What is the role of transforaminal epidural corticosteroid injections in pain management?

Updated: Jun 19, 2018
  • Author: Anthony H Wheeler, MD; Chief Editor: Meda Raghavendra (Raghu), MD  more...
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Transforaminal epidural corticosteroid injections are advocated by many interventionalists for their capacity to provide diagnostic information often coupled with a therapeutic benefit. The approach to the prone patient using C-arm fluoroscopy to image the oblique "Scotty dog" is easy and usually safe in the competent and well-trained hands of a fulltime interventionalist. The 6 o’clock mark on the Scotty dog’s chin is the junction of the “dog’s ventral nose and the beginning of his neck is the target.”

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