317 St. Francis Dr. Suite 350
Greenville, SC 29601


317 St. Francis Dr.
Suite 350
Greenville, SC 29601
Tel: 1-864-235-1834, Fax: 1-864-235-2486

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864-235-1834

Treatment Options Article

Transforaminal Epidural Steroid Injections For Low Back And Leg Pain

Transforaminal epidural steroid injections are a popular, minimally invasive, non-operative treatment option for back and leg pain.  They are used to relieve pain arising from irritated nerves in the lumbar spine.  Causes of this irritation include things such as herniated discs, degenerating discs, and arthritic spinal joints.  All of these may contribute to make the nerve’s less comfortable, making you less comfortable.  You may recognize it as low back pain with sharp pain radiating into one or both legs.

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Radiofrequency Ablation (RFA) For Spine, Hip, and Knee Pain

Radiofrequency ablation (or “RFA” for short) for spine, hip, and knee pain is a minimally invasive, non-surgical approach to managing pain typically arising from the spine or joints.  Targeting the area around the spine or joint, RFA involves the heating, or ablation, of the appropriate nerves involved in the transmission of pain.  While this may sound a bit scary, it is actually quite straight forward and very well tolerated.

It is important to note that there is a selection process before going forth with the ablation.  Not every patient is a suitable candidate.  Prior to undergoing the definitive treatment, simple blocks are performed at the area suspected of generating the pain as a means of confirmation.   The patient is then asked to pay attention to the extent of their pain relief as well as any improvement in function in the diagnostic period.  If the patient has an excellent response, RFA becomes an appropriate option.

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Fluoroscopic and Ultrasound Guided Injections

Fluoroscopy (or “fluoro”) is simply a form of imaging much like an x-ray with the added advantage of capturing real-time moving images when necessary.  This makes it extremely useful in variety of ways.  It can be used for purely diagnostic purposes as well as intraoperatively.  Flouroscopically guided injections are frequently done in both an out-patient surgical center setting or if equipped in your doctor’s office.   Usually fluoroscopic suite fees apply (these are in addition to the cost of fluoroscopy itself).

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