Transforaminal Epidural an image-guided interventional procedure where steroids or other medicines are injected inside the neural foramen of the spine. Transforaminal Epidural injection for Disc problems in neck and back is one of our specialized procedures.
This is an image-guided interventional procedure where steroids or other medicines are injected inside the neural foramen of the spine. This procedure is called a transforaminal epidural, nerve root block, or transforaminal epidural steroid injection. This is a similar procedure to epidurals, but here the epidural space is accessed through the neural foramen.
Our spine has several small pieces of bones and there is a canal inside. This is called the spinal canal. The spinal cord starts from the brainstem and passes through this spinal canal. The spinal canal has several openings on either side and these are called neural foramen.
The nerve roots which start from the spinal cord come out of the spinal canal through these neural foramina and are distributed throughout our body as peripheral nerves.
These neural foramina are connected with the epidural space around the spinal cord. So, if any medicines are injected in the neural foramen bath the nerve roots first and then go into the epidural space if large volumes are injected.
Ashirvad Institute for Pain Management and Research (AIPMR) is a multidisciplinary pain clinic in the heart of Mumbai. Our approach to pain is holistic, with a focus on the patient as a whole with multitargeted treatment of the pain. Our is a dedicated centre for Pain treatment with all the latest technology under one roof. We perform minimally invasive procedures for treatment of pain after we acquire an insight into patients physical and mental condition with a elaborate history taking and physical examination. Every patient with chronic pain has a long story of complaints, worries, fears and apprehensions that accompany the pain. Our approach aims to provide maximum relief from the pain, whilst trying to rehabilitate the patient, improve the functionality and let the patient attain the best Quality of life possible.
Inflammation of nerve roots because of a slipped disc or prolapsed disc is the best indication for a transforaminal epidural. But it is also indicated in the following conditions:
The transforaminal epidural is a potentially dangerous procedure and is always done under real-time image guidance like C-arm or fluoroscopy guidance. Sometimes it is also done under ultrasound guidance. The steroid is the most common medicine used in transforaminal epidural and that is why this procedure is also called a transforaminal epidural steroid injection. The most common medicine injected are triamcinolone, methylprednisolone, dexamethasone, or betamethasone. Other than these steroids, dyes like iohexol, normal saline, hyaluronidase and local anesthetic drugs are also injected in specific indications.
Though these complications extremely rare in expert hands. The complications are:
Other side effects like pain at the injection site, muscle spasms, transient numbness, or weakness are common and are temporary. As a whole, the transforaminal epidural is a very useful procedure for radicular pain and sciatica and it is also a frequently done procedure by pain physicians.
For more information about our services, including Herpes pain relief therapies, Transforaminal Epidural injection for Disc problems in neck and back, and Transforaminal Epidural steroid for canal stenosis in Mumbai, please contact our clinic.
Ashirvad Institute for Pain management and Research
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I truly thank the Ashirvad Team to take care of my mom while treating her with Love and the needling sessions. They r so so good. I will recommend the patients to visit the Ashirvad clinic without a second thought. Thank you Team Ashirvad for all your help and co ordination. Thank you very much doctor n sisters at Ashirvad Pain Relief Clinic.
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