Transforaminal Epidural Steroid Injection 

Chronic pain, especially in the back, neck, and limbs, can significantly limit daily activities and diminish quality of life. For many patients suffering from conditions like herniated discs, sciatica, or spinal stenosis, a Transforaminal Epidural Steroid Injection (TFESI) offers a powerful, non-surgical solution to relieve pain and inflammation. Dr. Vadim Lipel, a highly skilled pain management specialist in Encino, California, provides this advanced treatment to help patients achieve long-lasting relief from spine-related pain.

What is a Transforaminal Epidural Steroid Injection?

A Transforaminal Epidural Steroid Injection (TFESI) is a targeted injection used to treat pain associated with the spine. It involves delivering a combination of local anesthetic and corticosteroid directly into the epidural space, near the nerve roots that are inflamed or irritated. The procedure is designed to reduce inflammation, alleviate pain, and improve mobility, making it especially effective for conditions affecting the spinal nerves.

The transforaminal approach refers to the specific route used to deliver the injection: it targets the nerve root through the foramen (an opening between the vertebrae), which allows for more precise delivery of medication directly to the affected area.

Conditions commonly treated with TFESI include:

• Herniated or bulging discs: Discs that press on nearby nerves, causing pain, numbness, or weakness.
• Sciatica: Pain that radiates from the lower back down one or both legs due to irritation or compression of the sciatic nerve.
• Spinal stenosis: Narrowing of the spinal canal that can put pressure on the spinal cord or nerves.
• Radiculopathy: Pain, numbness, or weakness caused by nerve root compression in the neck or lower back.
• Facet joint arthritis: Inflammation of the small joints in the spine that can cause localized pain or radiating discomfort.

Benefits of Transforaminal Epidural Steroid Injection

• Targeted Pain Relief: By delivering medication directly to the affected nerve root, TFESI provides more effective and targeted relief than oral medications.
• Reduced Inflammation: The corticosteroid in the injection reduces inflammation around the spinal nerves, helping to decrease swelling and pain associated with conditions like herniated discs or spinal stenosis.
• Improved Mobility: Pain relief from a TFESI can help restore mobility and function, enabling patients to resume normal activities and enjoy a higher quality of life.
• Non-Surgical Option: TFESI offers an effective treatment for spine-related pain without the need for surgery. It is minimally invasive and can provide long-lasting relief.
• Quick Procedure with Minimal Recovery: The procedure is typically performed on an outpatient basis, with minimal recovery time. Most patients can return to their daily activities soon after the injection.

How the Procedure Works

A Transforaminal Epidural Steroid Injection is performed under fluoroscopy (real-time X-ray) or sometimes with ultrasound guidance to ensure precise needle placement. The procedure is minimally invasive, with most patients experiencing only mild discomfort.

1. Preparation: Dr. Vadim Lipel will review your medical history and perform a thorough evaluation to determine if TFESI is the right treatment for you. He will explain the procedure in detail, answering any questions you may have.
2. Local Anesthesia: To ensure comfort, the area where the injection will be administered is numbed with a local anesthetic. This helps minimize any discomfort during the procedure.
3. Needle Insertion: Using imaging guidance, Dr. Lipel will insert a thin needle through the skin and direct it to the epidural space near the nerve root. The needle will be carefully positioned to deliver the medication in the precise area that is causing the pain.
4. Injection: Once the needle is in place, a combination of a local anesthetic and a corticosteroid is injected into the epidural space. The anesthetic provides immediate pain relief, while the steroid works to reduce inflammation and provide longer-term relief.
5. Post-Procedure Care: After the procedure, you may be asked to rest for a short time to ensure there are no immediate complications. The injection site may be sore for a short time, but this should subside within a few days. You can resume normal activities after the procedure, although Dr. Lipel may provide specific instructions for post-injection care.

What to Expect After the Procedure

After the Transforaminal Epidural Steroid Injection, many patients experience immediate relief from pain due to the numbing effects of the local anesthetic. However, the full benefit of the procedure, especially from the corticosteroid, may take a few days to a week to develop.

Possible side effects of the procedure are rare and usually temporary. These may include:

• Soreness or bruising at the injection site
• Temporary increase in pain: Some patients may experience a brief increase in pain after the injection, known as a “steroid flare.” This is typically short-lived and subsides within a few days.
• Headache: A mild headache may occur in some patients.
• Numbness or weakness in the leg or arm (depending on the location of the injection)

Dr. Lipel will schedule follow-up visits to monitor your progress and assess the effectiveness of the injection. If needed, additional injections or other treatments may be recommended.

Is a Transforaminal Epidural Steroid Injection Right for You?

A Transforaminal Epidural Steroid Injection may be an ideal solution if you are suffering from:

• Herniated or bulging discs that cause nerve irritation
• Sciatica or radiculopathy
• Spinal stenosis or other conditions that cause nerve compression
• Facet joint arthritis or inflammation in the spine
• Chronic pain that has not responded well to other treatments

Dr. Vadim Lipel will carefully evaluate your condition, review your medical history, and discuss your symptoms to determine if this procedure is appropriate for your pain management needs.

Schedule a Consultation

If you are dealing with chronic back, neck, or limb pain, a Transforaminal Epidural Steroid Injection may offer you the relief you need to regain comfort and function. Dr. Vadim Lipel is committed to providing effective, personalized pain management solutions to help you live a more active and pain-free life. Contact our office today to schedule a consultation and find out if a TFESI is the right treatment for your condition.