What are the risks and side effects?
Generally speaking, transforaminal injections are is safe. However, with any procedure there are risks, side effects and possibility of complications. The most common side effect is pain from the actual injection once the local anesthetic wears off and this pain is temporary. The other uncommon risk involve spinal puncture with headaches, infection, bleeding inside the epidural space, nerve damage and worsening of symptoms. Other uncommon risks are related to the side effects of the long acting steroid such as weight gain, increase in blood sugar in diabetics, water retention and suppression of body's own natural production of steroids.
I have been receiving IVIG for nearly 9 yrs. At first, I used Gammunex with fairly mild side effects. Then my supplier insisted it was no longer available and put me on Gammagard that caused bad headaches, fatigue, pain and some nausea. I finally wrote to IG Living regarding how I could get back to Gammunex. They quickly responded that all I needed to do was have my doctor write an RX for "Gammunex Only" and that did it!! I do much better now. My premeds are 400 mg Ibuprofen, 25 Benadryl, 50 mg IV solu-cortef pre and post treatment. I also take my RX headache meds and pain meds as I also suffer from FM and chronic fatigue. I am doing much better now and no longer have to wipe out my schedule for a week after tx! Thank God for the resource of IG Living! I do have problems sleeping the first and often second night after tx that I am sure is due to the steroid. I just block out a few days to adjust and rest when I can. But, so much better than I did with Gammagard!!