Transforaminal Epidural Steroid Injection (Selective Nerve Root Lumbar, Thoracic, Cervical)

Nerves in your spine can become compressed or inflamed in ways that cause debilitating back pain. If you experience numbness, weakness, and/or pain that radiates down your leg, you may benefit from a transforaminal epidural steroid injection.

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Provider List

1144 North 28th Street
Billings, MT 59101
(406) 237-5900

When Procedure is Used

Transforaminal epidural injections can be utilized as a diagnostic technique. If your doctor applies a numbing agent to the nerves along your spine, and you experience pain relief, you and your doctor will have important information in diagnosing the source of your pain.

Transforaminal epidural steroid injections also treat the pain itself because the steroid injected into your back will reduce irritation and swelling, which should, in turn, decrease the amount of pain you experience.

During Surgery

You may be given a mild sedative prior to being given a transforaminal injection, and your surgeon may use a local anesthetic at the site of the procedure as well. Similar to a medial branch block and radio frequency ablation procedures, your surgeon will utilize fluoroscopy, or guided x-ray, to place the injection of anesthetic or steroids near the nerve in your facet joint.


The risk of complications is very low, however, potential risks might include:

  • bleeding
  • infection
  • allergic reaction to medication


  • minimally invasive pain relief

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