Pain Management Services We Offer
We offer the following Interventional Radiology/Pain Management services:
Epidural steroid injections contain corticosteroids, which imitate the effects of the hormones cortisone and hydrocortisone. Corticosteroids reduce the amount of inflammation around irritated nerves, usually on a temporary basis. An image-guided epidural steroid injection is effective because it provides medication directly into the epidural space within your spine which contains the inflamed nerves.
The radiologist directs the injection needle with the use of X-Ray fluoroscopy. The skin is numbed with a local anesthetic, and the epidural steroid injection usually takes 15 to 30 minutes. Patients are expected to rest for the remainder of the day and then resume their normal daily activities the next day.
Epidural steroid injections are usually limited to just a few within a year because there is a chance these drugs might weaken spinal bones and nearby muscles. Steroid injections also suppress your body’s natural hormone balance and can lead to a serious medical condition called adrenal insufficiency. Spacing repeat injections during the year allows your body to return to its normal balance and reduce their negative impact.
The facet joints are small joints on the back part of your spine. Facet joints can become painful due to arthritis, injury or mechanical stress. The lumbar facet joints can cause pain in your lower back, hips, buttocks, or legs.
Injecting numbing medicine into the facet joints can provide immediate pain relief, and thus confirming that the joint was the source of your pain. Time-release cortisone can be injected into facet joints to reduce inflammation and provide long-term pain relief.
Cortisone injections may help reduce pain and inflammation in a specific area of your body. Cortisone injections are most commonly used in joints such as your shoulder, hip, knee, ankle, elbow, wrist, hands and feet. Joint injections are commonly referred to as cortisone shots, although they can consist of different medicines depending on your diagnosis. Cortisone shots typically consist of a mixture of a local anesthetic (like lidocane or bupivacaine) and the steroid medication Methylprednisolone or Kenelog.
In the case of aspirations, a small amount of fluid is taken from the joint and analyzed.