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Pain running down both legs Chronic lower back pain Post-surgical scarring or adhesions Spinal stenosis in the lower lumbar region Pelvic pain How We Choose the Right Type of ESI for You Epidural steroid injection (ESI) we recommend depends on several factors, including: Where your pain is : Whether its localized or radiates to other areas The condition youre suffering : For example, sciatica or degenerative disc disease What MRI imaging shows : We will carefully review the MRI imaging to see exactly where there is nerve impingement that we can target with an injection