Transforaminal Epidural

A transforaminal epidural is an injection procedure performed to relieve low back and leg pain. The injection can reduce swelling and inflammation caused by conditions such as spinal stenosis, radiculopathy, sciatica and herniated discs. For the procedure, the physician uses a fluoroscope to locate the appropriate lumbar vertebra and nerve root.

A thin bent needle with a slightly curved point is guided into the foraminal space near the nerve root. The physician then uses a contrast dye solution and the fluoroscope to see the painful areas and confirm the location of the needle tip. Steroids are injected into the painful nerve root and the needle is removed.

This is a very simple procedure that allows patients to return home the day of the procedure. Most patients feel significant relief the day of the injection and then a few days later when the steroid medication begins to work on reducing the inflammation causing the patients’ pain.

Nevada Advanced Pain Specialists is recognized as an industry leader in pain management. We have a state-of-the-art facility in Reno, Nevada, that allows for us to offer the highest possible level of quality care of our patients.

We are committed to providing a comprehensive and multi-disciplinary approach for each individual’s pain complaints to provide the most appropriate care. Our approach includes analysis of biomechanics, joint motion, as well as skeletal, nerve and muscle tissues. Every individual is evaluated for the root cause of their pain – not just a “quick fix” approach to only provide symptomatic relief.

Your pain will be evaluated with latest diagnostic tools and technologies used by the professionals at Nevada Advanced Pain Specialists to make accurate assessments including: EMG/Nerve testing, MRIs, x-rays, bone scans, and diagnostic pain injections.


Over 90% of our facet joint injection patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Over 83% of our epidural patients report improvement in their condition. Over 75% said their condition improved by more than 50%

Overall, 83% of our patients report a better quality of life, 60% report less pain, and 62% report improvement in their function

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