Mastering Lumbar Epidural Injections: A Virtual Guide for Interventional Pain Management Picture

Mastering Lumbar Epidural Injections: A Virtual Guide for Interventional Pain Management

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Online Course Includes

Full-Color Workbook
2 hours
Empire Certificate
Resources

Overview

Skill Level: Advanced

This comprehensive online medical course is designed to equip healthcare professionals with a robust, virtual understanding of lumbar epidural steroid injections for spine-related pain management. Through high-quality video content, anatomical breakdowns, fluoroscopic guidance, and real patient case studies, participants will gain critical insights into the indications, techniques, and safety protocols surrounding lumbar epidural injections.

Led by Dr. Maria de la Peña, a fellowship-trained anesthesiologist in interventional pain management, this virtual training emphasizes diagnostic accuracy, advanced fluoroscopic techniques, and clinical decision-making tailored for both emerging and experienced practitioners. The course is designed to be completed virtually, with optional access to in-person seminars for hands-on training available through Empire Medical Training across the U.S.

Highlights

  • Spinal Anatomy & Fluoroscopic Landmarks: Detailed virtual instruction on identifying key structures and understanding the 3D relationship between spinal anatomy and fluoroscopic imaging.

  • Injection Techniques:
    - Interlaminar
    - Transforaminal
    - Caudal approaches

  • MRI Interpretation & Diagnostic Accuracy: Develop skills in correlating imaging with symptoms using T1, T2, and STIR sequences for accurate targeting.

  • Advanced Case Studies: Real-world virtual cases from young athletes to elderly patients post-surgery, highlighting diverse presentations, injection choices, and outcomes.

  • Steroid Selection Guide: Overview of particulate vs. non-particulate steroids, dosage guidance, contraindications, and side-effect profiles.

  • Complication Management: Recognition and prevention strategies for post-dural puncture headaches, infections, intravascular uptake, arachnoiditis, and more.

  • Introduction to Regenerative Alternatives: Exploration of PRP (Platelet-Rich Plasma) as a non-steroidal anti-inflammatory regenerative modality.

  • Virtual Procedure Demonstrations: Step-by-step visual demonstrations with fluoroscopic verification, patient communication techniques, and sterile setup for each approach.

  • Evolving Trends: Up-to-date discussion on emerging guidelines, ASRA protocols, and best practices in interventional spine care.

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Dr. María Alejandra De La Peña instructor picture

Dr. María Alejandra De La Peña

Meet Your Instructor

Dr. María Alejandra De La Peña is a board-certified Anesthesiologist with subspecialty certification in Pain Medicine. She completed her residency in Anesthesiology at The University of Miami. Dr. María De La Peña continued her studies by graduating with a fellowship in Interventional Pain Management from Harvard Medical School, Beth Israel Deaconess Medical Center.

After completing her training, she returned to South Florida and joined Spine and Wellness Centers of America, where she currently serves as Director of the Fort Lauderdale office. While treating patients, Dr. María Alejandra De La Peña has also taken on the role of Assistant Professor of Anesthesiology at the University of Miami.

María Alejandra De La Peña, MD is an expert in the diagnosis and treatment of disorders of the spine, musculoskeletal system, and other pain conditions. Her clinical focus combines evidence-based treatments, multidisciplinary approaches to pain, and interventional procedures to manage complex pain cases. She specializes in the field of neuromodulation and has a special interest in regenerative medicine.

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Who the Course is Intended For

This virtual continuing medical education course is intended for:

  • Physicians in Pain Management, Anesthesiology, PM&R, Orthopedics, and Neurology
  • Nurse Practitioners (NPs) and Physician Assistants (PAs) working in interventional pain or spine clinics
  • Residents and Fellows seeking virtual exposure before hands-on practice
  • Providers preparing for Empire in-person spine seminars, where this virtual course serves as a prerequisite

Course Details

  • Format: 100% Online, On-Demand
  • Instructor: Dr. Maria de la Peña
  • Estimated Time: 2 hours
  • Includes: High-definition procedural videos and downloadable slides, real patient MRI's in video, and quizzes
  • Certification: Trusted Empire Medical Training certificate 
  • Optional Add-On: Attend any of Empire Medical’s live seminars nationwide to receive in-person experience.

Learning Objectives

By the end of this course, learners will be able to:

  1. Identify and interpret spinal anatomy relevant to lumbar epidural injections using fluoroscopy and MRI.
  2. Distinguish between interlaminar, transforaminal, and caudal approaches, and select the appropriate method based on clinical presentation.
  3. Apply proper sterile technique, needle guidance, and contrast use to confirm safe and accurate epidural placement.
  4. Evaluate when to use particulate vs. non-particulate steroids and recognize potential complications.
  5. Manage procedural risks including vascular uptake, dural puncture, infection, hematoma, and arachnoiditis.
  6. Integrate regenerative medicine options like PRP into a multimodal treatment plan.
  7. Interpret dermatomal patterns and correlate with MRI findings to select the correct injection level.
  8. Develop protocols for patients with comorbidities such as diabetes, hypertension, or anticoagulation therapy.

Frequently Asked Questions

Q1: Is this course hands-on or fully online?
This course is entirely online and on-demand, allowing you to complete it at your own pace. For hands-on training, we offer Empire in-person seminars at locations across the country. 

Q2: Do I need fluoroscopy experience to take this course?
No prior experience is required. The course includes extensive fluoroscopic anatomy review, positioning tips, and procedural video demonstrations to prepare you for hands-on application.

Q3: What medications and doses are covered?
You’ll learn about triamcinolone, methylprednisolone, betamethasone, and dexamethasone, including appropriate dosing for interlaminar, caudal, and transforaminal techniques, with emphasis on patient safety and current guidelines.

Q4: How does the course address complications?
We provide a full breakdown of procedural complications—from post-dural headaches to intravascular uptake—with actionable prevention and management protocols, including blood patch procedures and infection workup.

Q5: Will this course cover PRP or regenerative options?
Yes. You’ll get an overview of platelet-rich plasma (PRP), its mechanisms, applications in epidural therapy, and how it compares to traditional steroid use for long-term pain management.

Q6: Can NPs and PAs enroll in this course?
Absolutely. The content is tailored for mid-level providers as well, with emphasis on diagnostic reasoning, imaging correlation, and injection safety.

Q7: Is there a certificate?
Yes. Completion of this course provides a certificate of completion.

Full-Color Workbook

Each Empire On-Demand workshop is thoughtfully complemented by a stunning full-color workbook that serves as an invaluable tool to enrich your learning experience. This beautifully designed workbook not only enhances your understanding of the course material but also provides a visual and tactile dimension to your educational journey.

full-color workbook

Class Materials

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Mastering Lumbar Epidural Injections: A Virtual Guide for Interventional Pain Management Manual
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