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Pain Management Procedures

Dmitri Petrychenko Pain Management Office offers following procedures (to view description of the procedure, click on the name below):

• Caudal steroid injection
• Celiac Plexus Block
• Cervical Epidural Steroid Injection
• Dekompressor Discectomy
• Discography
• Facet joint injection
• Femoral Nerve Block
• Intradiscal Elektrothermal Therapy
• Intrathecal Pump Implant
• Lumbar Epidural Steroid Injection
• Lumbar Radiofrequency Neurotomy
• Lumbar Sympathetic Block
• Lumbar Transforaminal Epidural Steroid Injection
• Percutaneous Disc Nucleoplasty
• Peripheral Nerve Block
• RACZ Caudal Neurolysis
• Sacroiliac Joint Steroid Injection
• Spinal Cord Stimulator (SCS)/Implant
• Stellate ganglion block
• Trigger Point Injection
• Vertebroplasty

A physician uses fluoroscope and places a larger needle to the painful area. The contrast solution is injected to confirm the correct location of needle tip. A mixture of anesthetic and steroids is injected into epidural space to be absorbed by the nerves for swelling decreasing and pressure relief.

The needle is removed and small bandage is applied. Some patients need only one injection but to have significant relief two or three injections two weeks apart could be applied.

Cervical Epidural Steroid Injection Side Effects:

Common side effects could be compared with common injection side effects, i.e. allergic reaction, bacterial infection, bleeding in seldom cases. Steroids side effects are face, eyes, arms, legs swelling, sugar level increasing for diabetic patients.

The patient must inform the physician about pregnancy or if he/she takes blood thinning medication.

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