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.
Transforaminal epidural steroid injections, in particular, may require more guidance from imaging as the doctor performs the procedure, as the needle must be inserted into empty space to the side of the spinal column. However, this approach is regarded as being comparable to the specificity needed for the interlaminar approach. Transforaminal injections may also be associated with reduced risks of dural damage. Some research even indicates that this approach may be superior in cases of spinal pain associated with neuropathy in comparison to the caudal or interlaminar approach.
When nerve roots in the cervical (neck) region of the spine become compressed due to a damaged disc or spinal stenosis, it can cause severe swelling, inflammation and pain that radiates through the neck and into the shoulders and arms. The cervical transforaminal epidural steroid injection, typically performed as an outpatient procedure, targets the exact affected nerve in the cervical vertebrae. The medication inside the injection itself is a combination of anesthetics and steroids, designed to bathe the nerve root, reduce inflammation and alleviate pain – Oftentimes right away.