Book an Appintment with Dr. Mikhail Kogan

Specialties: Pain Management, Anesthesiology.

Dr. Sekhar Upadhyayula, MD and Dr. Mikhail Kogan MD

Dr. Sekhar and Dr. Mikhail Kogan are member of American Society of Anesthesiologists.

Pain Solutions New York -

Call on 718-544-1171 or visit for Appointment.

Epidural Steroid Injection

The Epidural Steroid Injection is a procedure where numbing medicine (anesthetic) and anti- inflammatory medicine (steroid) is injected into the epidural space to treat pain caused by irritation of the spinal nerves.

Cervical Facet Joint Injection

The Cervical Facet Joint Injection is a procedure used to block or decrease pain caused by problems in the upper (neck area) spine.

Facet Joint Injection

An aspect joint injection is a comparatively easy, straightforward procedure, and is typically performed in an workplace based mostly procedure suite or in an ambulant surgical center.

As with several spinal injections, facet joint injections are best performed mistreatment radiology (live X-ray) for steering to properly target and place the needle (and to assist avoid nerve injury or alternative injury).

Commonly, the procedure is performed with none sedation, however, an IV line are often started if relaxing medication is required.
The patient lies on a procedure table, and therefore the heal the area to be tested is well cleaned.
The physician treats a little area of skin with a desensitizing medication (anesthetic), which can sting for a number of seconds.
The doctor uses X-ray steerage (fluoroscope) to direct a really little needle into the side joint.
A small amount of distinction dye is then injected to verify that the needle is within the joint which medication is contained within the joint.
Following this confirmation, a small mixture of anesthetic (such as lidocaine) and anti inflammatory medication (steroid/cortisone) is then slowly injected into the joint.

The injection itself only takes many minutes, however the complete procedure typically takes between fifteen and thirty minutes.

Immediately Following the Injection

1- After the procedure, the patient usually remains resting within the recovery area for twenty to thirty minutes, and so is asked to perform some movements or activities that may typically provoke their pain.

2- Patients might or might not acquire pain relief within the 1st few hours once the injection, relying upon whether or not or not the joints targeted are the most supply of their pain. If the joint or joints being targeted don't seem to be inflicting their pain, a patient won't acquire immediate relief from the injection.

3- On occasion, patients might feel numb or have a rather weak or odd feeling in their neck or back for many hours once the injection.

4- The patient can consult with the doctor any immediate pain relief, and any queries or issues.

The Day of the Injection
On the day of the injection, patients are usually suggested as follows:

1- Avoid doing any strenuous activities.

2- Patients should limit pain medication among the primary four to 6 hours when the injection in order that the diagnostic info obtained is correct.

3- Avoid driving, unless specifically approved by the treating doctor.

4- If sedation was used, the patient mustn't drive for twenty-four hours when the procedure.

The Week once the facet Injection

Patients might notice a small increase in pain lasting for many days because the desensitizing medication wears off and before the Cortone Acetate starts to require result.

In the week following the injection, common recommendations include:

If the area is uncomfortable within the initial 2 to 3 days once the injection, fastidiously applying ice or a chill pack to the overall area of the injection site can usually offer pain relief.

Read additional regarding Ice Packs for Back Pain Relief

Patients might still take their regular pain medication once the procedure.

On the day once the procedure, patients might come back to their regular activities.

Patients could also be referred for physical {therapy|physiotherapy|physiatrics|therapy} or manual therapy once theinjection whereas the desensitizing  medication is effective and/or over consecutive many weeks whereas the Cortone Acetate is functioning.

Read a lot of concern physical therapy for Low Back Pain Relief

When the pain is improved, it's recommended to begin regular exercise and activities carefully. though the pain relief is important, it's still necessary to extend activities step by step over one to 2 weeks to avoid recurrence of pain.