Donald Corenman, MD, DCModeratorJuly 12, 2012 at 10:31 amPost count: 8468
The pain diary can be found under “Treatments”; “Diagnostics”: “Spinal Injections Pain Diary”.
I cannot comment on costs as I do not do these injection but refer them out. I also do not know what insurance companies reimburse or how the hospital charges. The should be minimal to no side effects if you choose an experienced and competent interventionist.
Dr. CorenmanOmerinamMemberJuly 12, 2012 at 6:13 pmPost count: 9
Dear Dr. Corenman,
I live in a different country (Pakistan) but will be travelling to the US for this procedure. I will be paying for all costs myself. Could you please give me contact details (phone number, email address) where I can get details of the total cost for this procedure.
OmerOmerinamMemberJuly 24, 2012 at 3:00 pmPost count: 9
Dear Dr. Corenman,
Can you please tell me the name of this procedure? As in what is the medicine that is injected? I need to discuss it with the doctors here before I decide to go ahead with it.
OmerDonald Corenman, MD, DCModeratorJuly 24, 2012 at 8:20 pmPost count: 8468
The injections depend upon your pain pattern and your physical examination. If the examining physician finds more evidence of facet origin of pain, facet blocks are ordered. If the physician finds more evidence of the disc causing pain, a discogram could be ordered.
The facet blocks typically contain a numbing medication like lidocaine and a steroid like celestone. The discogram contains a radioopaque dye and antibiotic.
Dr. CorenmanOmerinamMemberJuly 28, 2012 at 12:02 amPost count: 9
I got another MRI of C-Spine and L-Spine with contrast done few days ago. The last MRI of C-Spine I did was in February 2012 which said “Straightening of Cervical Spine along with mild right lateral disc bulge at C4/C5 level”.
However, my most recent MRI states: “Apart from straightening of cervical and lumbar spine no additional abnormality noted on his MRI examination”
I developed this problem back in November 2011 where I used to get daily headaches, but over a period of time, the headaches got better. I still get neck stiffness and constant mild headache every day.
Would you be kind enough to reply the following:
– Are the constant mild headaches because of my neck stiffness/constant discomfort?
– How did my disc bulge automatically disappear? As in is my neck getting better?
– Is it possible for straightening of cervical to resolve? It’s been 9 months that I’ve had this condition. I exercise regularly (treadmill and neck exercises only).
– What possible procedure would you recommend I should discuss with doctors here considering I have had this problem for 9 months and have been on pain killers.
Thanks a lot.
OmerDonald Corenman, MD, DCModeratorJuly 28, 2012 at 10:24 pmPost count: 8468
Headaches have different origins but one of the most common origins is from the base of the neck. The facets at C2-3 and C3-4 can cause irritation to the greater and lesser occipital nerves. These nerves innervate the base of the skull and back of the head.
Facet irritation generally does not show up on an MRI and has to be diagnosed by facet blocks (see website under this procedure).
In regard to the “disappearing disc bulge” at C4-5, it is possible that there were two separate radiologists with differing appreciation of disc wall abnormalities. One would call the bulge and one would ignore it.
Occasionally, if the scans were performed on two different MRI scanners, one machine might have better resolution than the other and reveal the bulge.
In general, these bulges do not “go away”.
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