During this procedure, a corticosteroid(anti-inflammatory medicine) is injected into the epidural space to reduce inflammation and pain. For pain that can be ascribed to a single or multiple nerve roots, the transforaminal approach can be more selective and deliver more medication to the exact place that it is needed.
Transforaminal epidural injections are commonly given to patients with leg and/or back pain to relieve such pain and improve mobility without surgery.
During this procedure, the patient is sedated but awake. It is important that Dr. Reid and patient communicate during the procedure. a small-gauge blunt needle is inserted into the epidural space through the bony opening of the exiting nerve root. The needle is smaller in size than that used during a conventional epidural approach. The procedure is performed with the patient lying on their belly using fluoroscopic (real-time x-ray) guidance.
Steroids usually take two or three days to start working, but can take as long as a week. Some patients have relief that lasts for years, while others have short-term relief. Usually a series of injections, often three, each spaced a week or two apart, are given. Be sure to discuss your response to treatment with Dr. Reid.