Lumbar Transforaminal Epidural Steroid Injection
Overview
Lumbar Transforaminal Epidural Steroid Injection is an outpatient procedure where the patient is injected with a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.
Preparation
In preparation for the procedure, the patient lies face down. A cushion is placed under the abdomen, which causes the spine to bend in a way that opens the spaces on the sides of the spine. These spaces are called the foramina.
Anesthetic Injected
A local anesthetic is administered to numb the skin and the tissue that covers the spine.
Needle Inserted
When the area is numb, the physician carefully guides a needle into the foraminal space that surrounds the irritated nerve root.
Contrast Solution Injected
A contrast solution is injected through the needle. The physician uses a fluoroscope (a type of x-ray device) to confirm that the tip of the needle is positioned correctly.
Medication Injected
After the needle’s position has been confirmed, the physician injects a steroid-anesthetic medication. This medication bathes the irritated nerve roots. It will help alleviate the patient’s pain.
End of Procedure
When the procedure is complete, the physician removes the needle and bandages the insertion site. The patient may feel significant relief after one injection. Some patients may need multiple injections before they feel the full benefit of the medication.
TYPES OF PAIN WE TREAT
GASTROINTESTINAL
EAR, NOSE AND THROAT
GENERAL HEALTH
Herniated Disk
Lumbar Radiculopathy (Sciatica)
Osteoarthritus of the Knee
Osteoporosis
Trigger Point Injections
Where Lower Back Pain Begins
Where Neck Pain Begins
Whiplash
Brain and Mental Health
Depression
Generalized Anxiety Disorder
Post-Whiplash Headache
Stroke
Substance Abuse
Traumatic Brain Injury
Occipital Neuralgia (Arnolds Neuralgia)
Post Traumatic Stress Disorder
Substance Dependence
Tension Headache
Trigeminal Neuralgia
Diabetes Conditions
Diabetic Foot
Hyperglycemia (High Blood Glucose) and Diabetes
Hyperglycemia (Low Blood Glucose) and Diabetes
Prediabetes
Diabetes (Type 2)
Diabetes Treatments
Diabetes and Foot Care
Diabetes and Exercise
Diabetes and Healthy Eating
Managing Type 2 Diabetes
Digestive and Urinary Systems Conditions
Heart, Blood and Blood Vessel Conditions
High Blood Pressure (Hypertension)
Infectious Diseases
Lung Conditions
Asthma
Bronchitis
COPD
Emphysema
Medications
Opioids Medications
Opioids (Common Side Effects)
Opioids (Dependence and Addiction)
Opioids and Chronic Pain Management
Using Opioids Safely
Sleep Disorders
Insomnia
Restless Leg Syndrome
Sleep Apnea
Systemic and Genetic Disorders and Conditions
Anemia
Chronic Fatigue Syndrome
Complex Regional Pain Syndrome
Fibromyalgia
Overweight and Obesity
Head Non-Surgical Procedures
Botox Injections for Chronic Migraine
Peripheral Non-Surgical Procedures
Fascia Illiaca Block
Brachial Pleaxus Block
Femoral Nerve Block
Poplitea Fossa Block
Spine Conditions
Cervical Radiculopathy
Compression Fractures of the Spine
Facet Joint Syndrome
Herniated Discs
Lumbar Radiculopathy (Sciatica)
Myelopathy
Spinal Stenosis
Spondylolisthesis
Spondylosis
Where Lower Back Pain Begins
Spine Non-Surgical Procedures
Caudal Epidural Steroid Injection
Cervical Epidural Steroid Injection
Discography
Facet Joint Injections
Flouroscopic Guided Piriformis Injection
Lumbar Epidural Steroid Injection
Lumbar Epidural Steroid Injection (without contrast)
Lumbar Transforaminal Epidural Steroid Injection
Medial Branch Block (Cervical)
Radiofrequency Neurotomy of the Lumbar Facets
Sacrolliac Joint Steroid Injection
Stellate Ganglion Block
Spine Surgical Procedures
Anterior Cervical Discectomy and Fusion
Cervical Posterior Foraminotomy
Laminectomy
Laminectomy (cervical) with Fusion
Lumbar Disc Microsurgery
Lumbar Discoscopic Discectomy
Micro Endoscopic Discectomy
Minimally Invasive Lumbar Microdecompression
Posterior Lumbar Interbody Fusion
Spinal Fusion (Lumbar)
Selective Endoscopic Disectomy
Foot and Ankle Procedures
PRP Therapy
PRP Therapy for Achilles Tendon Pain
PRP Therapy for Peroneal Tendonitis
PRP Therapy for Plantar Fasciitis
Hip and Thigh Conditions
Sacroiliac Joint Pain
Hip Joint Injection
PRP Therapy
Ultrasound-Guided Illoinguinal Nerve Block
Knee Procedures
PRP Therapy
Flouroscopic Guided Steroid Injection for Knee Pain
Genicular Nerve Block
HYALGAN Injection for Knee Pain (Flourscopic Guided)
Visco-supplementation for Arthritis of the Knee