Cervical transforaminal epidural steroid injection technique

Patients may return to light work duties as early as 2-4 weeks after surgery, depending on when the surgical pain has subsided. Patients may return to moderate level work and light recreational sports as early as 3 months after surgery, if the surgical pain has subsided and the neck strength and mobility has returned appropriately with physical therapy. Patients who have undergone cervical fusion at only one level may return to heavy lifting and sports activities if the surgical pain has subsided and the neck strength and mobility has returned appropriately with physical therapy. Patients who have undergone cervical fusion at two or more levels are generally recommended to avoid heavy lifting, laborious work, and impact sports.

Kenalog in blood - Derby et al. "Size and aggregation of corticosteroids used for epidural injections"

  • Depo-Medrol also formed large aggregations in the study by Tiso et al [6]
  • Celestone Soluspan formed large aggregations only in the Derby et al study  [7 ]
  • It is speculated that these large aggregates occlude smaller vessels, and thus lead to infarction .
  • Injection of methylprednisolone vs dexamethasone vs prednisolone into the vertebral artery of pigs – see summary of study here

    In many cases, the initial therapies for cervical radiculopathy are ineffective. Epidural steroid injection may benefit patients who would otherwise suffer with the kind of lasting pain that would sometimes necessitate surgical treatment. The procedure can be performed in an outpatient setting using fluoroscopy (x-ray guidance). A trained specialist will use an MRI scan and physical exam to identify to suspected area of injury. Under fluoroscopic guidance, a needle can be directed - in most cases under local anesthesia alone - to the target site.

    The membrane covering the spine and nerve roots is called the dura. The space surrounding the dura is the epidural space. An epidural injection places anti-inflammatory medicine into the epidural space to decrease inflammation of the nerve roots, reducing pain and hopefully aiding the healing process. It may provide permanent relief or pain relief for several months while the injury/cause is healing.

    The results of anterior cervical discectomy and fusion surgery in the treatment of a painful, cervical herniated disc are generally excellent. Numerous research studies in medical journals demonstrate greater than 88-97% good or excellent results from anterior cervical discectomy and fusion surgery. The fusion rate is significantly improved with the use of a small titanium plate, and typically obviates the need for extensive use of a neck brace postoperatively. Most patients are noted to have a rapid improvement of their pain and return to normal function following surgery.

    Cervical transforaminal epidural steroid injection technique

    cervical transforaminal epidural steroid injection technique

    The results of anterior cervical discectomy and fusion surgery in the treatment of a painful, cervical herniated disc are generally excellent. Numerous research studies in medical journals demonstrate greater than 88-97% good or excellent results from anterior cervical discectomy and fusion surgery. The fusion rate is significantly improved with the use of a small titanium plate, and typically obviates the need for extensive use of a neck brace postoperatively. Most patients are noted to have a rapid improvement of their pain and return to normal function following surgery.

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