Lumbar Pain Treatment (Lower Back)

A facet joint injection is an injection of an anti-inflammatory steroid in or near the face joints, often used as a form of lower back pain treatment. The joint is bathed in the medicine. The injection is given to reduce inflammation and provide pain relief for anywhere from several days to several months. If you get relief, you may be a candidate to have repeat facet joint injections.

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Lumbar Epidural Steroid Injection

How does an epidural injection work? An epideral injection delivers steroids and local anesthetic directly into the epidural space and in the spine. The injection is given to reduce inflammation and provide pain relief for anywhere from several days to several months. Occasionally, an injection may provide permanent pain relief.

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Lumbar Sympathetic Block

A lumbar sympathetic block is performed to block the sympathetic nerves that go to theleg on the same side as the injection. This type of treatment may in turn reduce pain, swelling, color, sweating and other unusual changes in the lower extremity and may improve mobility. It is done as part of the treatment of Reflex Sympathetic Dystrophy (RSD), Sympathetic Maintained Pain, Complex Regional Pain Syndrome and Herpes Zoster (shingles) involving the legs. Certain patients with neuropathy or peripheral vascular disease may also benefit from lumbar sympathetic blocks.

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Lumbar Transforminal Epidural Steroid Injection

TFE: A transforaminal injection is an injection of long acting steroid into the opening at the side of the spine where a nerve roots exits. This opening is known as a foramen. There is a small sleeve of the epidural space that extends out over the nerve root for a short distance. This epidural root sleeve is just outside the spinal canal. Sometimes these injections are referred to as root sleeve blocks, root blocks or transforaminal epidural blocks.

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