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Diagnostic Injections & Pain Management

 

Miscellaneous Injections

 
 
  1. Pars Injections
  2. Transitional Joint Injections

Pars Injections

Exam time: 30-40
Most exams require patient to remain at CAI 30 minutes post-procedure.

Most exams require patient to remain at CAI 30 minutes post-procedure. This injection into the Pars fracture within the lamina of the vertebrae determines if the fracture is the origin of the patient's pain.

Preparation/Restrictions:

  • Stop blood thinners 4-5 days in advance; stop pain medication eight hours in advance
  • Patient should bring previous films
  • Patient will need a driver

Side Effects:
Side effects of the steroid medications--which affect only 5% of patients and disappear within 1-3 days--include facial flushing, insomnia, occasional low grade fever and increase in blood sugar.

Transitional Joint Injections

Exam time: 30-45 minutes
Most exams require patients to remain at CAI 30 minutes post-procedure.

Some patients have an anomaly wherein part of their vertebrae fuse to the sacrum to create a pseudo-joint. A transitional joint injection into the pseudo-joint helps referring physicians determine if this anomaly is the source of their patients' spine pain.

Preparation/Restrictions:

  • Stop blood thinners 4-5 days in advance; stop pain medication eight hours in advance
  • Patient should bring previous films
  • Patient will need a driver

Side Effects:
Side effects of the steroid medications--which affect only 5% of patients and disappear within 1-3 days--include facial flushing, insomnia, occasional low grade fever, and increase in blood sugar.

 
     

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