Doctor insights on:
Fluoroscopy Hip Injection
Why?: Although i used to give them, studies by deyo, et al, and others more recently, have shown little benefit over a systemic steroid injection. The injection is delivered to the facet joint, the true synovial joints of the spine. Afcet joints problems are likely if you have pain with backward extension of your spine. ...Read moreSee 1 more doctor answer
Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read moreSee 3 more doctor answers
Depends: Many hip injections are done for bursitis (greater trochanteric bursitis - the side of the hip) - these injections are superfical, outside of the joint, and would be highly unlikely to cause infection of a hip replacement. However, if you have had an actual injection into the joint itself, then there is certainly the possibility of an infection occurring, however chances are still low. ...Read more
Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more
For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read moreSee 3 more doctor answers
How often(frequency) can my wife receive celestone/lidocaine/marcaine injection for her sciatica(lumbar foraminal narrowing) and hip bursitis?
Safety: Safe is as few injections as you need to get relief. However if you need these injections regularly, safe is a relative term but typically around 3-4 injections/year. Some patients can have as many as 3 injections per 6 months however that is not a good idea for too long. ...Read moreSee 4 more doctor answers
SI joint: Hi, it depends what is causing the sacroiliitis, there are many different causes for SI joint inflammation like trauma, infection, arthritis, inflammatory diseases like ankylosing spondylitis. The treatment plan for all these are different. Steroid injection can work for simple osteoarhtritis of the SI joint. ...Read moreSee 2 more doctor answers
Very unusual: Injection in that site should not cause that ? Must be something else check it out. Good luck. ...Read more
Had transforaminal epidural injection for 2 pinched nerves 2 level injection on 4/9/13-herniation, still have lots of pain in spine, tkrdone 10/12 ?
Stenosis: It sounds like you've had significant spine and leg pain since a tkr in oct 12? And i'm guessing you've had a lumbar mri. If the MRI showed significant stenosis (pinched nerves) which corresponds to your pain symptoms, then your options are to try medications (i.e. Lyrica), or another epidural or two, or decompressive lumbar surgery. ...Read moreSee 3 more doctor answers
Different Areas: Facet injections are used for typical whiplash and arthritic pain that emanates from the facet joint in the spine which is in the back of spine. The epidural steroid injection can help with the same, however typically is used to treat the spinal nerve pain that is due to spinal stenosis or herniated disk that is pinching the exiting spinal nerve(s) which is in the front of spine area. ...Read moreSee 2 more doctor answers
No difference: Epidural injections can be done to relieve pain and inflammation from a number of spinal conditions; risks are the same. Tenderness at the injection site is common but doesn't last long. More serious problems such as bleeding, infection, or nerve damage are very rare but possible; these injections should only be done by trained physicians. ...Read moreSee 1 more doctor answer
Are epidural steroid injections, si joint, and radiofrequency ablation dangerous if given for years?
Yes and No: Osteoporosis after any sort of steroid exposure can occur. Usually this requires repeated chronic long term exposure after several years. Based on your age, unless you have previous exposure to oral steroids or have had significant exposure to epidural steroid injections i would not be too concerned yet. ...Read moreSee 1 more doctor answer
No: It's not if the injection was in your low back. However, if the injection was in your neck then it could irritate the nerves exiting out of cervical spine going to the shoulder. It should pass as the steroid takes hold in a few days. If you are bothered, speak with your doctor regarding why your shoulder hurts. ...Read moreSee 3 more doctor answers
Ok, had facet joint injections-thoaracic, after epidurals failed...What is next pain management 4 thoracic spine 6 bulgd disc, help?
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