Chiropractic Is More Effective and Less Costly Than Epidural for Herniated Disc

Epidural steroid injections (ESI) are a common treatment for herniated disc pain, particularly for patients with radiating symptoms. They involve injecting corticosteroids into the space around the spinal cord to reduce inflammation around the compressed nerve root. While ESIs can provide meaningful short-term relief, a 2013 study by Peterson and colleagues found that chiropractic spinal manipulative therapy performed comparably or better — at significantly lower cost.

The Peterson Study

The research compared patients with MRI-confirmed lumbar disc herniation treated with either chiropractic manipulation or image-guided lumbar nerve root injections (ESI). Both groups experienced pain reduction and functional improvement, but critical differences emerged:

• Chiropractic manipulation produced outcomes comparable to ESI for pain reduction and functional improvement
• The chiropractic group achieved their results at substantially lower overall cost
• ESI patients faced the additional risks associated with injection procedures: bleeding, infection, nerve damage, and the systemic effects of corticosteroids
• The benefits of chiropractic care persisted with ongoing treatment; ESI benefits typically require repeat injections that carry cumulative steroid exposure risks

Understanding the Real Costs of Epidural Injections

A single fluoroscopically-guided epidural injection can cost $600–$2,500 depending on the facility, and most patients require a series of three for the recommended therapeutic trial. Chiropractic care for the same condition typically costs a fraction of this amount and addresses the mechanical causes of the disc herniation rather than simply reducing inflammation around it.

If you are considering an epidural injection for herniated disc pain, ask your provider about a trial of chiropractic care first. Our doctors at Total Health Family Clinic will assess your case and provide an honest recommendation about the most appropriate treatment path.