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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Related Experiment Video

Updated: Feb 18, 2026

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
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Lumbar Epidural Steroid Injections.

Carlos E Rivera1

  • 1Campbell Clinic Orthopedics, 8000 Centerview Parkway, Suite 500, Memphis, TN 38138, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 28, 2017
PubMed
Summary

Fluoroscopic-guided lumbar epidural steroid injections offer short-term pain relief for low back and leg pain. This review discusses interlaminar and transforaminal techniques, their evidence, and safety.

Keywords:
Epidural steroid injections techniquesEvidenceInterlaminarLumbar epidural steroid injectionsTransforaminal

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Area of Science:

  • Pain Management
  • Interventional Radiology
  • Neurosurgery

Background:

  • Lumbar epidural steroid injections are frequently employed for radicular pain.
  • These injections aim to alleviate low back and lower extremity pain.
  • Fluoroscopic guidance enhances procedural accuracy and safety.

Purpose of the Study:

  • To review the indications for lumbar epidural steroid injections.
  • To evaluate the evidence supporting the efficacy of different techniques.
  • To discuss the safety considerations associated with these procedures.

Main Methods:

  • Review of existing literature on lumbar epidural steroid injections.
  • Comparison of interlaminar and transforaminal injection techniques.
  • Analysis of fluoroscopic guidance in epidural injections.

Main Results:

  • Epidural steroid injections provide short-term pain relief.
  • Both interlaminar and transforaminal approaches are utilized.
  • Procedures are generally considered safe when performed correctly.

Conclusions:

  • Lumbar epidural steroid injections are a common treatment for radicular pain.
  • Understanding technique-specific evidence and safety is crucial.
  • Fluoroscopic guidance is integral to safe and effective delivery.