What is it?

Due to wear and tear (arthrosis), inflammation, surgery or an accident, the spinal column may undergo changes, which may lead to ‘nerve pain’. This causes pressure on, or irritation of, the nerves. Depending on which nerve is irritated, the pain will radiate towards a certain part of the body, such as the back side of the thigh and down towards the ankle, or along the back side of the bone down towards the sole of the foot.

A transforaminal epidural injection may help you in this case. It is an injection given with local anaesthetic and an inflammation inhibitor (cortisone) in the epidural space, which is located around the spinal cord.

The goal is to address the nerve inflammation, which will reduce the pain and have you back to being active more quickly.

Process

Preparation

On the day of the treatment, you will come to the hospital.
The physician will inform you beforehand whether or not you need to be fasting for the procedure.

MedicationStopComments
Asaflow®, Aspegic®
Cardioaspirin®, Aspirin®
Dispirl®, Sedergin®
Stop if >500 mg/day

Marcoumar®, Sintrom®
Marevan®
Seven days before the procedure
Replace with injections (see Clexane, for example)
Anticoagulation before the procedure
Ticlid®
ten days before the procedure

Plavix®, Clopidogrel
Brilique®, Efient®
Seven days before the procedure

Xarelto®, Eliquis®
Lixiana®, Pradaxa®
48 hours before the procedure

Fraxiparin®, Clexane®
Fraxodi®
24 hours before the procedure
  • Restart 6 hours after the treatment
  • 3 days afterwards, take together with regular blood thinners
  • After a week, anticoagulation follow-up with your GP

By law, you may not drive any vehicles or operate machinery the morning after the treatment. Therefore, make sure that somebody can take you to and from the hospital. The physician or nurses can provide you with certificates, if required. If you wish, the nurses of the Pain Centre can order a taxi for you.

Always inform the physician if:

  • you have diabetes or a heart condition
  • you are (or could be) pregnant
  • you are allergic to certain medications, contrast agents or iodine (disinfectant), latex, etcetera
  • you take a blood thinner (the table shows when to stop your medication).

If you have reduced kidney function, have recently experienced thrombosis or a heart attack or have had a stent implanted, you must contact your attending physician first.

Latest publication date: 28/06/2021