Transforaminal Epidural steroid injections can reduce sciatica pain by almost 90 percent, according to the Anesthesia and Analgesia, a noted reference on the addition, a study published in the journal PM & R: the Study of Injury, Function, and Rehabilitation found that the transforaminal approach was superior to placebo procedures in decreasing radicular, or nerve related pain. It is most effective for sciatica pain, though less effective for simple lower back pain. Patients report feeling less pain, greater mobility, and increased quality of life. With relatively few side effects, epidural steroid injections are a viable treatment option.
In an SNRB, the nerve is approached at the level where it exits the foramen (the hole between the vertebral bodies). The injection is done both with a steroid (an anti-inflammatory medication) and lidocaine (a numbing agent). Fluoroscopy (live X-ray) is used to ensure the medication is delivered to the correct location. If the patient’s pain goes away after the injection, it can be inferred that the back pain generator is the specific nerve root that has just been injected. Following the injection, the steroid also helps reduce inflammation around the nerve root.
NOTICE OF FINANCIAL INTEREST: This is to serve as legal notice that the physicians at this location providing my care have a financial interest in The Pain Relief SurgiCenter, Ambulatory Surgery Center of Killeen, Pain Specialists of Austin Pharmacy and Hunter’s Creek Pharmacy. All patients are free to choose any facility for obtaining services or prescriptions that are ordered for them during the course of their care. Physicians include the following: Hans Bengtson, Scott Campbell, Teddrick Dunson, Daniel Frederick, Douglas Freiberger, Genero Gutierrez, Gary Heath, Matthew Hellman, Vivek Mahendru, Pankaj Mehta, Eric Miller, Rahul Sarna, Samuel Stevens, Derrick Wansom, Stuart Zweikoft.