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An epiduroscopy, also called a spinal endoscopy, is used to diagnose and treat spinal nerve pain.

Epiduroscopy

What is Epiduroscopy?

An epiduroscopy, also called spinal endoscopy, is a procedure performed to treat spinal nerve pain such as sciatica and adhesions. In this procedure, a tiny fiber-optic camera is inserted into the epidural space through the sacral bone.

Who needs Epiduroscopy?

The procedure is utilized in relieving pain that arises due to adhesions that form following spinal surgery. It is also used in managing long standing sciatica. Epiduroscopy is also used for diagnostic purposes, as it can help your doctor determine the cause, location, and severity of scar tissue or adhesions.

What are the steps in Epiduroscopy?

Preparing for the Procedure

In order to perform the procedure, the patient is asked to lie on their stomach so that access can be obtained to the lower back. After cleaning the skin with antiseptic solution, a small amount of local anesthetic is injected into it to numb it.

Inserting the Needle

Under the guidance of x-rays, a needle is inserted into the sacral hiatus, which is a small opening in the bottom of the sacrum. The needle is passed all the way into the spine.

Inserting the Guide Wire

A small guide wire is then inserted through the needle, and the needle is pulled back out over the guide wire. A series of dilators are then passed over this guide wire in order to create a large enough opening to pass the epiduroscope through.

Inserting the Camera

A small catheter with a fiber-optic camera at the tip of it is passed through this opening into the epidural space. This helps visualize exactly where the catheter is being passed to. Sometimes additional imaging is also utilized to ensure the right location is reached with the catheter.

Administering the Injection

Once the catheter is in place, it is gently maneuvered to break down the adhesions. Then, an injection of local anesthetic and steroids is given. This can numb the nerves that are in this area and help reduce pain.

After Surgery

Following the procedure, the patient is observed for a short period of time and is discharged home after that. This procedure may effectively help reduce pain due to adhesions and sciatica. This is because the structures that are affected can be directly visualized, and treatment can be a lot more targeted.

Complications are fairly rare and can include mild bleeding at the site of the procedure. Patients may feel slightly uncomfortable and may experience mild pain following the procedure but this usually passes after a short period of time.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 VoxMD.com, All Rights Reserved.

These injections can help relieve pain and confirm a diagnosis

Diagnostic Injections to Confirm Pain Location

What are Diagnostic Injections to Confirm Pain Location?

Pain is a common symptom of nerve irritation. In many cases, tests are required to confirm which nerve is causing the pain. In this article, we shall take a look at diagnostic injections as a tool used by your doctor for diagnosing and confirming the location of pain.

Diagnostic injections are injections that are utilized for making a diagnosis and sometimes even helping as a treatment. The fluid injected usually consists of a local anesthetic or a steroid injection that is used to aid in isolating the nerve that is causing the pain.

Who needs Diagnostic Injections to Confirm Pain Location?

Diagnostic injections to confirm the source of pain are usually performed when there is nerve involvement and pain due to a problem with the vertebral column. If you have osteoarthritis that is affecting the facet joints of the vertebra, your doctor may use this procedure.

What are the steps in Diagnostic Injections to Confirm Pain Location?

Locating the Affected Joint

The likely bone is identified through clinical examination and x-rays. The skin is cleaned with an antiseptic solution and the diagnostic injection is performed.

Numbing the Nerve

Once the likely facet joint is identified, a small amount of local anesthetic with or without the steroid is injected into the joint to numb the nerve. If blocking the nerve results in a reduction of pain, then the joint that is causing the pain can be isolated and treatment can be offered that is directed towards that joint.

After Surgery

The main advantages of diagnostic injections are that it helps identify which of the joints are affected and which nerves need to be treated. By itself, a diagnostic injection is a treatment method.

The risks are minimal and can include just mild pain and swelling in the site of injection. If the joint identified is the wrong one, further injections may be required to isolate the nerve.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 VoxMD.com, All Rights Reserved.

This procedure is used to treat trigger points, or painful knots in the muscle. Learn more about Trigger Point Injections here:

Trigger Point Injection

Trigger Point Injection

What are Trigger Point Injection?

Trigger point injections are a common procedure performed in clinical practice. Here we discuss this procedure in a bit more detail. Muscle tightening, or knot formation, can occur due to constant stress. These knots, which are easily felt and painful when touched, are called trigger points.

A trigger point injection is a procedure that is performed to loosen these tightened muscles and to reduce pain. It usually involves injecting the site with a local anesthetic agent to help numb the pain. Sometimes, the local anesthetic agent may be injected along with a steroid injection to help reduce the inflammation. The entire procedure is completed within a few minutes.

Who needs Trigger Point Injection?

Sometimes, muscle tightening can occur due to excessive activity and stress. Certain conditions such as fibromyalgia and myofascial pain can also be treated using trigger point injections.

What are the steps in Trigger Point Injection?

Preparing for the Injection

Once the areas where the trigger point injections need to be administered have been identified, the skin of these areas is cleaned with an antiseptic solution.

Administering the Injection

The injection, containing either local anesthetic or a combination of a local anesthetic with a steroid, is then administered into the muscle.

After Surgery

The procedure is performed on an outpatient basis and does not require admission to a hospital. Following the completion of the procedure, the area of injection will be covered with a bandage, and the patient will be observed for a short period of time. If all is well, the patient is discharged home.

Since the procedure is fairly straightforward and simple, the risks and side effects are only very few and are rare. A mild amount of pain at the site of injection and occasional bruising may be seen. Patients who are injected with steroids may have altered blood sugar levels and changes in weight if they receive multiple injections throughout the year.

Trigger point injections do provide significant relief from pain due to muscle tightening. However, it must be kept in mind that while these injections reduce pain, they are not a cure. Once the procedure is complete and the patient is discharged home, they are often reviewed in clinic or in the outpatients department after 4 or more weeks.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 VoxMD.com, All Rights Reserved.

Sacroiliac Joint Injections may help your lower back pain. Find out more about this nonsurgical procedure here:

Sacroiliac Joint Injections

What are Sacroiliac Joint Injections?

The sacroiliac joint can sometimes be the cause for lower back pain. In such cases, sacroiliac joint injections may be performed to relieve the pain.

Who needs Sacroiliac Joint Injections?

The sacroiliac joint is a faceted joint that connects the lower end of the spine, called the sacrum, to the hip bone. There are two sacroiliac joints, and they are under constant stress from movement of the hips. As a result, it is no surprise that they can be subject to injury or arthritis and can become quite painful. Those suffering sacroiliac joint pain may benefit from this procedure.

What are the steps in Sacroiliac Joint Injections?

Identifying the Injection Area

Is important to recognize that sacroiliac joint injections are performed primarily to reduce pain and improve movement of the hip and lower back. The procedure begins by identifying the area where the injection needs to be administered. This may be done by performing an x-ray or a special test called fluoroscopy.

Positioning the Patient

Consent for the procedure is obtained and the patient is placed in the required position to gain access to the sacroiliac joint. This is usually the patient lying on their chest. The skin over the sacroiliac joint is cleaned with antiseptic solution.

Administering the Injection

Local anesthetic may be injected into the skin, all the way down to the surface of the joint. Once this is done, the injection, containing a local anesthetic along with a steroid drug, is injected into the joint. The purpose of the local anesthetic is to help reduce the pain, while the purpose of the steroid is to reduce both inflammation and pain. The entire procedure takes only a few minutes to perform.

After Surgery

Following the procedure, the patient will be monitored for a short period of time and will then be discharged home. They will be advised to take a rest for a day or two and can resume normal activities after that.

In most cases, following sacroiliac joint injections, patients may experience immediate relief. This is usually due to the local anesthetic component of the injection. The steroids may take a day or two to begin affecting the pain, but the effects are longer lasting, often lasting for up to a few months. Sometimes, once the effects of the steroids are worn off, the pain may return, and repeat injections may be required.

The treatment is relatively safe and has very few risks. The most common risk is that of mild bruising and pain at the site of injection. This usually passes after a few hours. The other risks include persistent pain and allergic reactions to the drugs. Joint infection is a rare side effect, as absolute sterility is observed during the procedure.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 VoxMD.com, All Rights Reserved.

Epidural blood patches are a treatment option for managing spinal headaches. Learn more here:

Epidural Blood Patch for Spinal Headaches

Headaches can occur due a variety of reasons. One of them is leakage of spinal fluid. This is called the spinal headache. Epidural blood patches are a treatment option for managing spinal headaches.

What is an Epidural Blood Patch?

When headache occurs due to leakage of spinal fluid, is essential that this process be stopped in order to relieve the headache.An epidural blood patch involves injection of blood into the spinal space (epidural space) which then closes the opening through which the leakage is occurring. This is a surgical procedure and can provide fast and effective relief.

When is an Epidural Blood Patch Offered to the Patient?

Spinal headaches can occur after procedures such as a lumbar puncture where a small hole is made in the lining of the spinal-cord with a fine needle in order to obtain a small amount of fluid that circulates around the spinal-cord (cerebrospinal fluid) for analysis. Normally, after the lumbar puncture procedure is complete, the hole that is created by a needle automatically closes.However, in certain cases small amounts of fluid may continue to leak out of this hole causing spinal headache. In such a situation an epidural blood patch may be offered to the patient.

How is an Epidural Blood Patch Procedure Performed?

The process involves autologous blood injection. This means that a small amount of blood is taken out of the veins of the patient and is then injected into the epidural space in close proximity to the site of lumbar puncture or where the hole is present. The blood that is injected clots and causes an increase in pressure which compresses and seals the hole shut. Further leakage of spinal fluid is this prevented and the headache is relieved.

The entire procedure does not take long to perform and patients can be discharged home the same day after a short period of observation. Patients may be requested to lie flat on their back for up to 4 hours following the procedure to allow for healing to begin.

How Safe is a Procedure?

The procedure is relatively safe. However it must be borne in mind that blood injected into a space where it does not belong can be an irritant. As a result, patients may experience mild back pain of leg pain. The chances of any infections occurring as a result the procedure are low as it is performed in sterile conditions.

Is it Effective?

Patient reports have varied but in most of the cases spinal headaches seem to resolve effectively following an epidural blood patch. In fact, in many cases this treatment can help avoid the requirement for surgery.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2019 VoxMD.com, All Rights Reserved.