Injection in the Transforaminal Epidural Space: Goal and Anticipated Outcomes
A transforaminal epidural steroid injection (TESI) is a medical procedure used to relieve pain and reduce inflammation caused by certain conditions, such as herniated discs or spinal stenosis. Here's a comprehensive guide to help you understand this procedure, its benefits, and potential risks.
The TESI procedure is performed by a healthcare professional, typically a pain specialist or a radiologist, using an epidural spinal needle that is inserted into the side of the spine called the foramen. The injection contains a local anesthetic (bupivacaine or lidocaine), steroids (triamcinolone acetate, methylprednisolone acetate, betamethasone acetate, or phosphate/dexamethasone phosphate), and a contrast solution. The procedure usually takes around 10-15 minutes [1][3][5].
Imaging tests like X-ray or ultrasound are used to guide the needle and ensure precise placement. After the procedure, the patient stays in the hospital for recovery, which lasts for 30 minutes to an hour. The patient can then return home with an adult companion [1][3][5].
While the TESI is not intended to cure pain, it provides temporary relief so that the person can resume typical activities and continue other treatments. The pain relief from the injection may last from 1 week to 1 year, and additional injections may be required in the future [1][3][5].
Common side effects of TESIs include temporary increase in pain, soreness or mild bruising at the injection site, mild numbness or tingling, headache or dizziness, and occasionally insomnia or flushing due to steroids [1][3][5]. Most of these side effects are mild and temporary.
However, it's essential to note that while serious complications are rare, they can occur. These may include infection, nerve or spinal cord damage, paralysis, stroke, blood vessel damage, convulsions, spinal headache, allergic reaction, and severe headache caused by leaking spinal fluid [1][2][5].
Before the procedure, individuals should inform their healthcare provider about certain medical conditions and medications. It is also important to arrange adequate transportation and follow fasting instructions before the procedure. It is advised that the person continues taking their regular pain medication during this time [1][3][5].
In summary, while most side effects are mild and transient, serious complications can occur but are very rare when performed by experienced clinicians. Patients should discuss risks thoroughly prior to the procedure [1][2][5]. If you have any questions or concerns about TESIs, consult with your healthcare provider.
References:
[1] Mayo Clinic. (2021). Transforaminal epidural steroid injections. https://www.mayoclinic.org/tests-procedures/transforaminal-epidural-steroid-injection/about/pac-20394967
[2] Johns Hopkins Medicine. (2021). Transforaminal Epidural Steroid Injection. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/transforaminal-epidural-steroid-injection
[3] Cleveland Clinic. (2021). Transforaminal epidural steroid injection. https://my.clevelandclinic.org/health/treatments/18302-transforaminal-epidural-steroid-injection
[5] SpineHealth. (2021). Transforaminal Epidural Steroid Injection (TFESI). https://www.spinehealth.com/treatment/epidural-steroid-injection/transforaminal-epidural-steroid-injection-tfesi
- Science has significantly contributed to the development of treatments like anesthesia and therapies, such as the transforaminal epidural steroid injection (TESI), which are used for managing medical conditions like chronic kidney disease and other chronic diseases.
- In the realm of health and wellness, TESI is one of the procedures that can help alleviate pain caused by various conditions, including herniated discs or spinal stenosis.
- CBD, a popular natural compound, is not a primary component of TESI, but it is frequently used to manage pain and inflammation associated with medical-conditions, offering an alternative or supplementary approach.
- It is crucial for individuals considering TESI to discuss the potential benefits, risks, and potential interactions with their medical provider, particularly if they are taking medications for chronic diseases.
