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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

A small catheter-like device is inserted into the disc and sends radio pulses to dissolve small portions of disc nucleus. The spine remains stable. The empty space draws the disc wall back in the needle and device is removed and a small bandage is applied on insertion area. After Percutaneous Disc Nucleoplasty the patient may required a day of bed rest.

Percutaneous Disc Nucleoplasty 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.

The patient must inform the physician about pregnancy or if he/she takes blood thinning medication.

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