Transformal Injection (Pain Management Procedure)
Headed by Dr. Hemaxi Ambani
A transforaminal injection, also known as a transforaminal epidural steroid injection, is a medical procedure used to relieve pain and inflammation in the spine. This type of injection targets the nerve roots in the spine, which can be the source of pain radiating to other parts of the body, such as the lower back, legs, neck, or arms.
PROCEDURE OVERVIEW
During the procedure, the patient lies on their stomach on an X-ray table. A local anesthetic is administered to numb the skin, and sometimes intravenous sedation is provided for comfort. Using fluoroscopic (X-ray) guidance, the physician inserts a thin needle into the epidural space adjacent to the targeted nerve root. A contrast dye may be injected to ensure accurate needle placement. Then, a mixture of a steroid (to reduce inflammation) and an anesthetic (to provide pain relief) is injected into the area.
TYPES & TARGETS
Transforaminal injections can be performed at different levels of the spine:
Lumbar:Targets nerves in the lower back, helping with lower back pain and leg pain. Thoracic:Aimed at nerves in the mid-back, which can relieve pain in the chest or abdomen. Cervical:Focuses on nerves in the neck, alleviating neck pain and radiating pain to the shoulders and arms.
BENEFITS & DURATION
The primary benefit of transforaminal injections is pain relief, which can last from several weeks to several months. The relief duration varies among individuals. If effective, the procedure can be repeated periodically, typically no more than three to six times per year to minimize the risk of side effects.
While the procedure is generally safe, there are potential risks, including infection, bleeding, nerve injury, and side effects from the steroid medication such as facial flushing, insomnia, and headaches. These side effects are usually temporary and resolve within a few days.
POST PROCEDURE CARE
After the injection, patients are advised to rest for the remainder of the day, avoiding driving and vigorous activities. Normal activities can typically be resumed the following day. Pain relief might not be immediate, as steroids can take several days to start working, with full effects visible in about two weeks.
Transforaminal injections are a valuable tool for managing chronic pain and diagnosing the specific sources of nerve pain, allowing for targeted treatment plans.
