22/09/2025
A 43-year-old male patient with a history of back surgery presented to our pain unit with severe right-sided sciatica, specifically S1 nerve root pain radiating to his little toe. The pain was debilitating and unresponsive to conventional treatments. He tried few caudal epidural injections which gave him help but only for a short period each time.
MRI scan confirmed a disc bulge (L5-S1) causing right S1 nerve root compression.
He underwent a precisely guided transforaminal injection (nerve root block) that combined a local anesthetic, steroid and PRP (platelet-rich plasma). This innovative approach targeted immediate pain relief (by the local anesthetic), local inflammation (by the steroid) and long-term tissue healing (via the regenerative effects of PRP).
The result was highly successful. The patient experienced significant immediate pain relief and, crucially, sustained improvement that allowed him to return back to his normal work and daily activities within three months.
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