What is a lumbar epidural steroid injection?
A lumbar epidural steroid injection (LESI) or a transforaminal epidural steroid injection (TFESI) are minimally invasive procedures used to treat low back pain that radiates into your lower extremities. A combination of local anesthetics and corticosteroids are used to provide relief in pain and improve function. Patients often experience a significant decrease in their pain starting 3-5 days following their procedure and results can last for up to 3 or more months.
"Dr. Maniam is great and you took care of my knee. My knee feeks great and i can walk again. The visit was beautiful and they treat me with respect."- K.D. / Google / May 18, 2021
"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
"The nicest people, the best care. I feel so much better already. Would recommend to any and all friends, dancers, athletes, who are having pain."- C.J. / Google / May 14, 2021
"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
Who is a candidate for a lumbar epidural steroid injection?
Patients with low back pain that radiates into their legs and have not responded well to conservative treatments, including physical therapy, medication management, and lifestyle modifications may be a candidate for a lumbar epidural steroid injection. During your initial consultation your physician will take a medical history, perform a physical exam, and review any diagnostic imaging to determine if you may benefit from an LESI or TFESI.
How is a lumbar epidural steroid injection performed?
There are two approaches to a lumbar epidural steroid injection, interlaminar and transforaminal. During an interlaminar epidural steroid injection, a needle is placed, using fluoroscopic (X-Ray) guidance into your epidural space through the center of your vertebrae. This is the most common approach and is often tried before the second approach, called a transforaminal epidural steroid injection (TFESI). A TFESI also uses fluoroscopic guidance, but instead the needle is placed into the epidural space through the side of the vertebrae. This approach allows for the medication to be targeted to one side of the spine and is often used if the patient’s diagnostic imaging shows pathology on only one side.
Both procedure techniques can be performed in our in-office procedure suite and can be offered with conscious sedation. A local anesthetic is used to provide immediate relief of pain as well as provide comfort during the procedure. A corticosteroid is the medication that is injected into the epidural space to reduce inflammation and swelling and provider long lasting relief. The procedure takes less than 30 minutes and there is little to no downtime. Patients who receive sedation for their procedure will need to recover in our recovery room for 20-30 minutes before being discharged.
If you have low back pain that radiates into your lower extremities and think that you would benefit from a lumbar epidural steroid injection, please contact our midtown Manhattan office to speak with one of our staff members and book a consultation with one of your physicians.