Lumbar Transformational Epidural Steroid Injection carried out to remove pain in the lower part of the back as well as pain radiating down the leg. Steroid medication reduces swelling and inflammation and with this particular injection given the maximum of three times. In some patients, three shots are needed for the maximum relief but most patients only receive one or two injections.
In order for the physician to have easy access to the epidural cavity, the patient lies face down. A soft cushion or pillow placed under the stomach area to relax the spine and provide additional comfort. The physician uses a fluoroscope as a guide in locating the correct lumbar vertebrae and nervous roots. A local anesthetic is given, which numbs all tissues up to the surface of the vertebra. Using the fluoroscope and contrast liquid helps the physician position the needle correctly into the foramina epidural cavity. Once entered, a steroid-anesthetic mixture is introduced which then starts to soothe the painful nerve ending. Lastly, the needle is removed and a bandage is placed over the whole left from the needle.