A member asked:

What is the difference between a transforaminal and a epidural injection? left l.4.l5 two level injection lumbar radic.

11 doctors weighed in across 4 answers
Dr. Orrin Ailloni-Charas answered

Specializes in Anesthesiology

The difference : Is the location of the injection. The transforaminal space is adjacent to the dura and epidural space. These injections are more site specific than epidurals.

Answered 6/26/2014

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Dr. Alvin Stein answered

Specializes in Pain Management

Location: Both are epidurl injections but on is to try to get localized to the nerve root itself and one is around the entire dural area. Neither treats the cause of the back pain which is instability. Visit www.Getprolo.Com or www.Aaomed.Org for a prolotherapist.

Answered 4/14/2013

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Dr. Qamar Khan answered

Specializes in Pain Management

Transforaminal Inj: In the transforaminal approach to the epidural steroid injection the the epidural space and nerve(s) is coated with the steroid/anesthetic mixture. The epidural injection you refer to is called an interlaminar or translaminar epidural injection where the medication is placed between the two spine bones in your back. Check out Spine-Health.Com for more info.

Answered 12/23/2018

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Dr. William Jenkins answered

Specializes in Anesthesiology

They are: both epidurals, i.e., needle placed outside the dura. With the transforaminal the needle enters the epidural space from the side and requires x-ray guidance. With the posterior approach that is commonly used for labor and delivery and also pain management the needle is placed by sensing when it enters the epidural space between the vertebral bones in your back

Answered 8/2/2014

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