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Lumbar Transforaminal Epidural Steroid Injection



  • Overview

    This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

  • Preparation

    In preparation for the procedure, the patient lies face down. A cushion is placed under the abdomen, which causes the spine to bend in a way that opens the spaces on the sides of the spine. These spaces are called the foramina.

  • Anesthetic Injected

    A local anesthetic is administered to numb the skin and the tissue that covers the spine.

  • Needle Inserted

    When the area is numb, the physician carefully guides a needle into the foraminal space that surrounds the irritated nerve root.

  • Contrast Solution Inserted

    A contrast solution is injected through the needle. The physician uses a fluoroscope (a type of x-ray device) to confirm that the tip of the needle is positioned correctly.

  • Medication Injected

    After the needle’s position has been confirmed, the physician injects a steroid-anesthetic medication. This medication bathes the irritated nerve roots. It will help alleviate the patient’s pain.

  • End of Procedure

    When the procedure is complete, the physician removes the needle and bandages the insertion site. The patient may feel significant relief after one injection. Some patients may need multiple injections before they feel the full benefit of the medication.

What Our Patients are Saying

Dr. Muhammad was professional, knowledgeable and seemed to genuinely care about finding a solution to my pain problem.

Verified Patient- Zocdoc

Dr. Rasheed has been a wonderful doctor so far. He’s very professional and confident. He has had a ton if ideas for us to try, which is completely different from my last pain mgt. doc. So far, he’s been everything I could have asked in a pain mgt. doctor.

Carrol A.- Verified Zocdoc Patient

I love Dr. Abdelfattah! He is an amazing doctor. He has an excellent beside manner, and her Is very interested and concerned about his patients, and their diagnosis, and he is able to empathize with his patients. He is very skilled at preforming minimally invasive procedures that can really reduce pain. He is NOT a pill mill, but he is NOT scared to prescribe what the patient may need to be comfortable and to reduce pain. As far as I can tell the Pain Management Clinic is in full compliance with the State medical board’s guidelines on Pain Management Clinics. I would send anyone who is seeking relief from their pain to him because he is going to do his very best to find out what is causing the pain, and the best way to treat it. Truly an AWESOME doctor!!! I nominate him as a TOP DOCTOR!!! Being a healthcare professional I know a good physician when I see one and this one is it!!!!

Clayton T.- Verified Zocdoc Patient

Staff was amazing, tell you what they think and give you options and really wants to know the underlined cause before they do anything. I think that’s awesome and will recommend to anyone!!!

Patrick B.- Verified Zocdoc Patient

Everyone was so nice. Dr. Zhao explained things to me in a way I could understand everything. She had a smile on her face the whole time. It was like she was happy to see me. I really liked how the appointment turned out.

Dianna G.- Verified Zocdoc Patient

Dr. Syed listens to me & gives me hope for conquering this constant pain of neuropathy. He is open to new methods of treating my constant pain.

Midge M.- Verified Zocdoc Patient

Super place, super doctors. Took the time to explain everything to me.

Melissa H.- Verified Zocdoc Patient
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    Since 2008, we have provided successful pain relief care to thousands of patients in a caring and comfortable environment. Our skilled team of physicians understand the importance of proper diagnosis and treatment. Texas Pain Physicians can manage your pain so you can manage your life! Contact our Dallas Doctors to schedule an appointment!

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