Epidural steroid injection (ESI) refers to the procedure of injecting steroids or corticosteroids into the area surrounding the spinal nerves. This treatment may help patients manage chronic pain due to the inflammation or irritation of spinal nerves. Lumbar transforaminal and interlaminar epidural injections are two types of ESIs injected directly into the lumbar spine’s epidural space.
Lumbar conditions can be debilitating and significantly impact your quality of life. Depending on your case, epidural steroid injections for the lumbar spine may be able to help you manage chronic pain. Your condition and the location of the affected spinal nerve may determine which type of lumbar ESI could offer the best results.
Lumbar interlaminar epidural steroid injection (lumbar ESI) involves injecting medication into the space between the arched bone plates of two vertebrae. This approach delivers medication over a broader area and is often recommended for temporary pain relief for spinal stenosis and disc herniation.
Lumbar transforaminal epidural injection injects the medication through the openings between vertebrae and directly at the spinal nerve root. It’s highly recommended for treating radicular pain, which comes from herniated discs. Transforaminal ESI is a minimally invasive procedure that aims to reduce inflammation and provide pain relief. Though its name is similar, a transforaminal lumbar interbody fusion is a surgical procedure that helps stabilize the spine and correct issues.
Lumbar transforaminal and interlaminar epidural injections are often recommended for chronic pain management. Aside from pain, lumbar epidural injections may also help alleviate numbness, tingling and muscle weakness. They are suitable for patients experiencing a wide range of spinal conditions, including:
While epidural steroid injections are considered a minimally invasive procedure, it’s highly recommended that you consult a spine specialist like New York Spine Institute if you’re considering them as a potential part of your treatment plan.
Lumbar ESIs require the utmost precision, so they should be performed by neurologists, anesthesiologists, surgeons, radiologists and physiatrists. Due to the fluoroscopy imaging (x-ray imaging) included in the procedure, it is not recommended during pregnancy.
While lumbar ESIs are considered minimally invasive, some patients may feel:
New York Spine Institute is a multispecialty spine and orthopedic center offering comprehensive diagnostic and treatment services. Our highly qualified specialists can provide patients with effective solutions for chronic pain, complex spinal conditions and debilitating orthopedic problems.
We offer individualized care based on each patient’s needs, combining modern therapy and conservative treatment to find what works best.
With Alexander B. de Moura, MD and FAAOS, at the helm and a team of neck and spine specialists, you can count on us to provide an innovative approach to health care.
Our professional staff is well-versed in multiple languages (Spanish, French, Italian, Portuguese, Russian and German), ensuring we can make every patient feel comfortable and informed regarding their care.
The significant impact of lumbar conditions on one’s quality of life merits immediate medical attention. If you’re having issues performing your daily tasks due to chronic lumbar pain, schedule an appointment with our specialists today. Get an individualized treatment plan that fits your needs and lifestyle.
