General Pre/Post Instructions ■ T he level of activity can vary per individual. You may rest following the procedure or resume light activities. ■ Y ou may return to your normal level of activity the day after your procedure, including work. ■ Y ou will not be allowed to take a bath or utilize a Jacuzzi/whirlpool for 24 hours; however, showers are permitted. ■ I f you are taking any blood thinners, these will be held prior to the procedure but can be resumed the day after the procedure. Discuss with your physician. ■ I f you experience a fever of 101 degrees or more, you should contact your physician immediately. ■ I f steroids are given, these medications may cause your glucose level to temporarily rise. If you are taking insulin, you may need to talk to your physician in regards to adjusting your dosage. The effect can last up to 2 weeks following the procedure.
We will strive to provide effective diagnosis and treatment to each individual,while continuing to recognize the unique differences among individuals and tailoring our treatment accordingly to provide the most beneficial outcome.
Transforaminal injection Selective Nerve Root Injection
■ I f you are receiving sedation, you should not drive a vehicle, operate machinery, or power tools for the remainder of the day of your procedure.
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What is a Transforaminal Epidural Steroid Injection?
What will happen during the procedure?
What to expect immediately after the procedure?
A transforaminal epidural steroid injection, also known as selective nerve root injection, is a procedure where a steroid is injected via a needle that is placed, using x-ray guidance, along the expected nerve that is causing your pain. Concentrated steroids placed along the nerve as it exits the spine will decrease inflammation that may be causing your pain.
You will lie face down on an x-ray table. The area of the back is cleansed with an aneseptic solution. The skin is numbed with a local anesthetic. The physician will use x-ray guidance to direct a small needle next to the nerve roots. Contrast dye will be injected to confirm needle placement. Once confirmed, the anesthetic and steroid are injected. The technique is then repeated if there are two levels to be treated.
■ S ince the needle is placed next to a nerve, it is common to feel a sensation in the leg with needle placement or injection of the medication.
Sometimes, local anesthesia is also used to better diagnosis the specific nerve causing the pain.
■ Y ou may feel immediate relief and numbness in your back and leg following the injection. This means the medication has reached its correct location. ■ I n the recovery area, you may have numbness and weakness so extra caution should be taken when standing or ambulating. ■ S teroids usually take 2-3 days until they start working, sometimes they could take as long as a week.
What areas of the body are included in the procedure? ■ Lower back ■ Leg
Left L5 and S1 Transforaminal Epidural Steroid Injections and Nerve Blocks
Sacral Epidural Steroid Injection