A study of transforaminal epidural steroid injections in patients with lumber disc herniation

Vipul L. Kuvad


Background: Although various studies have evaluated traditional caudal and interlaminar approach for lumbar epidural steroid, I tried to evaluate efficacy of transforaminal approach in this study.

Methods: In twenty five patients with inclusion criteria, I administered periodic injections of methyl prednisolone acetate in combination with 2% xylocaine through transforaminal approach under fluoroscopic guidance. Patients were evaluated and assessed for pain relief, activity level and disability by direct questionnaire before and after the procedure and at final follow up.

Results: Overall Visual numeric score was improved by 60.4%. Overall Roland-Morris score was improved by 73.9%. Average number of injection per patient is 1.7. Three patients required surgery for poor pain relief. Two patients undergone discectomy surgery. One patient opted physiotherapy and refused for surgery.

Conclusion: Transforaminal epidural steroid is a safe, simple, least morbid and cost effective approach for the patients with lumbar disc herniation with radiculopathy.


Low back pain, Sciatica, Epidural steroid, Transforaminal epidural steroid

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