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Head, Neck and Spine

head, neck and spineCaudal Epidural Steroid Injection (CESI) is an outpatient procedure and it is very helpful with post-surgical pain or for the elderly with degenerative changes. CESI introduces a steroid-anesthetic medication through a passageway in the sacrum. The medication has the ability to lessen the swelling of irritated spinal nerves. The injection takes no longer than a few minutes from start to finish. You may feel considerable alleviation after one injection. Some patients may require more than one injection before they can fully benefit from the medication. However, many patients experience immediate pain relief from a CESI.

Caudal Epidural Steroid Injection


Caudal Epidural Steroid Injection (CESI) is an outpatient procedure and it is very helpful with post-surgical pain or for the elderly with degenerative changes. CESI introduces a steroid-anesthetic medication through a passageway in the sacrum. The medication has the ability to lessen the swelling of irritated spinal nerves. The injection takes no longer than a few minutes from start to finish. You may feel considerable alleviation after one injection. Some patients may require more than one injection before they can fully benefit from the medication. However, many patients experience immediate pain relief from a CESI.

Celiac Plexus Block


Celiac Plexus Block (CPB) is carried out to diagnose and alleviate abdominal pain caused by circumstances such as cancer or pancreatitis. An injection is administered to block your nerves from distributing sensations to the abdomen. Many patients experience immediate pain relief from a CPB.

Cervical Epidural Steroid Injection


Cervical Epidural Steroid Injection relieves discomfort in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as bulging or herniated discs and spinal stenosis can force together nerves, causing swelling and pain. The medication injected assists in decreasing the swelling of nerves. You may only require one injection, but it may take two or three administered weeks apart in order to provide you with considerable pain relief.

Cervical Radiofrequency Ablation on the Median Nerve


Cervical Radiofrequency Ablation (RFA) is a minimally-invasive procedure and it lessens or potentially eradicates the pain of damaged facet joints by obstructing the medial branch nerves that transport the pain signals. This is also done for arthritic joints, neck pain and arm pain of facet origin. Although pain may increase for the first week after the procedure you usually experience full relief from pain within a month. Also, successful RF neurotomies can often last longer than nine months.

Discography


Discography is a diagnostic procedure, also called discogram, and it is utilized to determine whether the pain in your back is caused by multiple spinal discs or just one. Discography works by pressurizing questionable discs with an injection of sterile liquid to instigate pain. Usually the procedure takes less than one hour to complete. Discography may cause soreness for multiple days. You may be advised to take acetaminophen or ibuprofen and to ice the affected area for several minutes each day until the soreness diminishes.

Lumbar Radiofrequency Ablation of the Median Nerve


Lumbar Radiofrequency Ablation of the Median Nerve is a minimally-invasive procedure and it lessens or eradicates the physical suffering of damaged facet joints by obstructing the medial branch nerves that transmit the pain signals. Arthritis, hip pain and leg pain are discomforts that would would be treated by this procedure. Pain may increase for the first week after the procedure, however, you usually experience relief from discomfort inside of a month. Also, successful RF neurotomies can often last longer than nine months.

Lumbar Sympathetic Block


Lumbar Sympathetic Block is a procedure that is carried out to relieve leg pain caused by complex regional pain syndromes, which may mature after an injury to a joint or limb. A series of injections is usually required to treat the problem. Blocks can be repeated, almost one every week, until the pain dissipates.

Lumbar Transforaminal Epidural Steroid Injection


Lumbar Transforaminal Epidural Steroid Injection is an outpatient procedure that consists of an injection of steroid-anesthetic medication. The medication can reduce the swelling of your bothered spinal nerves. The procedure is performed to alleviate pain in your lower back and pain that extends and spreads from your back to your legs. The injection takes no longer than a few minutes. You may feel considerable relief after only one injection. Some patients require more than one injection before they experience the full benefits of the medication.

Medial Branch Block


The Medial Branch Block is a diagnostic procedure (as opposed to therapeutic) carried out to establish a discomforting facet joint. The facet joints are the joints located in-between the vertebrae in the spine. Your facet joints allow your spine to twist, flex and bend. If the temporary injection alleviates your pain and your relief is defined as greater than 60% to 70% then Radiofrequency Ablation will be determined to be the definitive therapy.

Sacroiliac Joint Steroid Injection


Sacroiliac Joint Steroid Injection is a course of action carried out to alleviate pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Spinal Cord Stimulation


Spinal Cord Stimulation (also known as neurostimulation) utilizes electrical impulses to alleviate chronic pain in your back and legs. Electrical pulses, it has been shown, prevents pain signals from being accepted by the brain. Neurostimulation candidates are those who are distressed from neuropathic pain and for whom conservative procedures have failed. The implant’s electrical pulses are programmed with an external wireless programmer. The patient is able to utilize the wireless programmer and turn it from off to on, adjust the stimulation power level and oscillate between varying programs. For several days, following surgery, patients may experience mild discomfort and swelling at the incision.

Thoracic Epidural Steroid Injection


Thoracic Epidural Steroid Injection is an outpatient procedure performed to relieve pain in your upper back. It can also be administered to address bulging discs, arthritis and joint pain. Extended pain relief is expected to begin within three to five days after the injection is administered. Some cases may require the physician to repeat the procedure up to three times in order to reap the full benefits of the medication, however, many patients feel significant relief from only one or two injections.

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