Treating back and leg pain can be particularly difficult. This is because there are so many things that can cause the pain that it is often hard to pinpoint where the issues actually are. In addition, of course, the pain can be quite debilitating, causing you to effectively be disabled until a solution is found. For many people in NYC the lumbar transforaminal epidural steroid injection has not only helped to relieve the pain, but also offered valuable insight into the root cause of the problem.
This is because the procedure allows the doctor to place medication in a very precise location. If the injection provides significant relief, the doctor can conclude that they have located the nerve that is causing the issues. This means that even if the procedure doesn’t result in permanent relief, it will give the doctor additional information to help plan the next steps in your treatment.
What to Expect During the Procedure
When you come into our NYC offices for this procedure it is a good idea to know what will be done. In most cases you will be given a mild sedative to help ensure you remain calm and relaxed during the procedure. Next, you will lay down on your stomach on an x-ray table, which will be used to help guide the doctor through the procedure. When ready a topical anesthetic will be applied to the area where the injection will be inserted.
Finally, the doctor will insert the needle into the back and carefully maneuver it to the location of the nerve in question. Once in place the doctor will inject a small amount of dye to help determine exactly where the medication will go. This will help ensure you get the best possible results. If any adjustments are needed the doctor will move the needle. If not, he or she will inject the steroid medication directly onto the nerve.
How Effective Is This Treatment
This procedure can be very effective in reducing or eliminating pain in your back, legs and arms. As long as the correct nerve was treated you will likely begin to experience a major reduction in pain and discomfort within the first few days. The relief will typically last between six and twelve weeks. After this time you and your doctor can decide whether or not an additional injection is required or if another treatment option should be considered.
If you don’t experience a noticeable relief from the pain than it may be that the wrong nerve was treated. When this is the case the doctor may want to retry the procedure on a different nerve. Secondary treatments on the same nerve, however, are almost never attempted due to the fact that they would not provide any relief.
If you have any questions about this procedure or you would like to set up an appointment to discuss your options with a doctor, please contact us at 212-951-1238 or 718-336-5123. We will be more than happy to discuss your options and make an appointment for you to come in for a lumbar transforaminal epidural steroid injection in NYC.