Pain Management Procedure - Lumbar Epidural Steroid Injection


		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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Lumbar Epidural Steroid Injection

		This Page in Russian

	This procedure is the most often used epidural steroid injection. It provides such significant effect that was called “White Magic”. This injection is used since 1950 and a wealth of experience was collected.


	This injection is used to relief low back and radiating leg pain. The steroid medication can reduce the swelling ad inflammation caused by spinal stenosis, radiculopathy, sciatica or herniated discs.

During the procedure the patient lies face down and a cushion is placed under the stomach area for comfort and to arch the back for easier access to the epidural space. Local anesthetic is used to numb the skin and tissue down to the lumbar vertebra and fluoroscope help physician to ensure correct placement of needle tip. The physician places thicker needle between vertebras and uses the contrast solution to see on fluoroscope painful areas. Then a mixture of anesthetic and steroids is injected to reduce the pain and inflammation.

For some patients it is enough to get one or two injections to get significant paint relief, however three or more injections might be needed. A needle is removed and a small bandage is used to cover the tiny wound.

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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