Lower back (lumbar) radicular pain, also referred to as sciatica, is most commonly caused by lumbar disc herniation and inflammation of the affected nerve roots. A recent study from Australian researchers determined that transforaminal injection of steroids was a viable alternative to surgery for lumbar radicular pain due to disc herniation. Click here for an article from MedicalNewsToday.com for more information on this research.
After a car accident, workers’ compensation claim or other injury, injections of steroids by various routes have been used as an alternative to surgery to reduce the inflammation and relieve the pain with epidural steroid injection (ESI) being the most widely used steroid treatment for pain relief. However, transforaminal injection – the injection of steroids directly and accurately onto the affected spinal nerve under radiologic guidance – has proved more effective than interlaminar injection of steroids with respect to pain relief and improvement of disability.
Under the new study, a significantly greater proportion of patients treated with transforaminal injection of steroid (54%) achieved relief of pain than did patients treated with transforaminal injection of local anaesthetic (7%) or transforaminal injection of saline (19%), intramuscular steroids (21%) or intramuscular saline (13%).
If you are having problems with a disc herniation, talk to your doctor about the possibility of a transforaminal injection. If the herniated disc is because of a workers’ compensation claim, car accident, slip and fall or other personal injury, click here to discuss your legal rights with Personal Injury Attorney Matthew Noyes. Attorney Noyes’ Tampa Bay law firm–Perenich, Caulfield, Avril & Noyes, P.A.–has been caring for clients since 1955. We See You Through.