Epidural perineural injection is a modern, minimally invasive therapeutic technique designed for immediate and targeted pain relief in the lower lumbar spine. It is primarily indicated in cases of disc herniation or spinal canal stenosis, where irritation of the L5 and S1 nerve roots is present.
Technical procedure
The method is based on the administration of an extremely small volume of local anesthetic (approximately 1 ml), with high precision into the epidural space, specifically targeting the affected L5 and S1 nerve roots. The procedure is performed using a very fine needle, ensuring maximum patient comfort and safety.
Therapeutic goal
• Immediate desensitization of irritated nerve roots
• Significant reduction of inflammation
• Rapid pain relief
• Improvement of mobility and quality of life
• Support and acceleration of physiotherapy-based rehabilitation
Indications
• Low back pain
• Sciatica
• Nerve compression syndromes
• Postoperative or post-traumatic pain
• Inflammatory disorders of spinal nerve roots
Benefits
• Immediate therapeutic effect
• Minimally invasive technique
• High safety profile
• Excellent patient tolerance
• Avoidance of general anesthesia
Clinical approach
The technique is performed using specialized anatomical landmarks (landmarks), ensuring precision and reliability.
This method is the result of many years of research activity and was developed at the Orthopedic University Clinic of Bochum, integrating modern scientific principles and high standards of medical care.
