Interlaminar (Midline) Lumbar Epidural Steroid Injection
This procedure is performed to calm irritated nerves in the low back causing leg pain or reduce symptoms from spinal stenosis.
You will be asked to lie face down and an injection is performed under x-ray guidance. We will inject a combination of numbing medication and anti-inflammatory steroid medication in the space where the irritated nerves are.
This can reduce symptoms for variable periods of time but can be repeated in the future when it has been effective before.
This injection is different than the transforaminal approach because it spread medication into the spinal canal a coats the irritated nerves from the middle of the spine.
This approach is often avoided when there has been surgery in the area of the intended injection.
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.