How do you perform a transforaminal epidural steroid injection?

How is transforaminal injection done?

1. Insert a thin needle into your lower back, targeting the specific nerve root causing your pain.
2. Inject a mixture of anesthetic (for temporary pain relief) and steroid (for longer term relief)

What is the success rate of spinal injections?

An analysis of several large clinical trials indicated that 40% to 80% of patients experienced over 50% improvement in sciatica pain and functional outcome from 3 months up to 1 year when 1 to 4 injections were given in that year.

What are the restrictions after an epidural steroid injection?

Do not drive within 12 hours of receiving your epidural injection. Do not apply heat right to the injection site for at least three days following the epidural. This includes steam rooms, saunas, and hot packs, but your regular shower is safe.

How long does a transforaminal injection last?

The immediate effect is usually from the local anesthetic injected. This wears off in a few hours. The steroid starts working in about 3 to 5 days and its effect can last for several days to several months.

How often can you get a transforaminal epidural steroid injection?

You first series of epidural injections will be done in a set of 3 injections around 3 weeks apart. If you get significant benefit from this entire series, the injections can be safely repeated periodically to maintain the improvements.

Do they put you to sleep for epidural injections?

Some facilities provide the option to have the spinal injection done while sedated and others simply do the spinal injection while you are awake, but sufficiently numbed so that you will not feel any intense pain or discomfort.

How much does it cost to get an epidural spinal injection?

On MDsave, the cost of an Epidural Steroid Injection ranges from $836 to $1,549. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.

Can you walk after a lumbar epidural?

What can you expect after a lumbar epidural steroid injection? If your injection had local anesthetic and a steroid, your legs may feel heavy or numb right after. You will probably be able to walk.

What should you not do after an epidural?

Avoid heat to the injection area for 72 hours. No hot packs, saunas, or steam rooms during this time. A regular shower is OK. You may immediately restart your regular medication regimen, including pain medications, anti-inflammatory, and blood thinners.