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Transforaminal Epidural Steroid Injection Technique: Fluoroscopy-Guided Minimally Invasive Injection for Lower Limb
Mahesh Kumar1, Sanjay Khanna2, Dharmendra Kumar Singh3
1Department of Radiodiagnosis, Sant Parmanand Hospital, New Delhi, India.
Radicular back pain, or radiating leg pain, can be managed with minimally invasive fluoroscopy-guided injections. Transforaminal epidural steroid injections offer a precise, day-care option before considering surgery for persistent nerve root compression.
Area of Science:
- Pain Management
- Neurosurgery
- Radiology
Background:
- Radicular back pain involves nerve root compression causing radiating lower extremity pain.
- Discogenic pathologies are a common cause of radiculopathy unresponsive to conservative care.
- Minimally invasive procedures are increasingly preferred for spinal conditions.
Purpose of the Study:
- To highlight the utility of fluoroscopy in managing lower limb radiculopathies.
- To present transforaminal epidural steroid injection as a viable treatment option.
- To emphasize the importance of precision and expertise in this intervention.
Main Methods:
- Utilizing fluoroscopy for precise guidance.
- Performing transforaminal epidural steroid injections.
- Managing patients with discogenic pathologies causing radiculopathy.
Main Results:
- Fluoroscopy provides excellent visualization for interventions.
- Transforaminal epidural steroid injections are effective in treating radiculopathy.
- The procedure is suitable for day-care settings.
Conclusions:
- Fluoroscopy-guided transforaminal epidural steroid injection is a valuable minimally invasive treatment for radicular back pain.
- This technique should be considered prior to surgical intervention for select patients.
- Expertise is crucial for successful outcomes in managing nerve root compression.
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