Pain Management Procedure - Lumbar Sympathetic Block


		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 Sympathetic Block

		Sympathetic nerves bring to the brain pain impulses. This procedure is carried out to eliminate leg pains, caused by complex regional pain syndrome, which can arise as a result of joint or limb damage. Generally we have to make a series of such injections to solve the problem completely. During the procedure patient lies on the side or stomach on a table, equipped with a special fluoroscopic machine, and intravenously takes a relaxing anesthetic.


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A local anesthetic is administered to numb the skin and all tissue up to the sympathetic nerve through which the needle is introduced. A contrast substance helps to visualize the local picture on the fluoroscope and guide the needle right into the painful area. Then the doctor injects a mixture of anesthetic, saline and anti inflammatory drug which prevent the conduction of pain signals to the brain. The patient may feel weakness in legs, which has to disappear in several hours after the procedure. It may be needed to repeat the procedure once per week to achieve full pain relief. The procedure is not permitted for patients who receive ‘blood thinning’ agents or have inflammations in the site of sympathetic nerve injections.

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

Steroid side-effects: swelling of the face, arms and legs, diabetics may have their blood sugar level raised.

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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