Caudal Steroid Injection
This pain management procedure is used to relieve low back, radiating leg pain, and coccydynia. The steroids can reduce the swelling and inflammation caused by stenosis, radiculopathy, sciatica, and herniated discs.
During the caudal steroid injection, a patient lays face down, and a cushion is placed under the stomach to arch the back and for comfort. A physician uses a fluoroscope to find the small opening at the base of the sacrum.
Local anesthetic is used to numb the skin and tissue down to the surface of the sacral hiatus. After the needle is carefully placed in the area of 1-2 cm, a contrast solution is used to help the physician to see painful areas using a fluoroscope. Then a mixture of anesthetic and anti-inflammatory medicine is injected into epidural space, bathing the painful area in medication. The needle is removed, and a small bandage is used to cover the tiny surface wound.
Most patients have significant relief after one or two caudal steroid injections, but it might be necessary to repeat the procedure several times to get the full benefit from the medication.
You can take caudal steroid injection at our clinic in the following locations in NY(NYC): Queens, Manhattan, Brooklyn, and Morganville, NJ.
Caudal 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. Steroid's 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.
Celiac Plexus Block
Celiac Plexus Block is used to diagnose and relieve abdominal pain caused by cancer or pancreatitis. The injection blocks the nerves serving the abdominal. The intravenous anesthetic could be used to relax the patient
Local anesthetic is used to numb the skin and tissue down to the celiac plexus. A physician uses a fluoroscope and contrast solution to confirm the correct location of the needle tip. The anesthetic medicine is injected around the nerves to block pain signals from reaching the brain.
The first injection could be a test. If pain relief appears, a permanent celiac plexus block could be used. Most patients have immediate pain relief after the injections.
Our Pain Management clinics in NY(NYC): Manhattan, Brooklyn, Queens, and Morganville, NJ. are highly experienced in performing this kind of procedure.
Celiac Plexus Block Side Effects:
Common side effects could be compared with common injection side effects, i.e., allergic reaction, bacterial infection, bleeding in seldom cases. Steroid's side effects are face, eyes, arms, legs swelling, sugar level increasing for diabetic patients.
Before any pain management procedure, the patient must inform the physician about pregnancy or if he/she takes blood-thinning medication.
Cervical Epidural Steroid Injection
Cervical Epidural Steroid Injection is used to relieve pain in the neck, shoulders, and arms caused by a pinched nerve as a result of herniated discs, spinal stenosis, or radiculopathy. The medication injected can decrease swelling and inflammation.
During the procedure, the patient lies face down. The intravenous anesthetic could be used to relax the patient. A local anesthetic is used to numb the skin and tissue in the neck area.
A physician uses a fluoroscope and places a larger needle to the painful area. The contrast solution is injected to confirm the correct location of the needle tip. A mixture of anesthetic and steroids is injected into the epidural space to be absorbed by the nerves for swelling decrease and pressure relief.
The needle is removed, and a 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.
Our clinics located in NY(NYC): Manhattan, Brooklyn, Queens, and Morganville, NJ. are highly experienced in performing this kind of procedure.
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. Steroid's 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.
Decompressive Discectomy Nucleoplasty
In Decompressive Discectomy, a small needle and a probe are used to reduce intervertebral disk protrusion and quickly eliminate pain in most patients. Decompressive Discectomy may be done on an outpatient basis using relaxants and local anesthetics. After numbing the skin and underlying tissue with local anesthetics, the needle, called a catheter, is inserted into the disk, which causes pain
Decompressive Discectomy is carefully carried out with the help of x-ray imaging. Then a small probe is inserted into the disk through the catheter. When the probe is set in action, its rotating tip removes small portions of the disk nucleus. As only a part of the nucleus is removed, which is needed to reduce the pressure in it, the spine remains stable. Disk tissue is removed from the inside; the hard outer wall remains intact. The cleared space draws protruding disk wall inside, eliminating the pressure on the nerve ending. Then the needle and catheter are removed, and the place of the puncture is bandaged. During Decompressor Discectomy, muscles and bones are not affected, the scarring is minimal, and rehabilitation is fast. The patient may need a day of rest and physiotherapy. Most people may return to their normal activity in one to six weeks.
We are highly experienced in performing this kind of procedure. You can find our clinics in NY(NYC): Manhattan, Brooklyn, Queens, and Morganville, NJ.
Decompressive Discectomy Side Effects:
Possible side-effects are comparable with side-effects of a simple injection: the patient may have allergic reactions, bacterial infection, or bleeding, which occurs rarely.
It is obligatory to inform your physician about pregnancy or the use of 'blood-thinning medications.
Discography
Discography is a provocative diagnostic procedure used to determine if back pain is caused by one or more disks. The procedure involves a suspicious disk, one disk above, one below, and one healthy disk with an injection of sterile liquid to induce pain or pressure in those disks.
During the procedure, the patient lies on the stomach or side on a table equipped with a fluoroscope and takes an intravenous anesthetic for relaxation. It is very important for the patient to be awake enough to inform the physician about all sensations and feelings.
A local anesthetic is used to numb the skin and tissue down to the disk area. A physician uses a fluoroscope to find the right spot and places a guide needle to the edge of the disc. Then a small needle is inserted through the guide needle to the center of the disc. After all, needles are placed, the discs are pressured one at a time with a contrast solution. The healthy disc may feel pressure; the damaged disc feels pain. If the pain appears, it is very important for the patient to compare the pain with the pain he/she has been feeling. If the pain is the same, a damaged disc is found. After X-ray pictures are taken, needles are removed. In addition, a CT scan could be applied.
Discography Side Effects:
Common side effects could be compared with common injection side effects, i.e., allergic reaction, bacterial infection, bleeding in seldom cases. During discography, no steroid medications are used.
The patient must inform the physician about pregnancy or if he/she takes blood-thinning medication.
You can find our clinics in NY(NYC): Manhattan, Brooklyn, Queens, and Morganville, NJ.
Facet Joint Injection
Facet Joint Injection is provided to confirm that the facet joints cause the pain and to relieve the back or neck pain and inflammation. Each vertebra in the spine is connected by two facet joints. A local anesthetic numbs the skin and tissue down to the facet joint.
The physician uses fluoroscopy and contrast solution to confirm the correct placement of the needle tip. A mixture of anesthetic and anti-inflammatory steroid medication is injected into the joint. Sometimes two or more injections might be needed. If the patient feels pain relief just after injection, this confirms that the facet joint was the source of pain.
However, pain may return after the local anesthetic effect ends. Usually, it takes about a week to reduce inflammation and pain. Pain relief can last up to several months.
Facet Joint Injection Side Effects:
Common side effects could be compared with common injection side effects, i.e., allergic reaction, bacterial infection, bleeding in seldom cases. Steroid's 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.
You can take Facet Joint Injection at our clinic in the following locations in NY(NYC): Queens, Manhattan, Brooklyn, and Morganville, NJ.
Femoral Nerve Block
Femoral Nerve Block is used to block pain in the thigh or knee after several surgeries. The femoral nerve is blocked to prevent pain signals from reaching the brain. The physician places a needle close to the femoral nerve and injects a mixture of anesthetic medicine to block pain signals.
Femoral Nerve Block Side Effects:
Common side effects could be compared with common injection side effects, i.e., allergic reaction, bacterial infection, bleeding in seldom cases. Steroid's 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.
You can find our clinics in NY(NYC): Manhattan, Brooklyn, Queens, and Morganville, NJ. We are highly experienced in performing this kind of procedure.
Intradiscal Thermal Therapy
Intradiscal Thermal Therapy is used to reduce the low back pain caused by diseased or herniated discs. Usually, Intradiscal Thermal Therapy is provided on an outpatient basis. To relax the patient and reduce discomfort, local anesthetic and sedative analgetics are used. When a proper disc is found, the physician uses a fluoroscope to place a needle into the disc. Then the heating wire is inserted through the needle close to the damaged portion of the disc.
The temperature of the heating wire is increased slowly to raise the temperature of the disk wall to repair the tears in the disc wall. The needle and wire are removed, and a small bandage is applied to the tiny wound.
Look up one of our clinics in NY-NYC: Brooklyn, Queens, Manhattan, and Morganville, NJ. We are well experienced in performing this kind of procedure.
Intradiscal Thermal Therapy Side Effects:
Common side effects could be compared with common injection side effects, i.e., allergic reaction, bacterial infection, bleeding in seldom cases. Steroid's 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.