Transforaminal epidural injection (TFESI) is a medical procedure used to treat pain and inflammation in the lower back or neck. It is a type of epidural injection that targets a specific nerve root as it exits the spine through an opening called the neural foramen. During a TFESI, a local anesthetic and steroid medication are injected into the neural foramen near the nerve root that is causing pain or inflammation. The medication helps to reduce inflammation and swelling, while the anesthetic provides immediate pain relief. TFESIs are commonly used to treat conditions such as:

• Herniated discs

• Spinal stenosis

• Sciatica

• Spondylolisthesis

• Degenerative disc disease

• Arthritis of the spine

• Chronic back or neck pain

Before undergoing a TFESI, patients typically undergo a thorough medical evaluation to determine if the procedure is appropriate for their specific condition. The procedure is usually performed under local anesthesia and guided by fluoroscopy or other imaging techniques to ensure accurate placement of the medication. Potential risks and complications of TFESIs include infection, bleeding, nerve damage, and allergic reactions to the medication. However, the procedure is generally considered safe and effective for many patients who suffer from chronic back or neck pain.