SURGICAL TECHNIQUEFluoroscopically Guided Lumbar Transforaminal Epidural Steroid Injection Procedural TechniqueStolzenberg, David DO*; Ahn, Junyoung J. MD†; Kurd, Mark MD‡Author Information *Department of Physical Medicine and Rehabilitation, Rothman Institute Orthopaedics, Philadelphia, PA †Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL ‡Department of Orthopaedic Surgery, Rothman Institute Orthopaedics, Philadelphia, PA The authors declare no conflict of interest. Reprints: David Stolzenberg, DO, Department of Physical Medicine and Rehabilitation, Rothman Institute Orthopaedics, 921 Chestnut St, 5th Floor, Philadelphia, PA 19107 (e-mail: David.Stolzenberg@rothmaninstitute.com). Received November 19, 2017 Accepted December 14, 2017 Clinical Spine Surgery: August 2018 - Volume 31 - Issue 7 - p 297-299 doi: 10.1097/BSD.0000000000000627 Buy SDC Metrics Abstract Fluoroscopically guided lumbar transforaminal epidural steroid injections are indicated for the treatment of lumbar radicular pain that has failed more conservative options. This article details proper equipment and medications, patient positioning and set-up, step-by-step instructions for multiplanar fluoroscopic visualization, needle advancement and medication instillation, and postoperative management. Pearls and pitfalls are also discussed. In addition, an instructional procedure video accompanies this paper. © 2018 by Lippincott Williams & Wilkins, Inc.