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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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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.
Book Your Appointment
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
Our Location
4863 Palm Coast Parkway NW, Units 2 & 3
Palm Coast, FL 32137
