Cervical Transforaminal Epidural Steroid Injection
This procedure is performed by placing numbing medication and anti-inflammatory steroid medication around the site of an inflamed nerve in the neck.
The purpose of the procedure is typically for the alleviation of pain in the arm and/or shoulder from a pinched nerve in the neck.
These nerves are usually approached with the patient lying on their back and the injection is done from the front/side of the neck targeting the likely or potential source of the nerve pain.
There are special considerations for this procedure your provider will discuss with you before if you are considered a candidate for this treatment. This procedure is performed with x-ray guidance.
If the patient has temporary improvement in pain immediately after the procedure from the numbing medication it can confirm the pain is coming from the nerve that was targeted.
Pre Injections Instructions
If you are anxious about your procedure, sedation may be an option for you.
If your plan of care involves sedation, you must meet the following criteria:
01
Come to your appointment with a responsible adult driver.
02
Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions.
03
If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.
If you are taking blood thinners your pain physician may ask they be discontinued prior to injection. Never stop these medications without permission from the physician prescribing them. Please call our office if your blood thinner is not listed:
- Acenocoumarol
- Agggrenox
- Aggrastat
- Arixtra
- Aspirin
- Brilinta
- Edoxaparin
- Effient
- Eliquis
- Heparin
- Integrilin
- Lovenox
- Pentoxil
- Plavix
- Pletal
- Pradaxa
- ReoPro
- Ticlid
- Warfarin/Coumadin
- Xarelto
If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.
Start the Path Towards Healing
Our physicians offer diagnostic testing, fluoroscopic guided procedures and steroid injections. Our goal is to restore function of damaged joints, nerves, and muscles to treat low back, neck, and other pain. Our mission is to have all patients living their lives with minimal pain and to meet each of our patients’ needs with the highest quality care. We offer innovative solutions utilizing the latest, minimally invasive technologies.