Neuro Interventional Procedures Find a Location

Facet Block | Epidural Injection | Nerve Block | Discography


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Facet Block

Facet block is an x-ray procedure which involves the injection of short and long-acting local anesthetic and steroid into the facet joint in the neck or lumbar region. It can be done either for diagnosis or for therapy.

 

Information You Should Know

On the day of the Facet Block: You should not plan on returning to work. The morning of the facet block, you may eat your regular meals. Follow your doctor's instructions regarding medication. You should wear comfortable clothing.

On arrival at the hospital: If you are not pre-registered, you should report to the Outpatient Registration desk. You will be directed to the Radiology department.

Before the Exam: You will be taken to an x-ray room where you will be placed on an x-ray table. This will be done either in CT scanning or in a flouoscopic room. You will need to lie on your stomach. Sedation usually is not required.

During the exam: A local ansethetic will be used. A radiologist will use x-ray guidance to place a needle to the region of the facet joint. The facet is injected with varying combinations of short and long-acting local anesthetic and steroid. The procedure takes approximately 30 minutes.

After the exam: You will be able to leave after the procedure. Many patients experience a short-lived increase in pain after the injection into the joint. You will be allowed to drive yourself home.

Facet Block | Epidural Injection | Nerve Block | Discography | Back

 

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Epidural Injection

Epidural injection is an x-ray procedure where local anesthetic and, at times, a steroid is injected into the epidural space for the treatment of pain syndromes.

 

Information You Should Know

On the day of the Epidural Injection: You should not plan on returning to work. The morning of the epidural injection, you may eat your regular meals. You will need to make arrangements for someone to drive you home. Follow your doctor's instructions regarding medication. You should wear comfortable clothing.

On arrival at the Hospital: If you are not pre registered, you should report to the outpatient Registration desk. You will be directed to the Radiology Department.

Before the exam: You will be taken to an x-ray room where you will be placed on an x-ray table. Monitoring equipment will be applied. You will need to lie on your stomach. Sedation usually is not used.

During the exam: A local anesthetic will be used. A radiologist will use x-ray guidance to place a needle into the epidural space. The epidural space was injected with varying amounts of short and long-acting local anesthetic and sometimes steroid. The procedure takes approximately 30 minutes.

After the exam: You may be here for one to two hours. The exam carries a small risk of infection, nerve damage and bleeding. The patient will not be allowed to drive self home.

Facet Block | Epidural Injection | Nerve Block | Discography | Back

 

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Nerve Block

A paravertebral nerve block is an x-ray procedure where local anesthetic and/or steroid is injected along the nerve root, usually either in the neck or in the lumbar region. This examination is done either for diagnosis to determine if this is the nerve contributing to the clinical problem or it can be done for therapy to alleviate pain in a particular nerve distribution.

 

Information You Should Know

On the day of the Nerve Block: You should not plan on returning to work. The morning of the nerve block, you may eat your regular meal. You will need to make arrangements for someone to drive you home. Follow your doctor's instructions regarding medication. You should wear comfortable clothing.

On arrival at the hospital: If you are not pre-registered, you should report to the Outpatient Registration desk. You will be directed to the Radiology Department.

Before the exam: You will be taken to an x-ray room where you will be placed on an x-ray table. Monitoring equipment may be applied You will need to lie either on your back, your side or your stomach depending on the particular nerve block being done. Sedation usually is not used.

During the exam: A local anesthetic will be used. A radiologist will use x-ray guidance to place a needle close to a nerve root. The needle is advanced until sensation is felt along the nerve root. Contrast is injected confirming flow along the nerve root. At that point, varying combinations od short and long-acting local anesthetic and possibly steroids will be injected. The procedure takes approximately 30 minutes.

After the exam: You may be here for an hour or two. This exam carries a small risk of infection, nerve damage and bleeding. The patient will not be allowed to drive self home.

Facet Block | Epidural Injection | Nerve Block | Discography | Back

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Discography

Discography is an x-ray procedure with contast medium containing iodine. It is injected into the disc, either in the neck or in the lumbar region. This examination is done to determine if the disc is the cause of your symptons.

 

Information You Should Know

On the day of the Discogram: You should not plan on returning to work. The morning of the discogram, you may eat your regular meal. You will need to make arrangements for someone to drive you home. Follow your doctor's instructions regarding medication. You should wear comfortable clothing.

On arrival at the Hospital: If you are not pre-registered, you should report to the Outpatient Registration desk. You will be directed to the Radiology Department.

Before the exam: You will be taken to an x-ray room where you will be placed on an x-ray table. Monitoring equipment will be applied. You will need to lie either on your back or stomach depending if a neck or low back study has been ordered. Sedation may or may not be used.

During the exam: A local anethetic will be used. A radiologist will use x-ray guidance to place a needle into the disc. The disc is injected with contrast medium and sometime local anesthertic. The disc is injected to attempt to reproduce your pain. The procedure taxes approximately 30 minutes. The patient than has a CT scan.

After the exam: You may be here for a couple of hours, especially if you have received sedation. This exam carries a small risk of infection, nerve damage, bleeding and some side effects such as increased back pain for a few days. The patient will not be allowed to drive slef home.

Facet Block | Epidural Injection | Nerve Block | Discography | Back