Transforaminal Epidural Steroid Injection

[@craigdylan3953]

Great quick notes. Really shows the area where transforaminal injection goes and why. Cut to the chase and done. Great explanation.

[@DrEdwardSRubin]

Glad it was helpful!

[@randyhill3964]

Great video love the flow & tone of information. I'm having this injection Friday I feel much better about the procedure after hearing it from a second Dr.

[@catherinemalizia9290]

Dr Rubin did mine he’s a wonderful man. I love him

[@DrEdwardSRubin]

TY

[@irenewilkinson1528]

I had my injection today and though it’s supposed to have full effect in 2 weeks I already feel a difference and for the first time in a year I am not moaning with pain in my back and sciatica…I have a feeling I will be able to sleep on my side for the first time in a year…

[@caiyu538]

Great lecture

[@jamescard368]

I'm waiting for my uperderiol to get ready waiting for the doctor I've had a herniated disk the pain is bad

[@tjl5419]

Dr Rubin, how long will the pain relief last for?

[@DrEdwardSRubin]

Results vary. Usually 3-6 months of relief

[@tjl5419]

@DrEdwardSRubin thank you. I would be happy with that. Is there ever a fix permanently for this? I had an L5 vertebrae compression fracture 6 months ago. Got the injection 2 weeks ago. So far so good. Is the pain from arthritis in that area or inflammation? Also would it be wise to move to a warm weather climate via NY to Florida. Would that help it? Thanks

[@BornToFly4031]

Nice, just had one as described. No issues.

[@DrEdwardSRubin]

Good to hear

[@snowps1]

Can this cause anxiety and depression like oral steroids can?

[@aidafernandez1727]

Excellent video, I did but my pain improve only in one side.

[@DrEdwardSRubin]

Sorry to hear that. The procedure can be repeated on the opposite side or a different approach can be done such as a midline epidural

[@mohammadarshadullah42]

Good morning. Excellent. CT scan guided : will be better??? Need your opinion please. Regards Dr Mohammad Arshadullah

[@DrEdwardSRubin]

The injections can be safely done under x ray or CT guidance. Just depends on the doctors preference. I would not say one is any better than the other

[@vinaykerni2531]

Is it a permanent solution?

[@theoryofwarfare]

Typically shots last 3-6 months. They can be repeated. Usually up to 3 a year is safe. About 1/3 patients do get long lasting relief (more than a year) but there is no way to predict

[@vinaykerni2531]

Soo it mean it is not a permanent solution

[@DrEdwardSRubin]

Epidurals are not permanent. Surgery is a more permanent option

[@dorothy135]

Agree. My experience was long relief but not permanent. I had back surgery in the 80s and was great a long time. I then got 2 epidurals by Dr.Fuss when he did outpatient and they each lasted years. I am seeing Dr. Rubin this month as my back is in trouble. Hoping for a good outcome whatever is decided as a potential solution vs. Surgery that they are trying to avoid. Channel is helpful.

[@TheEDNC]

No, in fact they’re not even approved by the FDA

[@indigenousinterbay4068]

What if you have severe vaccine injury, have spike protein blood antibody levels over 15,000 U/ml, severe depression and anxiety and microclots throughout the body?

[@petehammerlind6]

I just had this done on both sides. Its an extremely painful procedure!!! Please dont sugar coat it.

[@scottchadbourne4759]

It felt like 240 volts of electricity went through my leg that was strong enough to make my leg jump off the table during the procedure. What would cause this? It sure did smart for a couple of seconds and I'm glad I had an empty bladder!

[@DrEdwardSRubin]

When you inject close to nerve you can feel a zing. Its normal

[@marccaruso2834]

I had this massive jolt. L4l5. Right side transforamenal today. Down my leg but also into my quad. Leg jumped as well. Then quad was weak walking out (going down stairs leg was giving out) but seams better now. Doctor said temp quad weakness was normal. I haven’t see that anywhere. Does that sound normal?

[@ayanajames1750]

I had one today I felt it in my genitals I felt it in my legs, like lightning struck me. I have a very high tolerance of pain never in all my years have i ever experienced anything like this !!!

[@ayanajames1750]

L4/5 as well I cried like a baby so a pinch and a little pressure is a stretch.

[@tehlaxdude31]

How many of these can someone have in their lifetime? Do they become degenerative or ineffective over time? I’m only 30

[@DrEdwardSRubin]

The limit is 3-4 a year. There is no lifetime limit. In younger patients I may recommend surgery if getting shots year after year. In an older patient who cannot tolerate surgery it may be reasonable to continue with injections. Over time repeated steroid injections can lose effect and can lead to long term bone loss. It's risk vs benefit on case by case basis if you want to get these long term

[@anilkumardwivedi4572]

How it is given under c-arm vision?

[@DrEdwardSRubin]

Yes, these are always done under x ray guidance