Transforaminal Lumbar Epidural Nerve Block
This procedure will be completed using flouro guidance x-ray (low-dose X-ray). This procedure is completed in a series of three injections, 2-3 weeks apart.
An epidural steroid injection is indicated for such conditions as spinal stenosis, bulging & herniated discs and degenerative disc disease.
The nurse will perform a short assessment and provide you with suitable attire. You will lie on your stomach for approximately 10-20 minutes and a radiological technologist, nurse, and physician will be present during the entire procedure.
The physician will instill a local anesthetic to the lumbar region. When the area is numb, a needle will be positioned at the appropriate location. Through this needle a long acting anti-inflammatory (steroid) called Kenalog will be placed.
We ask that you not drive home after the procedure. You will be required to maintain light activities for 48 hours. After this time period you may increase your activities slowly. You may notice immediate relief but in most cases it will take 3-5 days following the procedure before relief is achieved.
Side effects of this procedure are soreness at the injection site and pain may be exacerbated (worsened) for the first 48 hours. On rare occasions complications may occur such as infection, bruising and hematoma (blood leaking under the skin).
