Lumbar Epidural Steroid Injection

If you are suffering from sciatic leg or back pain, it is possible that you may have a herniated disc. That disc is compressing or irritating an exiting spinal nerve that branches off your spinal cord at each level of your spine and travels into your legs. If your MRI confirms this and you have failed to get pain relief from conservative care, medication and physical therapy your doctor may use a transforaminal epidural steroid injection to reduce your inflammation and pain.

Steroid and lidocaine anesthetic can be injected under fluoroscopy x-ray with you under conscious sedation. If you experience significant pain relief after the injection, then your doctor will be about to determine that this area of your back is the source of your pain. The duration of the action of the local anesthetic is usually only a few hours and the steroid may take a day to two to start working. For some patients, the injection may last for a year or two and never come back. For others, if the injection worked short term but the pain comes back, you may be a candidate for a minimally invasive procedure such as an endoscopic discectomy to relieve your lumbar pain.

What are the most common conditions treated?


  • To see if you are a good candidate for a transforaminal epidural steroid injection, take our pain evaluation questionnaire and someone from our office will follow-up with you as soon as possible.
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