagnosis makes the pain management techniques more effective as a treatment for your condition. By leveraging the latest medical technology, Dr. Hosny correctly diagnoses your spinal nerve problem and uses the thoracic epidural injection for treatment when appropriate.

Are You Eligible for a Thoracic Spine Epidural Injection?

The doctors at the Spine & Rehab Group ask questions to determine if you’re a good candidate for this procedure. Some factors and medical conditions that can disqualify you for this treatment include:

When you’re not eligible for an epidural for thoracic back pain, the team at the Spine & Rehab Group offer an interventional approach to treating back pain and have a number of other non-invasive treatments that may work for you, such as physical therapy and lifestyle changes. If necessary, you may require more extensive therapy, such as surgery, but that’s always the last resort.

patient TESTIMONIALS ★★★★★

I came to the spine and rehab group for my back and leg pain. I was able to get an appointment the same day I called. The staff was very friendly and courteous. The doctors were very knowledgeable and took time to explain what was causing my pain and answer all my questions. I felt comfortable having my procedure done in their state of the art surgery center, where the staff made you feel at ease. They are very easy to reach and available to answer all your questions.

Narendra G.

The entire staff at The Spine & Rehab group is great. They are so helpful and kind. The doctors really take time to talk to their patients and answer any and all of the questions that I had. I've had office visits and procedures done and everyone to the front desk, to the nurses. and the doctors were just great and knowledgeable. They really got me feeling better as well. Since I starting going there my pain has improved greatly! I would recommend The Spine & Rehab Group to everyone!

Carmen C.

The Spine & Rehab Group is my go to place for chronic pain. The doctors are compassionate and supportive. The nurses and staff are professional and so caring. I have been a patient here for almost 10 years . The doctors and physician assistant are extremely knowledgeable and always looking for the best way to help with my chronic pain! I always recommend The Spine & Rehab Group to people dealing with pain, I even tell my other doctors what wonderful doctors they are.

Val B.

These days it’s hard to find a professional, yet extremely caring physicians office, particularly in the field of Pain Management. Dr. Hosny, Dr. Chu, physician’s assistant Summer and the entire staff have managed to make this happen. Robin helped me many times with insurance to ensure that I got my shots in a timely manner (Hi Robin!). I’ve been going to this office for about three years and I couldn’t be more pleased!


I went to Dr. Hosny with lower back pain. I spend many hours sitting in a truck for my job. After an hour or so I would get pain in my back. Since I am a truck driver, pain killers were not an option for me. After a few sessions with Dr. Hosny, I am pain free. The staff at New Jersey Pain Care Center and are wonderful and caring people. I would recommend anyone go to Dr. Hosny if they want real results.


I had gone to Dr. Hosny with severe back pain after spinal surgery. It was debilitating pain that stopped me from being able to function normally. Dr. Hosny suggested that I have a Spinal Cord Stimulator implanted in my back. It is the best thing I EVER did. I am so excited to be able to return to my normal life with no medication. My experience at the pain center was wonderful. The nurses were very understanding and kind.


I have had back surgeries that provided me no relief from my pain. After a few treatments with Dr. Hosny, I have almost no discomfort. I have no need for my pain medication anymore, and have been able to go back to working out and enjoying activities with my family. I was pleasantly surprised at the treatment I received at New Jersey Pain Care Center. The staff is very nice, and treats you with respect. The facility is clean, bright and everything is brand new.


I had been having pain in my neck for many years. I had been to other doctors and they all recommended that I have surgery. I was hesitant to get surgery, so I wanted one more opinion. I had a friend tell me about Dr. Hosny and New Jersey Pain Care Center. From the moment I met Dr. Hosny I knew he wasn’t your average doctor. He took the time to listen to my concerns about surgery, and he agreed. After my cervical radiofrequency, I have full range of motion back in my neck, and best of all, no pain.

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What Happens during a Thoracic Epidural Steroid Injection?

Your spine doctor is assisted by an x-ray technician and a nurse for this in-office treatment. The doctor explains every stage of the procedure to put you at ease. The entire procedure takes 15 to 45 minutes. The process includes a series of steps that include:

  1. Your initial consultation includes a medical history examination, physical assessment and diagnostic tests.
  2. You lie face down, and the doctor uses a local anesthesia to reduce any discomfort.
  3. The doctor identifies the area to inject, then cleans and numbs it.
  4. Using fluoroscopy, which is a live x-ray, the doctor directs the needle to the correct position and injects the medication.
  5. The doctor monitors you for a short while before discharge. You go home to fully recover.

Your doctor monitors you during follow-up appointments. You may discuss alternatives, such as platelet-rich plasma (PRP) injections, physical therapy or surgery. To find out how a thoracic epidural steroid injection can improve your quality of life, contact Dr. Hosny and his team today. With three convenient locations in New York City and five more across the river in Bergen County, Morris County and Union County, New Jersey, this pain management facility has an office near you.

Page Updated on Oct 28, 2022 by Dr. Hosny (Interventional Spine Specialist) of The Spine & Rehab Group
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