What is a Translaminar epidural steroid injection?

This procedure is used to treat chronic neck and back pain, and can be performed anywhere along the spine. It consists in delivering anti-inflammatory medication directly into the epidural space (outermost part of the spinal canal) and therefore closer to the source of pain.

What is the difference between transforaminal and interlaminar epidural steroid injection?

Interlaminar Epidural Steroid Injection (ILESI) is generally used in patients with posterior diffuse disc herniation. Transforaminal Epidural Steroid Injection (TFESI) is used in patients with neural foraminal disc herniation, lateral reses or neural foraminal stenosis, neural root indentation.

What is the difference between interlaminar and transforaminal?

Although the interlaminar approach (see Approaches for Epidural Injections) may allow the injectate to flow to the site of pathology by migrating around the thecal sac and into the ventral epidural space, the transforaminal route is presumably more reliable for delivering the steroid to the affected area in cases of …

What are the different types of epidural injections?

The three most frequently used types of epidural treatments treat pain in different locations of the body:

1. Transforaminal epidural steroid injection.
2. Caudal epidural steroid injection.
3. Interlaminar epidural steroid injection.

What is the difference between Transforaminal and Translaminar?

When it is more desirable to target a specific nerve root, a transforaminal approach is typically used, and when the target is more diffuse, a translaminar method is chosen. Both are commonly used and can be utilized similarly in the lumbar or cervical spine.

What is a Translaminar?

Steroids are chemicals that are naturally present in our body. Synthetic steroids are generally used in the treatment of inflammatory conditions such as spinal disc injury and degenerative diseases among others.

What does interlaminar mean?

Definition of interlaminar : administered or occurring between two laminae (as of the vertebra) interlaminar epidural steroid injections : involving two or more laminae Test methods for measuring the interlaminar fracture toughness of composites made with polymer matrices …— David R. Burwasser …

What is the difference between a steroid injection and an epidural?

As opposed to a systemic cortisone shot delivered into the bloodstream, an epidural injection is delivered at or near the sources of the nerve pain, providing targeted relief.

What is the CPT code for Translaminar epidural steroid injection?

A transforaminal epidural steroid injection (TFESI) performed at the T12-L1 level should be reported with CPT code 64479.

What does interlaminar epidural mean?

An interlaminar epidural is the simplest approach to epidural injection. With this technique, the pain specialist advances the needle into the epidural space from the midline back-side of the spine through the bony opening called the ‘interlaminar window’.