Dr. Kramarich Lumbar Transforaminal (904) 389-1010

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Dr. Scott Kramarich Riverside Pain Physicians Pain Management Physician Riverside Pain Physicians 7207 Golden Wings Road #100 Jacksonville, Florida 32244 Phone: (904) 389-1010

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Slide 1:

http://www.riversidepainphysicians.com (904) 389-1010 Dr. Scott Kramarich Riverside Pain Physicians Pain Management Physician Lumbar Tranforaminal Epidural Steroid Injections Jacksonville, Florida What are Lumbar Transforaminal Epidural Steroid Injections?

Slide 2:

What are Lumbar Transforaminal Epidural Steroid Injections? http://www.riversidepainphysicians.com (904) 389-1010 For More information Riverside Pain Physician http:// www.RiversidePainPhysicians.com   7207 Golden Wings Road #100 Jacksonville, Florida 32244 Phone: (904) 389-1010

What are Lumbar Transforaminal Epidural Steroid Injections?:

What are Lumbar Transforaminal Epidural Steroid Injections? http://www.riversidepainphysicians.com (904) 389-1010 This injection procedure is performed to relieve low back and radiating leg pain. The steroid medication can reduce the swelling and inflammation caused by spinal conditions such as spinal stenosis , radiculopathy , sciatica and herniated discs.

Vertebra and Nerve Root Located:

Vertebra and Nerve Root Located http://www.riversidepainphysicians.com (904) 389-1010 The patient lies face down. A cushion is placed under the stomach area to provide comfort and flex the back. This position causes the spine to open, allowing for easier access to the epidural space. The physician uses a  fluoroscope to locate the appropriate lumbar vertebra and nerve root, and a local anesthetic numbs the skin.

Tissue Anesthetized:

Tissue Anesthetized http://www.riversidepainphysicians.com (904) 389-1010 All the tissue down to the surface of the vertebral transverse process is anesthetized. Jacksonville Pain Physician

Needle Inserted:

Needle Inserted http://www.riversidepainphysicians.com (904) 389-1010 The physician slides a thin bent needle with a slightly curved point through the anesthetized track. With the aid of the fluoroscope, the physician carefully guides the needle into the foraminal space near the nerve root.

Contrast Dye Injected:

Contrast Dye Injected http://www.riversidepainphysicians.com (904) 389-1010 The physician injects a contrast solution and uses the fluoroscope to see the painful areas and confirm the correct location of the needle tip.

Steroids Injected:

Steroids Injected http://www.riversidepainphysicians.com (904) 389-1010 A steroid-anesthetics mix is injected into the foraminal epidural space, bathing the painful nerve root with soothing medication. Jacksonville Pain Doctors

End of Procedure:

End of Procedure http://www.riversidepainphysicians.com (904) 389-1010 The needle is removed, and a small band-aid is used to cover the tiny needle surface wound. In some cases it may be necessary to repeat the procedure as many as three times to provide the full benefit of the medication. However many patients feel significant relief from only one or two injections.

Slide 10:

http://www.riversidepainphysicians.com (904) 389-1010 For More information http:// www.RiversidePainPhysician.com   7207 Golden Wings Road #100 Jacksonville, Florida 32244 Phone: (904) 389-1010

Slide 11:

http://www.riversidepainphysicians.com (904) 389-1010 Dr. Scott Kramarich Riverside Pain Physicians Pain Management Physician Lumbar Tranforaminal Epidural Steroid Injections Jacksonville, Florida What are Lumbar Transforaminal Epidural Steroid Injections?

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