Transforaminal injections, also known as transforaminal epidural steroid injections (TFESI), are a minimally invasive procedure used to treat spinal nerve root pain caused by conditions such as herniated discs, spinal stenosis, or degenerative disc disease. These injections deliver anti-inflammatory medication directly into the epidural space near the affected spinal nerve root to reduce inflammation, Dr. Tushar's clinic pain, and improve mobility.

Here's an overview of the procedure:
Preparation: Before the procedure, the patient may undergo a physical examination, medical history review, and diagnostic imaging (such as MRI or CT scan) to identify the specific location and cause of nerve root pain. The patient may also receive instructions regarding fasting, discontinuing certain medications (such as blood thinners), or other pre-procedure preparations.

Positioning: The patient is positioned lying face down on an examination table. The healthcare provider may use pillows or cushions to ensure comfort and proper alignment of the spine.

Fluoroscopic or C-arm Guidance: Fluoroscopy, a type of X-ray imaging, or a C-arm fluoroscopy is used to visualise the spine and guide the precise placement of the needle during the procedure. This real-time imaging allows the healthcare provider to accurately target the affected nerve root and avoid surrounding structures.

Skin Preparation: The skin overlying the injection site is cleaned and sterilised with an antiseptic solution to reduce the risk of infection.
Anaesthesia: A local anaesthetic is administered to numb the skin and underlying tissues at the injection site, providing pain relief during the procedure.

Needle Insertion: Using fluoroscopic guidance, the healthcare provider inserts a thin needle through the skin and into the epidural space near the affected spinal nerve root. The needle is carefully advanced to the target site while continuously monitoring its position on the fluoroscope.

Medication Injection: Once the needle is correctly positioned, a mixture of corticosteroid medication (to reduce inflammation and pain) and local anaesthetic (to provide immediate pain relief) is injected into the epidural space around the affected nerve root.

Post-procedure Care: After the injection, the needle is removed, and the injection site may be covered with a small bandage. The patient is typically monitored for a brief period before being discharged home. Patients are usually advised to rest for the remainder of the day and avoid strenuous activities for a brief period following the procedure. They may also receive instructions regarding post-procedure care, such as applying ice to the injection site or taking over-the-counter pain relievers if necessary.