Transforaminal Epidural Steroid Injections
Transforaminal Epidural Steroid Injections are advanced nonsurgical diagnostic and pain relief treatments performed by the region’s leading pain management experts at Nassau Anesthesia Associates, P.C., a medical group affiliated with Winthrop-University Hospital on Long Island, NY.
In addition to providing anesthesia care for patients before, during, and after surgery, Nassau Anesthesia Associates has anesthesiologists with advanced training in the field of pain management. We utilize the most advanced nonsurgical techniques for treating acute and chronic pain that hasn’t responded to more conservative treatments.
The transforaminal injection is a type of selective nerve root block which targets the foramen, or the opening at the side of the spine where the nerve root ends. This long-acting steroid injection can be used for therapeutic treatment as well as diagnostic purposes.
The Transforaminal Injection Procedure
An image guided transforaminal injection is an important diagnostic test for identifying the specific spinal nerve root level causing the pain. This procedure allows the anesthesiologist to determine the source of the problem and decide which corrective procedures or surgeries may be needed.
One injection takes an average of five to ten minutes to complete, but the effects can last up to 12 weeks. Prior to the procedure, the patient is given local anesthesia to numb the target area. At the patient’s request, sedatives are given to help make them more comfortable. The patient is positioned on their stomach during the procedure, and the needle is injected under X-ray guidance.
After the transforaminal injection is complete, the patient will most likely feel immediate pain relief from the injection of local anesthesia. This is only temporary and usually only lasts about two hours. Any long-lasting pain relief will occur within the next few days after the treatment.