Lumbar Transforaminal Epidural Steroid Injection in Palm Coast, FL

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Interventional pain management in Palm Coast — minimally invasive care that treats pain at its source, in English and in Spanish.

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Dr. Manuel López, MD, board-certified pain management physician at Seaside Spine and Pain Center in Palm Coast, Florida

Lumbar Transforaminal Epidural Steroid Injection in Palm Coast, FL

A minimally invasive, image-guided injection that delivers medication precisely to a single irritated nerve root — calming inflammation at its source without surgery.

What it treats

Lumbar transforaminal epidural steroid injections are one of our most precise tools for nerve-related low back and leg pain, including:

If imaging or a diagnostic exam has pointed to one specific nerve root as the source of your pain, this targeted approach is often among the first interventional options Dr. López considers.

How it works

When a nerve root is compressed or irritated — by a herniated disc, narrowed canal, or other structural change — the tissue around it becomes inflamed, and that inflammation drives much of the pain. This procedure directs anti-inflammatory steroid medication through the small opening (the neural foramen) where the affected nerve root exits the spine, placing the medication precisely where that nerve is irritated rather than spreading it more broadly.

Dr. Manuel López, a board-certified pain management and rehabilitation physician, performs every injection under precise image guidance, confirming the needle reaches exactly the nerve root generating your pain before any medication is delivered.

What to expect

This is an outpatient procedure performed in a controlled clinical setting — you come in and go home the same day.

  • Before: the injection site on your lower back is cleaned and numbed with local anesthetic. Most patients are awake and comfortable throughout.
  • During: using image guidance, Dr. López directs a thin needle to the targeted nerve root and delivers the medication. You may feel pressure; sharp pain is not the norm.
  • After: you’re monitored briefly, then released home. Plan to have someone drive you, and take it easy for the rest of the day.

How quickly relief arrives, how long it lasts, and whether a repeat injection makes sense all depend on your individual case. Dr. López will go over what’s realistic for your situation at your consultation — we’d rather give you an honest, personal answer than a generic one.

Is it right for you?

You may be a strong candidate if:

  • Imaging or a diagnostic exam has identified one specific nerve root as your pain source
  • Your pain — whether it stays in your back or travels into your leg — follows a pattern that points to that nerve root
  • Rest, activity changes, or physical therapy haven’t brought lasting relief
  • You want to avoid or delay surgery, or reduce reliance on pain medication

Certain conditions — like active infection or bleeding disorders — need to be reviewed first. Candidacy is a medical decision, and it starts with an exam: bring your history and imaging, and Dr. López will tell you plainly whether this precise approach is the right tool for your case, or whether another option fits better.

Take the first step

If nerve pain from your back is deciding what your days look like, find out whether this targeted procedure can change that. One consultation gives you a diagnosis, a plan, and straight answers.

Call (386) 222-7746 or request an appointment.

Frequently Asked Questions

If your question is not answered here please call or message our office.

A standard (interlaminar) epidural injection delivers medication more broadly around the epidural space. A transforaminal injection is directed through the small opening where a specific nerve root exits the spine, delivering medication precisely to that one nerve. Dr. López will recommend whichever approach fits your diagnosis.
The site is numbed first, and most patients describe pressure rather than pain. The procedure itself is brief, and being anxious about it is normal — our team will walk you through every step as it happens.
That depends on your diagnosis and how you respond. Rather than quote an average, Dr. López will lay out a specific plan for your case at your consultation — call (386) 222-7746 to get that conversation started.
Plan for a driver. You'll be released the same day, but we ask that someone else takes the wheel after the procedure.
This procedure is commonly performed in interventional pain management, and image guidance with contrast confirmation is central to its safety — it verifies correct needle position before any medication is delivered. Dr. López will review the risks specific to your health picture before anything is scheduled.

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Tell us about your pain and we'll help you take the next step — request an appointment or ask us a question.

Office Hours

Monday – Thursday: 8:00 AM – 5:00 PM

Friday: 8:00 AM – 12:00 PM

Saturday – Sunday: Closed

Contact Information

Phone:(386) 222-7746

Fax:(386) 310-2381

Our Location

4863 Palm Coast Parkway NW, Units 2 & 3

Palm Coast, FL 32137

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