Lumbar transforaminal epidural steroid injection video

Following a microdiscectomy surgery, a program of stretching, strengthening, and aerobic conditioning is recommended to help prevent recurrence of back pain or disc herniation. Some surgeons restrict a patient from bending, lifting, or twisting for the first six weeks following surgery. However, since the patient’s back is mechanically the same, it is also reasonable to return to a normal level of functioning immediately following surgery. There have been a couple of reports in the medical literature showing that immediate mobilization (return to normal activity) does not lead to an increase in recurrent lumbar herniated disc.


Possible Risks/Complications

  • The exiting mixed spinal nerve gives off the eventual medial branch that supplies the facet joint at that level, and the joint immediately below .
  • Therefore, each zygapophyseal joint receives innervation from the medial branch at that level, and from the the medial branch above it.
  • Photo (right): Note the facet joints (with capsule) have nerves (yellow) from the same level, and from the level above.
  • Example: The L4/L5 foramen has the L4 mixed nerve exiting.  The L4 dorsal ramus gives rise to the medial branch, which then innervates the L4/L5 facet joint (same level), and thebelow L5/S1 facet.  That same L5/S1 facet also receives innervation from the L5 dorsal ramus.
  • Note: The L5 dorsal ramus does NOT have a medial branch, so you block or “burn” the dorsal ramus itself.

    Lumbar transforaminal epidural steroid injection video

    lumbar transforaminal epidural steroid injection video

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