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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

Local anesthetic is used to numb the skin and tissue down to the celiac plexus. A physician uses fluoroscope and contrast solution to confirm the correct location of needle tip. Anesthetic medicine is injected around the nerves to block pain signals from reaching the brain.

The first injection could be a test. If pain relief appears, permanent celiac plexus block could be used. Most patients have immediate pain relief after the injections.

Celiac Plexus Block Side Effects:

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.

Before any pain management procedure the patient must inform the physician about pregnancy or if he/she takes blood thinning medication.

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