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Doctor insights on: Transforaminal Epidural Injection

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Will epidural steroid injection help a sciata nurve?

Will epidural steroid injection help a sciata nurve?

Yes: An epidural steroid injection is a minimally invasive procedure that delivers steroids via a needle directly into the epidural space to help reduce inflammation. It is effective for sciatic pain. ...Read more

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Dr. Scott Keith
4 doctors shared insights

Epidural Injection (Definition)

Epidural injections treat either acute or chronic pain. The most common epidural injections are to treat labor pain and usually include an indwelling catheter that provides continuous treatment until the baby is delivered. The medicine is a local anesthetic +/- opiod. Epidural injections also include single shot injections to treat chronic back pain. These usually include ...Read more


Dr. Brian Le Dr. Le
3 doctors agreed:
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What are epidural steroid injection complications?

Dr. Brian Le Dr. Le
3 doctors agreed:
What are epidural steroid injection complications?

ESI complication: The potential risks associated with epidural steroid injection include spinal headache from a dural puncture, bleeding, infection, allergic reaction, and nerve damage / paralysis. Corticosteroid side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. ...Read more

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Whats bilateral lumbar facet injection?

Whats bilateral lumbar facet injection?

For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read more

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Spinal epidural block forpeople with disc extrusion?

Spinal epidural block forpeople with  disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

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Epidural spinal injection side effects for ankylosing spondylitis?

Epidural spinal injection side effects for ankylosing spondylitis?

No difference: Epidural injections can be done to relieve pain and inflammation from a number of spinal conditions; risks are the same. Tenderness at the injection site is common but doesn't last long. More serious problems such as bleeding, infection, or nerve damage are very rare but possible; these injections should only be done by trained physicians. ...Read more

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Explain kenalog (triamcinolone) facet joint injections?

Explain kenalog (triamcinolone) facet joint injections?

Why?: Although i used to give them, studies by deyo, et al, and others more recently, have shown little benefit over a systemic steroid injection. The injection is delivered to the facet joint, the true synovial joints of the spine. Afcet joints problems are likely if you have pain with backward extension of your spine. ...Read more

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How long does a caudal epidural steroid injection provide pain relief for compressed disks?

How long does a caudal epidural steroid injection provide pain relief for compressed disks?

Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read more

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Can an epidural injection help syatica?

Can an epidural injection help syatica?

Maybe: You've indicated you're 80 years old with history of liver transplant. You have to weigh risks against benefits of a procedure. The risk of infection or epidural abscess is greater in someone who's immune suppressed. If the cause of your pain is mechanical compression due to extensive spine degeneration epidural may help but for a very short while. I would look into medications such as gabapentin. ...Read more

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Is a cortisone injections the same as epidural steroid injection?

Is a cortisone injections the  same as epidural steroid injection?

Well: Technically no difference, they are probably the same. However, if the cortisone injection is not done under an x-ray machine (fluoroscopic c-arm) then it could be that the cortisone injection may be just that an injection into the muscle like a trigger point injection. Speak with your doctor to get clarity about what you will be getting. ...Read more

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What does epidural cortisone shot involve?

Epidural steroids: This entails injecting a potent anti-inflammatory medication into the outermost part of the spinal canal - the area outside the dura. Your provider can give you all the risks, benefits, and alternatives, but a needle is placed into the back so that the pain relieving medication can be delivered in the immediate area of the pain. ...Read more

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How is an epidural steroid injection typically performed?

How is an epidural steroid injection typically performed?

It varies!: An epidural injection may be performed anywhere along the full length of the spine. It will usually be placed near the source of the pain or numbness: in the upper spine for neck pain, or the lower spine for back pain. In a pain clinic, sedation will sometimes be given to help with any discomfort. X-ray may be used for very precise positioning of the needle. ...Read more

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How long does one epidural steroid injection provide sciatica pain relief?

Steroid injection: Every patient is different. Some respond to one and some need more than one injection. Main thing is that you are evaluated after the injection. ...Read more

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Can a person get cervical and thoracic spine pain after a lumbar transforaminal epidural steroid injection?

Yes: It is not that common but can be seen. The pain should be transient and short lived. If worsening, accompanied by headaches, fevers, weakness in the extremities, the doctor should be notified immediately. ...Read more

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What is recommended if lumbar epidural steroid injections don't work?

What is recommended if lumbar epidural steroid injections don't work?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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Does a CT guided injection help posterolateral disc herniation?

Does a CT guided injection help posterolateral disc herniation?

Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more

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What are epidural steroid injections used for?

Spinal Conditions: Many spinal conditions will respond to epidural steroid injection such as sciatica, degenerative disc disease, bulging, protruding, extruded discs which are disturbing spinal neural structures. The body has the inherent ability to cure itself given time. Steroids simply reduce inflammation around the neural structures, reduce pain, in order for time for you body to heal. ...Read more

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Dr. James Chapman
2 doctors shared insights

Epidural (Definition)

The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more