iMsk & Spine Group
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Transforaminal Epidural Steroid Injection

Precise Nerve Root Steroid Injection for Back Pain

Transforaminal Epidural Steroid Injections (TFESI) are precise injections designed to reduce inflammation around the spinal nerves. This treatment is especially useful when pain travels from the spine into the legs or buttocks due to nerve irritation or compression. At iMsk & Spine Group, TFESI is performed with advanced imaging guidance to ensure accuracy and maximum symptom relief.
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What Is a Transforaminal Epidural Steroid Injection?

TFESI delivers medication into the opening where nerves exit the spine, called the foramen. By targeting this specific area, the treatment helps reduce inflammation, calm nerve irritation, and relieve pain related to spinal stenosis, herniated discs, or radiculopathy.

Why It Helps

Nerve compression leads to inflammation, pain, numbness, or tingling that may travel into the lower extremities. TFESI helps reduce this inflammation directly at the nerve root, improving comfort and daily function with often faster results than more generalized injections.

Conditions It Helps Treat

This injection may be useful for:

  • Herniated discs
  • Spinal stenosis
  • Sciatica
  • Radicular pain
  • Degenerative disc disease
  • Nerve inflammation

        How the Procedure Works

        Transforaminal injections are performed using precise imaging for safety and effectiveness.

        A typical session includes:

        • Local numbing
        • Fluoroscopic guidance
        • Targeted nerve-root injection
        • Short monitoring period
        • Return home the same day

        Most patients notice gradual improvement over days or weeks.

        Pain Management Epidural Steroid Injections Img 1 Freeport

        TFESI FAQ

        How is this different from a regular epidural?

        TFESI targets the exact nerve root involved, rather than the general epidural space.

        How soon will I feel relief?

        Many patients notice improvement within days, though results vary based on the individual condition.

        Is this a permanent solution?

        Relief varies, but TFESI may reduce the need for stronger medication or more invasive treatment.

        Can this delay surgery?

        Yes—in some cases TFESI helps control symptoms and avoid or delay surgery.

        Is it safe?

        When performed by an experienced physician with imaging guidance, TFESI is considered very safe.

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