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

Designed by IVM

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Decompressor Discectomy

In this minimally invasive procedure a small needle and a probe are used to reduce intervertebral disk protrusion and quickly eliminate pain in most of the patients. The procedure may be done on an outpatient basis using relaxants and local anesthetics. After numbing the skin and underlying tissue with local anesthetics, the needle, called catheter, is inserted into the disk which causes pain

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  • Pain Management Procedure - Nucleotomy

    The procedure is carefully carried out with the help of x-ray imaging. Then a small probe is inserted into the disk through catheter. When the probe is set in action, its rotating tip removes small portions of disk nucleus. As only a part of the nucleus is removed, which is needed to reduce the pressure in it, the spine remains stable. Disk tissue is removed from the inside, outer hard wall remains intact. The cleared space draws protruding disk wall inside eliminating the pressure on the nerve ending. Then the needle and catheter are removed and the place of the puncture is bandaged.

    As during the procedure muscles and bones are not affected the scaring is minimal and rehabilitation is fast. The patient may need a day of rest and physiotherapy. Most of the people may return to their normal activity in one to six weeks.

    Possible side-effects are comparable with side-effects of a simple injection: patient may have allergic reactions, bacterial infection or bleeding, which occurs rarely.

    It is obligatory to inform your physician about pregnancy or the use of ‘blood thinning’ medications.

    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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