Pain Management Procedure - Discography


		Pain Management Procedures

	Dmitri Petrychenko Pain Management Office offers following procedures (to view description of the procedure, click on the name below):

Caudal steroid injection Celiac Plexus Block Cervical Epidural Steroid Injection Dekompressor Discectomy Discography Facet joint injection Femoral Nerve Block Intradiscal Elektrothermal Therapy Intrathecal Pump Implant Lumbar Epidural Steroid Injection Lumbar Radiofrequency Neurotomy Lumbar Sympathetic Block Lumbar Transforaminal Epidural Steroid Injection Percutaneous Disc Nucleoplasty Peripheral Nerve Block RACZ Caudal Neurolysis Sacroiliac Joint Steroid Injection Spinal Cord Stimulator (SCS)/Implant Stellate ganglion block Trigger Point Injection Vertebroplasty

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	Discography


	This Page in Russian

This diagnostic procedure is used to determine if back pain is caused by one or more disks. The procedure involves 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 stomach or side on a table equipped by fluoroscope and takes intravenous anesthetic for relaxation. It is very important for the patient to be awake enough to inform the physician about all sensations and feelings.

Local anesthetic is used to numb the skin and tissue down to the disk area. A physician uses fluoroscope to find the right spot and places a guide needle to the edge of the disc. Then 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 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, damaged disc is found. After X-ray pictures are taken, needles are removed. In additional CT-scan could be applied.

Common side effects could be compared with common injection side effects, i.e. allergic reaction, bacterial infection, bleeding in seldom cases. Steroids 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.


	Dmitri Petrychenko, M.D., 1660 East 14th Street, second floor, Suite 202, Brooklyn, NY 11229, Tel: (718) 336-5123 info@freeofpain.org


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