Transforaminal lumbar epidural steroid injection side effects

Transforaminal Epidural steroid injections can reduce sciatica pain by almost 90 percent, according to the Anesthesia and Analgesia, a noted reference on the addition, a study published in the journal PM & R: the Study of Injury, Function, and Rehabilitation found that the transforaminal approach was superior to placebo procedures in decreasing radicular, or nerve related pain. It is most effective for sciatica pain, though less effective for simple lower back pain. Patients report feeling less pain, greater mobility, and increased quality of life. With relatively few side effects, epidural steroid injections are a viable treatment option.

A disc is a soft, rubbery structure locate between the vertebral bodies (bones of the spine). The disc acts as a pad or cushion for the bone. The outer portion of the disc (the annulus fibrosus) is made up of a tough fibrocartilage. The middle section (the nucleus pulposus) composed of water and collagen and has a gelatinous (jelly-like) consistency. (Some people describe the disc structure as resembling a jelly donut.) The disc allows for movement of the vertebral bodies and provides a buffer for compression between the bones. Normally, this system works very well.

TLIF surgery has advantages of increased fusion rate and decreased complications through a posterior approach. Spinal fusion is a salvage reconstructive procedure. No patient after a spinal fusion is 100% normal or 100% pain free. Complications do occur but are not common, and the majority of patients are satisfied with their pain relief and the results of the surgery. It is critical that patients contemplating spinal fusion surgery are prepared both physically, as well as psychologically. All questions should be answered. Smoking should be stopped. This article has provided an overview only of this TLIF lumbar spinal fusion. Additional details should be reviewed with your surgeon so that all questions and concerns are discussed.

Most patients are usually able to go home 1-2 days after surgery. Before patients go home, physical therapists and occupational therapists work with patients and instruct them on proper techniques of getting in and out of bed and walking independently. Patients are instructed to avoid bending at the waist, lifting (more than five pounds), and twisting in the early postoperative period (first 2-4 weeks) to avoid a strain injury. Patients can gradually begin to bend, twist, and lift after 1-2 weeks as the pain subsides and the back muscles get stronger.

The procedure takes no more than 15 to 20 minutes under CT guidance. It may take longer if X-ray is used. The time taken for full recovery, leg function, bladder function and blood pressure normalisation is approximately 30 minutes to an hour. Some patients require upwards of 2 hours. With preparation time, you should allow 4 hours between entering the radiology practice or hospital and leaving again. You will not be allowed to leave until your legs and bladder function are normal, your blood pressure is normal, and you are able to sit up and walk normally without feeling dizzy.

Transforaminal lumbar epidural steroid injection side effects

transforaminal lumbar epidural steroid injection side effects

Most patients are usually able to go home 1-2 days after surgery. Before patients go home, physical therapists and occupational therapists work with patients and instruct them on proper techniques of getting in and out of bed and walking independently. Patients are instructed to avoid bending at the waist, lifting (more than five pounds), and twisting in the early postoperative period (first 2-4 weeks) to avoid a strain injury. Patients can gradually begin to bend, twist, and lift after 1-2 weeks as the pain subsides and the back muscles get stronger.

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