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

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Caudal steroid injection

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  • This pain management procedure is used to relieve low back and radiating leg pain. The steroids can reduce the swelling and inflammation caused by stenosis, radiculopathy, sciatica and herniated discs.

    During the caudal steroid injection a patient lays face down and a cushion is placed under the stomach to arch the back and for comfort. A physician uses fluoroscope to find the small opening at the base of sacrum.

    Pain Management Procedure - Spinal Epidural Injection

     Local anesthetic is used to numb the skin and tissue down to the surface of sacral hiatus. After needle is carefully placed in the area of 1-2 cm a contrast solution is used to help physician to see painful areas using fluoroscope. Then a mixture of anesthetic and anti-inflammatory medicine is injected into epidural space, bathing the painful area in medication. The needle is removed and a small bandage is used to cover the tiny surface wound.

    Most patients have significant relief after one or two caudal steroid injections but it might be necessary to repeat the procedure several times to get full benefit from medication.

    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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