Injections Performed in Combination by Dr. Parish Vaidya & Dr. Michael Kenly
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Cervical interlaminar epidural steroid injections
A cervical epidural steroid injection is a procedure that involves placing a small amount of strong anti-inflammatory medicine into a fluid space surrounding the spinal nerves to help reduce pain in the neck and arms often caused by a “pinching” or irritation of these nerves.
Video Link: http://www.spine-health.com/video/cervical-epidural-steroid-injection-video
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Cervical transforaminal epidural steroid injections
Cervical transforaminal epidural steroid injections are often for the same reasons as above, except the injections a specially targeted toward a specific pinched nerve or nerves.
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Lumbar epidural steroid injections
Similar to the cervical epidural injections described above, a lumbar epidural steroid injection places a steroid medicine around the spinal nerves of the low back. These nerves can often get “pinched” by a bulging disc or other spine problems, and may cause lower back pain and/or leg pain (sciatica).
Video Link: http://www.spine-health.com/video/epidural-steroid-injections-back-pain-and-leg-pain-video
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Facet Joint Injections
Facet joints are small joints at the back of the spine that can often become painful due to injury, inflammation, or strain. A facet joint injection places a strong anti-inflammatory medication into the joint itself, which can numb the joints and help reduce the pain. These can be performed in the cervical, thoracic, or lumbar spine.
Video Link: http://www.spine-health.com/video/facet-joint-injections-back-pain-relief-video
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Medial Branch Blocks
Medial branch nerves are tiny nerves that send nerve signals to and from the facet joints in the spine. When the joints are damaged (for example form injury, inflammation, or strain), these nerve signals are often painful. A medial branch nerve block temporarily blocks that pain signal and thus can serve as a useful procedure to help with diagnosis and treatment of the facet pain. These injections can be performed in the cervical, thoracic, or lumbar spine.
Video Link: http://www.spine-health.com/video/medial-branch-block-video
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Sacroiliac joint injection
The sacroiliac joint may be thought of as a very large facet joint. It is the place where the low back meets the “hip bone.” An injection of a strong anti-inflammatory medicine into this joint can help reduce pain caused by inflammation or injury.
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Myelography
Myelography (Myelogram) is a diagnostic test of the spine and its nerves. A special x-ray-sensitive dye or “tint” material is injected into the fluid space surrounding the spine and nerves. X-rays and CT scans (“CAT-scans”) following this procedure can help allow your doctor to identify problems within the spine, spinal cord, and spinal nerves.
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Discography
Discography (also called a discogram) is a diagnostic test used to help your doctor determine if one or more discs are the cause of your back pain. The procedure involves injecting a special x-ray-sensitive dye or “tinted” liquid into the discs to determine which specific disc or discs may be causing your pain. CT scans (“CAT-scans”) following this procedure can further help allow your doctor to identify specific problems within the spine and spinal nerves.
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Lumbar Sympathetic Block
A lumbar sympathetic block typically involves either one or a series of injections of anesthetic agent to a group of nerves known as the lumbar sympathetic chain. These injections may help relieve leg pain (sciatica) caused by certain pain conditions, including complex regional pain syndrome, which can occur after an injury to a joint or limb.
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Trigger Point Injection
A trigger point injection is an office-based procedure aimed at reducing the back, neck, and shoulder-blade pain caused by “trigger points.” These small knots can form in the muscles or in the surrounding tissue leading to something called myofascial pain syndrome. Some common areas injected can include the muscles in the back of the head and neck, scapular region, low back, and piriformis muscles.
