Patient Procedures
Caudal Epidural Injection
What is it:
Epidural injection is a procedure that targets spine pain by injecting steroid medication. To ensure proper placement of the medication the procedure is done under fluoroscopy or X-ray.
Who Benefits:
Epidural injection is an excellent treatment for patients with spine and extremity pain.
Purpose:
The pain felt is usually due to an inflammation of the disc and/or nerves. By placing a steroid medication into the epidural space any resumed inflammation will be reduced.
How is it Done:
First an IV is started and you may be given medicine for relaxation if you so desire. Next, while lying on an X-ray table your skin will be cleansed and prepared. Then a spinal needle is inserted into the epidural space of the spine, (the space outside of the covering of the spinal cord). An anesthetic and steroid medication is slowly injected into the area.
What to Expect:
During the injection pain will be increased temporarily. Following the procedure you may experience some initial discomfort for about 2 to 3 days. Once the medication reaches the inflamed area your pain should hopefully be relieved.
Cervical Facet Injection
What is it:
Cervical facet injection is a procedure that targets neck pain. A steroid medication is injected into the joint. To ensure proper placement of the medication the procedure is done under fluoroscopy or X-ray.
Who Benefits:
Cervical facet injection is useful for patients with neck, head, shoulder and/or arm pain. This is especially useful for patients who suffer whiplash injury.
Purpose:
The facet joint is a thumbnail-size joint that is located in pairs on the back of your spine. These become painful and inflamed. The steroid medication can reduce the inflammation and thus alleviating your pain.
How is it Done:
First an IV is started and you may be given medicine for relaxation if you so desire. Next, while lying on an X-ray table your skin will be cleansed and prepared. Then a needle will be inserted into the joint. An anesthetic and steroid medication is slowly injected into the area.
What to Expect:
During the injection pain will be increased temporarily. Following the procedure you may experience some initial discomfort for about 2 to 3 days. Once the medication reaches the inflamed area your pain should hopefully be relieved.
Lumbar Epidural Injection
What is it:
Epidural injection is a procedure that targets spine pain by injecting a steroid medication. To ensure proper placement of the medication the procedure is done under fluoroscopy or X-ray.
Who Benefits:
Epidural injection is an excellent treatment for patients with spine and extremity pain.
Purpose:
The pain felt is usually due to an inflammation of the disc and/or nerves. By placing a steroid medication into the epidural space any resumed inflammation will be reduced.
How is it Done:
First an IV is started and you may be given medicine for relaxation if you so desire. Next, while lying on an X-ray table your skin will be cleansed and prepared. Then a spinal needle is inserted into the epidural space of the spine, (the space outside of the covering of the spinal cord). An anesthetic and steroid medication is slowly injected into the area.
What to Expect:
During the injection pain will be increased temporarily. Following the procedure you may experience some initial discomfort for about 2 to 3 days. Once the medication reaches the inflamed area your pain should hopefully be relieved.
Discogram
What is it:
A discogram is a diagnostic procedure to determine if your disc(s) is/are your source of back pain.
Who benefits:
Patients with possible disc pain.
Purpose:
Identify specific discs contributing to the pain. The results are then used to try more advanced treatment options.
How is it done:
First an IV is started and you may be given medicine for relaxation if you so desire. Next, while lying on an X-ray table your skin will be cleaned and prepared. Then a needle will be inserted into each disc. To ensure proper placement of the dye, the procedure is performed under fluoroscopy of X-ray.
What to expect:
If the disc is the source of your back, spine, extremity and/or leg pain the injection will temporarily reproduce your symptoms, thus resulting a positive discogram. If the disc is not the source of your pain the injection will not reproduce your symptoms or cause any discomfort, thus resulting a negative discogram. Following the procedure, you may experience some additional discomfort. You will then return to your original state within one week. A course of oral antibiotics will also be administered following the procedure.
Sympathetic Nerve Block
Certain painful conditions called Chronic Regional pain Syndromes (or, reflex sympathetic dystrophy) occurs because of the abnormal function of specialized nerves called the sympathetic nerves. Proper diagnosis of the condition requires that these nerves be "blocked" with local anesthetic medication. Often, therapy will be prescribed to occur while the nerves are blocked or anesthetized. The sympathetic nerves for the head, near upper extremity are located in a structure in the neck called the stellate ganglion. The sympathetic nerves lower extremities are located just in front of the vertebra. The results of these nerve blocks will guide further therapy.
Selective Nerve Root Block (SNRB)
What is it:
SNRB is a procedure that targets specific nerves and relieves the pain caused by inflammation. To ensure proper placement of the medication the procedure is done under fluoroscopy or X-ray.
Who Benefits:
SNRB is an excellent treatment for patients with back and leg pain.
Purpose:
SNRB is a procedure that is performed to determine if a specific spinal nerve is the source of pain. By injecting steroid medication the inflammation is reduced thus alleviating the pain.
How is it Done:
First an IV is started and you may be given medicine for relaxation if you so desire. Next, while lying on an X-ray table your skin will be cleansed and prepared. A local anesthetic is given to numb the skin surface. A physician locates under fluoroscopy a specific nerve root. A needle is then inserted and an anesthetic and steroid medication is injected into the area bathing the nerve root.
What to Expect:
During the injection pain will be increased temporarily. Following the procedure you may experience some initial discomfort for about 2 to 3 days. Once the medication reaches the inflamed area your pain should hopefully be relieved.
Lumbar Facet Injection
What is it:
Lumbar facet injection is a procedure that targets low back pain. A steroid medication is injected into the joint To ensure proper placement of the medication the procedure is done under fluoroscopy or X-ray.
Who Benefits:
Lumbar facet injection is useful for patients with back, buttock, groin and/or leg pain.
Purpose:
The facet joint is a thumbnail-size joint that is located in pairs on the back of your spine. These become painful and inflamed. The steroid medication can reduce the inflammation and thus alleviating your pain.
How is it Done:
First an FV is started and you may be given medicine for relaxation if you so desire. Next, while lying on an X-ray table your skin will be cleansed and prepared. Then a needle will be inserted into the joint. An anesthetic and steroid medication is slowly injected into the area.
What to Expect:
During the injection pain will be increased temporarily. Following the procedure you may experience some initial discomfort for about 2 to 3 days. Once the medication reaches the inflamed area your pain should hopefully be relieved.
Central Kentucky Pain Management, PLLC :: 151 N. Eagle Creek Drive, Suite 200 :: Lexington, KY 40509
Phone: 859-543-0561 :: Fax: 859-264-0183 :: E-Mail ckpmanagement@yahoo.com