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Selective Nerve Root Block
Selective nerve root block/Epidural neuroplasty procedure is a more targeted pain management technique for those patients with severe back/neck pain and leg/arm or hand pain due to disc disease, spinal stenosis, or even after spine surgery. Here epidural injections are done directly in an epidural sheath from where nerves from the spinal cord pass through to different parts/areas of the body (calf, thigh, heel, arm, forearm, hand, etc.).Here the procedure is done under IITV(live X-ray) and with the use of dye spread, the desired target is intervened. Anti-inflammatory agent injection reduces local inflammation and enzyme helps in breaking adhesions and thus helps in relieving pain. Read More
Epidural neuroplasty is an interventional pain management technique used to rreat pain originating from structures within or adjacent to the epidural space or in the intervertebral foramen at all segmental levels. The technique is based on sound scientific foundations that include substantial knowledge regarding the pathogenesis of back pain and radiculopathy. For the technique to be safe and for maximization of therapeutic benefit, strict adherence to the details (technique, patient selection) described here is recommended.
1. Transforaminal epidural injection.
2. Intralaminar epidural injection.
3. Caudal epidural injection.
Complications:-
1. Bending of the tip of the introducer needle.
2. Shearing/tearing of the catheter.
3. Misplacement of the catheter.
4. Inadvertent blockage of the catheter or catheter tip.
5. Migration of the catheter.
6. Hypotension.View More