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CC BY-NC-ND 4.0 · Indian J Radiol Imaging
DOI: 10.1055/s-0045-1810019
Technical Report

Transforaminal Epidural Steroid Injection Technique: Fluoroscopy-Guided Minimally Invasive Injection for Lower Limb Radiculopathy—Twelve Golden Steps

Mahesh Kumar
1   Department of Radiodiagnosis, Sant Parmanand Hospital, New Delhi, India
,
Sanjay Khanna
2   Department of Pain Medicine, Hope Hospital, Jabalpur, Madhya Pradesh, India
,
Dharmendra Kumar Singh 
3   Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Nishith Kumar
3   Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
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Abstract

Radicular back pain is defined as low back pain radiating into the lower extremities in a dermatomal pattern caused by compression or irritation of the nerve root. Fluoroscopy is an excellent tool for the management of lower limb radiculopathies that are secondary to discogenic pathologies not responding to the conservative trial. Transforaminal epidural steroid injection technique is a minimally invasive intervention for radiculopathies, which can easily be done in a day care setting, and it should be considered before surgery; however, precision and expertise is required.

Keywords

fluoroscopy intervention - lower limb radiculopathy - transforaminal epidural steroid injection


Publication History

Article published online:
10 July 2025

© 2025. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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