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Fluoroscopically Guided Lumbar Transforaminal Epidural Steroid Injection: Procedural Technique
David Stolzenberg1, Junyoung J Ahn2, Mark Kurd3
1Department of Physical Medicine and Rehabilitation, Rothman Institute Orthopaedics, Philadelphia, PA.
Clinical Spine Surgery
|April 6, 2018
Summary
Fluoroscopically guided lumbar transforaminal epidural steroid injections offer a treatment for persistent lumbar radicular pain. This guide details the procedure, from setup to post-care, for effective pain management.
Area of Science:
- Pain Management
- Interventional Radiology
- Neurosurgery
Background:
- Lumbar radicular pain often requires advanced treatment when conservative methods fail.
- Epidural steroid injections are a common intervention for spinal pain.
Purpose of the Study:
- To provide a comprehensive guide on performing fluoroscopically guided lumbar transforaminal epidural steroid injections.
- To detail the necessary equipment, patient preparation, procedural steps, and post-procedure care.
Main Methods:
- Step-by-step instructions for multiplanar fluoroscopic visualization.
- Guidance on needle advancement and precise medication delivery.
- Discussion of essential equipment, medications, patient positioning, and postoperative management.
Main Results:
- The article outlines a standardized approach to the procedure.
- It includes practical advice on common challenges and best practices.
- An accompanying video demonstrates the technique.
Conclusions:
- Fluoroscopically guided lumbar transforaminal epidural steroid injections are a viable option for refractory lumbar radicular pain.
- Proper technique and management are crucial for successful outcomes.
- This resource aims to enhance practitioner understanding and skill in performing the procedure.
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