Epidural Blood Patch Injection at Los Angeles Pain Clinic

What is an epidural blood patch?

This is an injection of your own blood into your epidural. The epidural space into which the injection takes place is not your spinal cord but rather right outside of the sack of fluid which contains your spinal nerves.

Who needs this procedure?

Back pain treatment Los AngelesIn some cases patients who have injections and other spinal column may require this procedure. A spinal tap, spinal injection, or the epidural received during labor are conditions under which this procedure is done. There are some cases where patients have a severe headache after these procedures which is typically a sign of a leak of your spinal fluid into this epidural space. The headache itself is not harmful to you but it can be very debilitating and if you experience this headache you can come to a clinic and get the blood patch. This blood patch will inject freshly drawn blood into the space to plug this week. This causes the pain to go away. In some cases this type of procedure is necessary after trauma like a motor vehicle accident.

How long does the procedure take?

The actual injection of your blood takes a few minutes at the Los Angeles pain clinic. But you should allow approximately one and a half hours for the entire procedure to include the time it takes to sign any documents, position yourself in the room, and be observed by a nurse after the procedure.

What medications are used?

The area which is to be injected will receive a local anesthetic so that your skin is numbed. If you require additional sedatives they can be provided by a pain management doctor in Los Angeles.

Is the procedure painful?

You will feel a small injection of local anesthetic using a small needle. This feels like a slight pinch after which you feel a slight burning sensation. But following this the skin will be numb and you will not feel more than a slight pressure at the injection site. If you want to have IV sedation or oral sedation these are both possible.

How is this process completed?

This process is typically completed with the patient lying on her stomach. Their oxygen and blood pressure will be monitored. The skin at the site of the injection will be cleaned using antiseptic solution. A small catheter will be placed into a vein and your pain management specialist in Los Angeles will place the epidural needle into the affected area after they have drawn blood from your vein.

What can I expect after this procedure?

Pain management Los AngelesImmediately after the procedure you might feel slight pressure in your back. This pressure is caused by the new dose of blood in the area. After the initial injection you should rest for 30 minutes. You should be able to stand after 30 minutes. Many patients at the clinic experience relief immediately and after a few hours your body will be able to replenish any of the lost spinal fluid and your headache should get better. After the procedure it is advised that you take one or two days to relax and recover before you go back to work. Unless there are complications you can return to work after one day.

Lumbar Sympathetic Block Treatment With Back Pain Doctor Los Angeles

What is Lumbar Sympathetic Block?

RSD treatment Los AngelesA Lumbar Sympathetic Block is an infusion found on the lower back, on the left or right side. The “lumbar sympathetic nerves” are a little nervous wreck that conveys “thoughtful” nerve signals from the lower furthest points. Certain injuries to the lower back can lead to burning, strange irritation known as complex provincial agony disorder or reflex thoughtful dystrophy. Taking proper measures on the lumbar nerves can help fight Lumbar Sympathetic Block regardless of whether this agony is conveyed by the sensory system.

Why Prefer Lumbar Sympathetic Block?

Lumber Sympathetic block is preferred since it helps figures out whether there is any harm caused to the nerve chain. It also determine if the pain is as a result of the damage. Ideally, this is considered to be a symptomatic test; however it may give help far in abundance of the length of time of an analgesic.
The infusion hinders the Sympathetic Nerves which helps relieve pain, swelling, shading and the sweating will go away in the lower back thus increase flexibility. Also, Lumbar Sympathetic Block is used in treatment of Complex Regional Pain Syndrome (CRPS), Reflex Sympathetic Dystrophy Syndrome (RSDS), Sympathetic Maintained Pain, and Herpes Zoster (shingles).

How is Lumbar Sympathetic Block performed?

Lumbar Sympathetic BlockLumbar Sympathetic Block procedures are normally done with you lying on your stomach. Your pulse and oxygenation will be checked. Notwithstanding your specialist and the x-beam professional, there will be a medical attendant in the room at all times in the event that you have any inquiries or inconvenience during the method. The skin on the back is cleaned with sterile arrangement and the procedure is done.

For indicative purposes, simple analgesics are infused, in this case Bupivacaine or Ropivicaine. If the symptomatic infusion is successful in relieving the pain, different medications may be used for more enduring alleviation.
It is hard to tell how long this will take. Blockage of the nerves can sometimes last forever. Repeated infusions can sometimes cause dynamic lessening of indications. Your specialist will examine identify this as soon as possible.
After performing this procedure, the patient will notice a change with decreased pain which disappears with time. Several shortcoming and/or incidences of numbness may also be felt for a short period of time.

How does Lumbar Sympathetic Block Relieve Pain?

It is extremely hard to anticipate whether the injection(s) will undoubtedly be of great help to you or not. Those who suffer from pain and display the effects before schedule of this condition have a tendency to react better than the individuals with such treatment after around half a year of living with the symptoms. The victims in the advance treatment phase may not react satisfactorily.

Are there Risks Associated with Lumber Sympathetic Block?

Generally, the blockade has several risks. Therefore, just like other procedures, there are a few risks and symptoms you need to be aware of. Unusual experienced reactions are extreme pain from the infusion, infrequently unintentional cut of the “sack” containing spinal liquid, incidental infusion into veins around the spine, contamination, dying, nerve damage, or incidences of lack of alleviation from your standard pain.

Well, whatever the risk, ensure you inform your doctor in case you experience the above affects..

See Your Back Pain Doctor If…

There are some types of back pain that can be treated at home, but there are other types of back pain that simply must be treated by your back pain doctor. Knowing when to see your doctor for your back pain can be very important.

Here are some signs and symptoms that should alert you to going to your doctor for treatment:

Back Pain with Fever:

If your back pain is accompanied by fever, you should see your doctor as soon as possible. The presence of a fever may indicate that you have some form of infection which will need treatment by health care professionals. Your doctor will be able to tell if the fever is caused by infection or not, and will be able to treat the infection if need be.

Back Pain Doctor Los Angeles

Back Pain and Trauma:

Anyone who experiences back pain because of trauma should see a doctor, but those who are over 50 years of age simply must see a doctor. It is not uncommon for even simple Pain Management Los Angelesfalls or other types of trauma to cause small fractures in older people. Your back pain doctor may want to take X-rays to rule out any fractures. If no fractures are detected, pain management can be achieved with various types of medication.

Back Pain with Tingling (or Numbness):

Many people will ignore the symptoms of tingling or numbness that goes along with their back pain. This is a mistake because tingling or numbness can indicate nerve damage or nerve irritation. Some conditions, such as spinal stenosis, can put pressure on nerves causing these sensations. In all cases of numbness or tingling with back pain, consultation with a back pain doctor is called for in order to track down the problem and treat it properly. Some conditions, when left untreated, can advance into permanent damage.

Back Pain at Night:

For those who feel fine during the day but experience severe back pain when they lay down at night, something serious may be afoot. When night pain occurs it can be a signal that the person has some form of disc degeneration or some other serious problem that requires professional medical assistance. Those who have night pain should see a back pain doctor promptly in order to have the problem diagnosed and treated. Blood tests and MRI’s may be needed to track down the cause of the pain and to rule out tumors or infections.

Chronic Back Pain:

If your back pain has not gone away within six weeks, you should see a doctor as soon as possible. The vast majority of back pain episodes go away within this time period. If your pain has not gone away, then your doctor will want to look into why it has not.

The above are just some of the issues you need to know about when it comes to back pain. The best advice is to always see your doctor when you have a sudden bout of back pain, especially if it was caused by any type of trauma. Seeing your doctor is the best way to ensure that you are not having a more serious problem than what you think you are having.


Using Corticosteroid Injections For Back And Leg Pain

Corticosteroids are a class of medications that are related to a steroid called cortisone. They are effective in reducing pain in soft tissues and joints. Cortisone is produced naturally in the body in the adrenal gland. It places a role in the body when it is under stress; stress causes an increase of cortisone in the bloodstream as a result. The cortisone used in inject able cortisone is made synthetically and goes by many trade names like Kenalog or Celestone.

They are produced to be as closely like natural cortisone, however, the differences are:

1) the synthetic cortisone is not injected into the bloodstream,

2) it is much more potent, and

3) it lasts much longer than natural cortisone. This is helpful in the way that the inflammation will be kept at bay longer.

This offers extended relief to patients that suffer from inflammatory conditions. Tendons, bursa, and joints can be relieved of pain quickly through cortisone injections. Since Back Pain Doctor Los Angelescorticosteroids have such strong anti-inflammatory properties, they are very effective when administered by an expert.

Is a cortisone injection a quick fix for pain relief?

Corticosteroids are anti-inflammatory agents, not pain relievers. However, as the result of the reduced inflammation, this will tend to help relieve pain. Corticosteroid injections can work for many months or even years if it is given properly. They can permanently resolve some diseases where the problem is tissue inflammation such as bursitis or tendonitis.

How is it used for back and leg pain?

There are three main types of cortisone injections for back and leg pain. Doctors will prescribe epidural steroid injections to relieve back and leg pain where it will act on inflamed nerve endings. It is injected into the dura, a membrane that houses the spinal cord and spinal nerves.

This is to reduce the swelling of spinal nerves and hopefully decrease the pain associated with the inflammation. Epidural injections in the lumbar region are done under X-ray guidance or what they call fluoroscopy. These injections are effective in cases of sciatica and other back issues that involve inflammation.

What are the advantages of cortisone injections?

Doctors will prescribe epidural steroid injections to relieve back and leg pain where it will act on inflamed nerve endings. When there is inflammation, cortisone will work very quickly to reduce it. Cortisone injections work in the local area of the inflammation so that it is focused in one region of the body whereas oral medication works all over the body, even where it isn’t needed. It is much more powerful than traditional anti-inflammatory medications, such as aspirin or ibuprofen.

Oral analgesics like aspirin can cause stomach irritation as well. Cortisone injections can Back Pain Treatment Los Angelesbe done at the doctor’s office so it doesn’t require a hospital visit. The best assets of cortisone shots are the dependability of the medication, the quick onset, and the minimal side effects.

If a patient is the breadwinner of the family, this can be a great treatment that will allow that patient to get back to work sooner and without debilitating pain. Low, intermittent doses of cortisone injections pose little risk of side effects like oral anti-inflammatory.