Pain Management
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Trans Foraminal Epidural Steroid Injection (TFESI) – more specific & targeted to site of pathology
During a trans-foraminal injection, a thin needle is inserted into the epidural space through the bony opening of vertebral column from where a nerve root exits. The drug is delivered exactly in the area where disc is compressing nerve and causing inflammation.
The procedure is performed with the patient lying on their belly using fluoroscopic (real-time x-ray) guidance, which helps to prevent damage to the nerve root. A radio-opaque dye is injected to enhance the fluoroscopic images and to confirm that the
needle is properly placed .This technique allows the medicine to be placed closer to the irritated nerve root.