Doctor insights on:
Transforaminal Epidural Injection
Had transforaminal epidural injection for 2 pinched nerves 2 level injection on 4/9/13-herniation, still have lots of pain in spine, tkrdone 10/12 ?
Stenosis: It sounds like you've had significant spine and leg pain since a tkr in oct 12? And i'm guessing you've had a lumbar mri. If the MRI showed significant stenosis (pinched nerves) which corresponds to your pain symptoms, then your options are to try medications (i.e. Lyrica), or another epidural or two, or decompressive lumbar surgery. ...Read moreSee 2 more doctor answers
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
What is the difference between a transforaminal and a epidural injection?
Left l.4.L5 two level injection lumbar radic.
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. ...Read moreSee 2 more doctor answers
In a transforaminal epidural steroid injection, is the ink supposed to look like a drop or should it spread out in a spray like the size of half a dollar?
Can a person get cervical and thoracic spine pain after a lumbar transforaminal epidural steroid injection?
How much steroid(mg) should be given in a transforaminal diagnostic epidural steroid injection for a small adult?
Generally No: It is not standard of care at all. Used to be when we didn't have x-ray, but not anymore. In fact the CPT codes used to bill these types of injections now have fluoroscopic guidance built into them, including the older technique done bedside which will change for 2015. So never get an epidural without x-ray unless your are having a baby or for surgery. ...Read moreSee 2 more doctor answers
What is the difference between facet joint injection and paravertebral injection and epidural injection? Any website with picutres explaining such?
Location: The facet joints are the joints between the vertebra. An epidural injection goes into the epidural space (the space just outside the sac that covers the spinal cord. Depending on approach epidurals can be translaminar or transforaminal. Paracertebralinjections are in the space immediately to the side of the area where the spinal nerves come out of the spine. The location is the main difference. ...Read moreSee 2 more doctor answers
Usually 3-4 days: However it can take up to 10-14 days in some people to get relief from an epidural steroid injection. I would consider at least a second injection if you are getting some relief. if no significant relief after 2 injections, you need to have the doctor look at other options (radio frequency) or even possibly surgery as well. ...Read moreSee 2 more doctor answers
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
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