Spinal Intervention or Spinal Injections

At IBS hospital we have one of the most modern and comprehensive medical centers in the country and hosts many national clinical and academic programs and is continuing to add major research and academic capabilities. Our neurological and neurosurgical departments offer all the procedures and techniques necessary for a precise diagnosis as well as for precise guidance during brain surgery. At IBS we have neurosurgeons to treat neurological diseases which include head injury, spinal injury, brain tumors and spinal tumors. We have specialization in treating seizures or epilepsy as well as modern treatments for movement disorders like Parkinson's disease.

At IBS hospital we have one of the most modern and comprehensive medical centers in the country and hosts many national clinical and academic programs and is continuing to add major research and academic capabilities. Our neurological and neurosurgical departments offer all the procedures and techniques necessary for a precise diagnosis as well as for precise guidance during brain surgery. At IBS we have neurosurgeons to treat neurological diseases which include head injury, spinal injury, brain tumors and spinal tumors. We have specialization in treating seizures or epilepsy as well as modern treatments for movement disorders like Parkinson's disease.

At IBS hospital we have one of the most modern and comprehensive medical centers in the country and hosts many national clinical and academic programs and is continuing to add major research and academic capabilities. Our neurological and neurosurgical departments offer all the procedures and techniques necessary for a precise diagnosis as well as for precise guidance during brain surgery. At IBS we have neurosurgeons to treat neurological diseases which include head injury, spinal injury, brain tumors and spinal tumors. We have specialization in treating seizures or epilepsy as well as modern treatments for movement disorders like Parkinson's disease.

We have Spinal interventions non-surgical procedures which aim

  • For finding the cause of low back or neck pain.
  • Helps in determining the specific location in the spine from which the pain initiates in some surgical cases.
Most spinal interventions are injections.
  • It is a mixture of corticosteroids and anesthetic agents which is injected into the spine or near the source of pain.
  • A type of x-ray, Fluoroscopy is used to ensure the proper position of the needle. The position is confirmed by injecting a contrast dye.
The Spinal injections procedure is done therapeutically and are best performed in conjunction with the beginning of a home exercise program and/or physical therapy to strengthen the back and/or neck muscles. In patients whose pain is better, additional procedures or surgery may be unnecessary.

How is a spinal injection performed?

The process of injecting is done while you are awake; however, you may be given a mild sedative to help you relax.

The normal procedure of an injection is as follows:
  • An expert doctor will insert a thin needle, using an x-ray to help guide its positioning.
  • Once the needle is inserted, a mixture of anesthetic and steroids are injected.
  • Next you will be monitored for up to 30 minutes.
As per safety prospects, it is best to have someone drive you home from the hospital, and rest for at least 24 hours once the procedure is over. In many patients, steroids require a few days to be effective. The results of spinal interventions normally last up to 3-6 months.

Who is a candidate?

The right candidate for Spine interventions are patients where:
  • Pain limits their function.
  • Pain disturbs their sleep.
  • They have had an unsuccessful outcome from other conservative treatments such as oral medications and rehabilitation.
  • There is a high risk for surgery.
Which procedure should I have?

As per the location of the pain and the most likely structure(s) involved, the selection of injection is determined. There are some common sources of pain which includes nerve root pain, joint pain, muscle pain, or a combination of any of the above.

The most common spinal interventions are as follows:

1. Epidural steroid injections (ESI)

ESI’s injections are helpful to treat pain which is caused by inflamed spinal nerves. The success rates vary as per
  • Symptoms present for less than 3 months: 90% successful.
  • Symptoms present for approximately 6 months: 70% successful.
  • Symptoms present for 1 year: 50% successful.
The benefits could be temporary & ranging from several weeks to years. The improvements could be seen within 3-10 days soon after the injection.

Most of the patients generally require 1-2 injections for maximum benefit. It is best performed in conjunction with the start of a physical therapy and/or home exercise program.

2. Facet joint injections

Facet Injections is used to diagnose and/or temporarily relieve neck or back pain which is caused by inflamed facet joints, the area where two vertebrae meet in the spine. The most important benefits tend to be temporary, ranging from several days to years. Almost 50% of patients experience some degree of pain relief.

The injections are helpful but the pain returns, facet joint injections can be repeated up to 3 times a year. If there was no pain relief after the first injection, further injections would not be helpful.

3. Medial branch nerve block injections

These injections also treat or diagnose pain arising from the facet joints of the spine. In this procedure local anesthetic is injected into the medial branch nerves, the small nerves that control feeling in the facet joint. The results are usually noticeable 10-20 minutes after the injection. In case of 70% pain relief, more injections may be recommended.

If the pain goes away initially but later returns with medial branch nerve block injections, a radiofrequency neurotomy may be a more appropriate treatment option.

4. Radiofrequency neurotomy

This procedure uses heat producing radio waves to destroy medial branch nerves, disrupting pain signals to the brain caused by facet joints. It is normally recommended after a medial branch nerve block was successful.

The pain relief seen is around 10½ months and success rates are about 85%. The degree of pain relief varies from person to person, and may take up to 3 weeks before maximum pain relief is evident.

This procedure may be repeated as long as the pain relief lasts longer than 6 months each time.

5. Sacroiliac (SI) joint injections

SI joint injections are commonly used as a diagnostic tool to determine the cause of a patient’s low back pain. The SI joint is injected with a local anesthetic and cortisone to numb the area. If the SI joint is the source of the pain, the injection will temporarily eliminate the patient’s pain.

If the SI joint is confirmed as the structural source of pain, exploring options for treatment may be more successful.

What are the potential benefits and risks of spinal injections?

Potential benefits:
  • 75% pain relief, which commonly lasting up to 3-6 months
  • Increased mobility and functioning
  • Procedure is Less invasive, with shorter recovery time than surgery
  • There is no hospital stay required
Risks and potential complications
  • The procedure may not relieve the pain
  • The procedure may need to be repeated as often as every 3-6 months
  • Pain may recur in other places
  • Increased blood sugar level, especially in patients with diabetes
  • Dizziness, increased pain (rare)
  • Bleeding, infection (very rare)
Spinal Cord Stimulation and Pumps
  • A patient who have encountered a spinal cord injury or who have different sclerosis, spasticity is a typical condition. The IBS Neuroscience’s team is an experienced team who are involved in spinal cord stimulation and the surgeons now also implant pumps in the spinal cord.

 

 

 

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