New from Active Sports Therapy
Injections should never be the first plan — but when they’re the right call, you want someone who gets it right.
Dr. Wilson explains the different types of epidural steroid injections and how to approach them with accuracy.
We’ve worked with Dr. Wilson for almost a decade. He’s a trusted local expert who prioritizes diagnostic clarity and precision at every step.
Epidural steroid injections can be an important tool when conservative measures aren’t enough. At Active Sports Therapy, we prioritize diagnostic clarity and precision to make sure injections are used appropriately. As the best chiropractic and rehabilitation therapy clinic in the Greater Nashville area, our team partners with trusted specialists to get patients the right intervention at the right time.
Epidural Steroid Injections: When Precision Matters
Epidural steroid injections (ESIs) deliver anti-inflammatory medication near the spinal nerves to reduce irritation and help with pain and mobility. ESIs are not a first-line fix; they are a targeted option when persistent back pain or radicular symptoms limit function and when diagnostic imaging and clinical evaluation point to nerve-root inflammation. Our approach emphasizes understanding the underlying movement impairments that led to the flare so we can pair injection therapy with rehabilitation for lasting results.
What this means
For patients, an ESI means targeted relief for nerve-related back pain and sciatica that hasn’t responded fully to chiropractic care, physical therapy, or other conservative treatments. It’s a procedure that can reduce inflammation, improve range of motion, and create a therapeutic window where focused rehabilitation and sports rehab techniques are most effective. We frame injections as one part of a broader recovery plan focused on movement, injury recovery, and performance.
Why it matters for patients in Hendersonville and Nashville
Patients in Hendersonville, TN should expect care that balances conservative rehabilitation and procedural precision. Choosing the best chiropractic care means working with a team that knows when to continue noninvasive treatment and when to coordinate an injection with a trusted spine specialist. Timely, accurate decisions can shorten downtime, prevent chronic compensation patterns, and protect long-term wellness and athletic performance for weekend warriors and pro athletes alike.
How our experts diagnose and treat it
Assessment begins with a detailed history and movement-based exam to identify which activities and positions provoke symptoms. We integrate imaging review, clinical findings, and diagnostic clarity from partners like Dr. Wilson to determine whether nerve-root inflammation is the primary issue. If an ESI is indicated, we coordinate care with the injecting physician to ensure accurate targeting and to plan post-injection rehabilitation.
Following an injection, our rehabilitation specialists implement progressive mobility and stabilization work to restore function and prevent recurrence. This combined model — conservative care, precise intervention, then focused sports rehab optimizes outcomes.
Advanced techniques and equipment we rely on
Precision matters: fluoroscopic or ultrasound guidance improves accuracy for epidural injections and reduces risk. Our clinic emphasizes evidence-informed pathways and coordinates with imaging and interventional experts to ensure procedures are done with the best technology and technique. On the rehab side, we use movement analysis, functional strength testing, and performance-driven protocols that help patients transition from pain relief to improved resilience and performance.
Patient success stories and real-world examples
One local runner came to us with chronic sciatica that limited mileage and performance. After conservative treatment plateaued, we collaborated with a trusted spine specialist for a targeted ESI. The injection decreased nerve irritation, and our team immediately implemented progressive mobility, gait retraining, and strength work. Within weeks the runner regained distance tolerance and returned to structured training without reliance on long-term medication.
Another patient with persistent low back pain after an injury experienced a similar path: careful diagnostic evaluation, an accurately placed ESI, and a rehab plan focused on ergonomics, core control, and graded return to work. These real-world examples show how injections, when used thoughtfully, create opportunities for meaningful recovery and restored function.
Prevention and long-term recovery strategies
After an epidural steroid injection, long-term success depends on movement-based recovery: progressive loading, movement quality, posture and ergonomic education, and a performance-oriented strength program. We emphasize injury recovery strategies like gradual return to activity, cross-training, and addressing movement deficits that contributed to the initial problem. For ongoing wellness, our patients use individualized maintenance plans that blend manual care, therapeutic exercise, and performance coaching.
If you’re dealing with epidural steroid injections, the best chiropractic and rehabilitation therapy team in Hendersonville, TN, is here to help you recover faster and perform better.
Make sure to watch this video for a deeper look at how our team helps patients overcome epidural steroid injections and return to full strength.
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