Question 1

Epidural Steroid Injection and Nerve Root Block Injection

Accepted Answer

Epidurals and nerve block injections consist of administering long-acting steroid medication close to the pain generator. It is especially beneficial for a patient suffering from  back and/or leg pain.

Question 2

Compression Fracture - Kyphoplasty

Accepted Answer

It is a minimally invasive surgical procedure performed using a mobile X-ray machine wherein bone cement is injected into the fractured and compressed vertebrae.

https://www.youtube.com/watch?v=3sJsfWGm7pw

Question 3

Diagnostic Lumbar Discogram

Accepted Answer

On the MRI, the disks can be appearing normal, bulging or herniated.  Lumbar discography is an injection technique used to find out if a particular disk is causing the pain.

The injections test is performed under sedation using a mobile X-ray machine followed my a confirmatory CT scan.  It helps to decide in choosing the treatment options and also helps with prognosis.

For more information:
https://www.ypo.education/pain-management/discogram-t325/video/ (https://www.ypo.education/pain-management/discogram-t325/video/)

Question 4

​Disc Fx and Stryker Decompressor

Accepted Answer

These are minimally invasive surgical procedures in which a contained disc herniation is treated by partially removing the disc material and also seal the annual tear using radiofrequency thermal energy. Commonly used to treat a leaky disc that was found on Discography.

Question 5

Radio frequency Ablation (RFA)

Accepted Answer

Radiofrequency ablation (RFA) uses heat to destroy tissue. For pain management, radio waves are sent through a precisely placed needle to heat an area of the nerve. This prevents pain signals from being sent back to your brain. RFA is considered for long-term pain conditions, especially of the neck, lower back or arthritic joints that haven’t been successfully treated with other methods.

Question 6

Joint/Nerve Blocks/Trigger Point

Accepted Answer

Sensory nerves are small nerves that feed the various parts in our body and they carry pain signals. Joint injections, trigger point injections, and nerve blocks are often used at the source of the pain.  A local anesthetic with or without a steroid medication is injected to provide pain relief.

Question 7

Intrathecal Pump - Trial and Implant

Accepted Answer

It is a minimally invasive procedure where a small amount of medication like Morphine is temporarily injected into the intrathecal space to treat chronic pain.  If satisfactory pain relief is obtained a permanent pump is implanted under the skin by a minimally invasive surgical procedure.  The patient receives a pump refill once in a few months and also receives a remote control for on-demand pain relief.

Question 8

​Peripheral Nerve Stimulator - Trial and Implant

Accepted Answer

It is a minimally invasive procedure where a thin lead wire is temporarily inserted near the nerve that is causing the pain and send electrical signals to the spinal cord to treat the chronic pain condition.  If satisfactory pain relief is obtained a permanent device is implanted under the skin by a minimally invasive surgical procedure.  The patient also receives a remote control to use to get on-demand pain relief.

Question 9

Sacro-Iliac Joint (SI) Block

Accepted Answer

An SI joint injection is an injection to the sacroiliac joint. A small amount of lidocaine with or without a steroid medication is injected to decreases inflammation, pain and improve mobility

Question 10

​SI Joint Fusion

Accepted Answer

It is a minimally invasive surgical procedure performed using a mobile X-ray machine wherein a small implant is placed into the SI joint to fuse the joint and relief pain

https://www.youtube.com/watch?v=_jYA_pi6Ebo

Question 11

Spinal Cord Stimulator - Trial and Implant

Accepted Answer

It is a minimally invasive procedure where a thin lead wire is temporarily inserted into the epidural space to send electrical signals to the spinal cord to treat chronic pain.  If satisfactory pain relief is obtained a permanent device is implanted under the skin by a minimally invasive surgical procedure. The patient also receives a remote control to use to get on-demand pain relief.

Question 12

Spinal Decompression - Vertiflex

Accepted Answer

It is a minimally invasive surgical procedure performed using a mobile X-ray machine wherein a small implant is placed between the spinous processes treat spinal stenosis causing neurogenic claudication pain.

https://youtu.be/PSl9WvOS-lI
https://www.bostonscientific.com/en-US/products/indirect-decompression-system/superion-indirect-decompression-system.html

Question 13

Spinal Decompression - Inspan

Accepted Answer

It is a minimally invasive surgical procedure performed using a mobile X-ray machine wherein a small implant is placed between the spinous processes treat spinal stenosis causing neurogenic claudication pain.

https://www.youtube.com/watch?v=41vG0406_BI

Question 14

Spinal Decompression - Minuteman-MIS Fusion

Accepted Answer

The Minuteman® is a minimally invasive, interspinous-interlaminar fusion device intended for the stabilization and fusion of the thoracic, lumbar, and sacral spine. It is designed for attachment to the posterior non-cervical spine at the spinous processes through its bilateral fixation plates, and it is intended for use with bone graft material placed within the device.
The Minuteman® provides immobilization, stabilization, and fusion of the spinal segments. The core threaded post allows for optimal placement and a wide range of sizes allows for enhanced anatomical fit.

https://video.wixstatic.com/video/44e2f1_a6cbcc7da9c74ac9a2f6da3bfd24d1bf/720p/mp4/file.mp4

Question 15

Spinal Decompression - MILD

Accepted Answer

mild® is an early treatment option to consider when conservative therapies (e.g., physical therapy, pain medication, chiropractic) are not providing adequate relief. The mild® Procedure addresses a major root cause of Lumbar Spinal Stenosis by removing excess ligament tissue to restore space in the spinal canal. The mild® Procedure is performed through a single, tiny incision.

https://youtu.be/4iW5dCV3DAY

Question 16

Basi Vertebral Nerve Ablation (Intracept)

Accepted Answer

Intraosseous Basi Vertebral Nerve Ablation, example: Intracept Procedure is a minimally invasive, outpatient procedure for patients with vertebrogenic pain. The procedure targets a specific nerve within the vertebra called the basivertebral nerve and has been shown to improve function and relieve pain long-term. The procedure is implant-free, preserving future treatment options for other spine conditions.
Here’s what the procedure involves.

https://www.youtube.com/watch?v=U7SHTqVT15c

Spinal Injections and Minimally Invasive Procedures

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