Injection for radiating back pain
What is it?
What is it?Due to wear and tear (arthrosis), inflammation, surgery or an accident, the spinal column may undergo change an can lead to ‘nerve pain’. Depending on which nerve is irritated, the pain will radiate towards a certain part of the body such as the back side of the thigh, and down towards the ankle.
A transforaminal epidural injection may help you in this case. It is an injection given with local anaesthetic and an inflammation inhibitor (cortisone) in the epidural space, which is located around the spinal cord.
The goal is to address the nerve inflammation, which will reduce the pain and have you back to being active more quickly.
Treatment procedure
Treatment procedurePreparation
Come to the hospital on the day of treatment. You do not need to have fasted for the treatment. You may eat and drink.
By law, you may not drive any vehicles or operate machinery the morning after the treatment. Therefore, make sure that somebody can take you to and from the hospital. The physician or nurses can provide you with certificates, if required. If you wish, the nurses of the Pain Centre can order a taxi for you.
Always inform the physician if:
- you have diabetes or a heart condition
- you are (or could be) pregnant
- you are allergic to certain medication, contrast medium or iodine (disinfectant), latex, etcetera
- you take blood thinners
If you have reduced kidney function, have recently experienced thrombosis or a heart attack or have had a stent implanted, you must contact your attending physician first.
Medication | Stop | Comments |
---|---|---|
Asaflow®, Aspegic® Cardioaspirin®, Aspirin® Dispirl®, Sedergin® | Stop if >500 mg/day | |
Marcoumar®, Sintrom® Marevan® | Seven days before the procedure | Replace with injections (see Clexane, for example) Anticoagulation before the procedure |
Ticlid® | Ten days before the procedure | |
Plavix®, Clopidogrel Brilique®, Efient® | Seven days before the procedure | |
Xarelto®, Eliquis® Lixiana®, Pradaxa® | 48 hours before the procedure | |
Fraxiparin®, Clexane® Fraxodi® | 24 hours before the procedure |
|
Leaflet
LeafletYou can find more information in the leaflet at the bottom of the page.
- course of the admission and the treatment
- the possible side effects and complications
Only available in Dutch:
Infiltratie bij uitstralende rugpijn
DownloadCost estimate
Cost estimateCentres and specialist areas
Centres and specialist areas
Latest publication date: 19/08/2024
Supervising author: Dr Decaigny Veronique