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What is Transforaminal injection ?
It is a injection of anti-inflammatory drugs to be given at side of compresed nerve roots in epidural space.
How it works ?
Anti-inflammatory drugs at target level reduce the inflammation of exiting nerve root and swelling and it relieves pain, tingling and numbness produced by nerve root irritation.
Is this procedure painless?
Yes, we desensitiize the skin and deeper tissue with local anaesthetics by using thinnest needle along with mild sedation, so patient can tolerate whole procedures smoothly.
How is Transforaminal block performed ?
Under all aseptic precaution, patient is kept on prone position. With use of IITV machine, we inject medications on directly nerve root.
What I feel after Transforaminal block?
After block, you may feel slightly heaviness or may be numbness in your arm or leg. This effect is due to use of local anaesthetics.
Also you may feel relieve of pain, this effect last for few hours. Actual pain relief starts from 3rd day.
When I can go home or performed routine activities?
It is a daycare procedure. We don’t advice to drive a car or performed machinery operating for one day. You can do your routine activity, office work on 3rd day. You may apply ice to the injection site for 3 days. Usually you will feel mild aching at the injection site only.
Will the Transforaminal injection help me?
Patients who have radiating pain in leg or arm, respond very well than the patients with low back pain or neck pain.
Patient with a recent onset of leg pain, respond very well than long standing pain like for 2 years.
How many transformainal injection do patient needed ?
If patient have mild disc prolapsed then, most of the patients no need of 2nd injection as it relieves inflammation.
But if the patient’s 1st transforminal block does not relieve your pain within 3 weeks, than we advice to take 2nd injection or if patients have completed 3 injections, then we advice for surgery.
Is there any risk or side effect?
It is a very safe procedures. Temporary pain at injection site
is the consequence from block.
In which patients the injection can not be given?
If patient is on warfarin medications, blood thinner medications, poorly controlled diabetes or has active infection in anybody part and tight canal stenosis, then we avoid this block or may give after stabilising this condition.
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