Transforaminal epidural steroid injections, in particular, may require more guidance from imaging as the doctor performs the procedure, as the needle must be inserted into empty space to the side of the spinal column. However, this approach is regarded as being comparable to the specificity needed for the interlaminar approach. Transforaminal injections may also be associated with reduced risks of dural damage. Some research even indicates that this approach may be superior in cases of spinal pain associated with neuropathy in comparison to the caudal or interlaminar approach.
Hello, my name is Rachael I’m 36 and I’ve suffered from chronic sciatica for almost 10yrs now. We think it’s due to a car accident at 19yrs old and pregnancy. Over the past year Iv e had a series of injections…4lumbar, si joint, nerve blocker, racet injection and rhizotomy, some worked better than others but not any longer than a couple weeks. Also, my emg says radiculopothy at l4 l5 and s1 but I have no significant bulging or herniated disc. I do show arthritis as well as facet arthropathy. The last lumbar epidural seems to lasting and gave me more relief than any others. So I’d say my pain decreased about 50% and it’s been about 2months now. The pinching around my si joint area is better too. I have pain in my whole lose back and numbness, I have groin, hip, buttocks, thigh, calf, knee and foot pain. I have numbness and needles in my foot and thigh on a daily basis. Also I’ve seem 3 neurosurgeons who say I have nerve damage and there isn t anything the can due surgically so back to pain management I go. In my experience it won t be long before all the pain comes back. My pain management doc wants me to get another emg (8 months ago emg showed moderate radiculopothy l4, l5, s1) my question is…will my new emg (scheduled next week) still show radiculopothy even though I just had lumbar epidural 2 months and pain not back completely? I guess I’m asking..does lumbar epidural sure radiculopothy not caused but disc issue or does epidural just mask the pain? Thank you and sorry, I tried to make as much sense as possible. My doctor is being gauge and my guess is waiting for new emg, but could it have drastically changed in 8 months?