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Back

  • Thoracic Disc Herniation/Radiculitis: 

  • Failed Back Syndrome:

  • Lumbar Herniated Disc:

  • Lumbar Spinal Stenosis:

  • Lumbar Transforaminal or Interlaminar Epidural:

  • Low Back Pain/Spondylosis:

Cannabis vs. Opioids for Chronic Pain

Many physicians, when working with chronic pain, will simply prescribe opioids because they are easier than really treating the condition and highly addictive, thus keeping the patient beholden to a treatment plan that may not be in their best interest. Many patients still believe that simply because opioids such as hydrocodone and OxyContin are legal throughout the United States, while cannabis is not, they are somehow safer. This is not the case. In 2006 alone, opioids killed more Americans than breast cancer—an estimated 70,000 people.

While this is not to say there should be pressure on physicians to cut off opioid prescriptions, as for some, they are the only choice to provide certain patients with as close to a normal life as possible. However, based on medical history and diagnosis, many could benefit from cannabis treatment.

Tribeca Kyphoplasty

 

What is kyphoplasty?

A compression fracture, or break in a vertebra, resulting in a rubbing of bone-on-bone can be excruciating. Kyphoplasty and vertebroplasty are minimally-invasive procedures that help treat these conditions, and can usually be done without staying overnight in a hospital. Both of these treatments are most likely to be a success if they are given within two months from the injury.

Kyphoplasty creates an opening for the vertebroplasty to go into the bone. Your doctor will insert and inflate a small balloon, then the vertebroplasty (a mixture to strengthen the bone) is injected. The balloon is then removed.

Who is a candidate for kyphoplasty (also known as balloon vertebroplasty)?

Anyone whose bones have been weakened from cancer or lost density due to osteoporosis. Kyphoplasty and vertebroplasty are treatments to heal fractures, not prevent them.

 

What are kyphoplasty and vertebroplasty like?

You will be lying prone (on your stomach). The area in which the needle may, if necessary, be shaved, and a local anesthetic applied so that you’re most comfortable.

Your surgeon will then:

  •  With the help of fluoroscopy (a type of X-ray), guide the needle through the muscles into the correct position;

  •  Insert the inflatable balloon into the needle;

  •  Inflate the balloon to create the necessary space;

  •  Inject the mixture – imagining will ensure your surgeon has distributed it evenly;

  •  Remove the needle;

  •  Bandage the area (no stitches required)

How long does kyphoplasty and vertebroplasty take?

If only one vertebra is being treated, usually less than one hour.

What is recovery from kyphoplasty and vertebroplasty like?

  • After your procedure, you’ll probably stay in the recovery room a little while. You may be encouraged to get up and within an hour or so of the procedure. You will be a little sore, but an ice pack can help relieve that soreness and you should be feeling better within 48 hours. You will likely go home the same day of your procedure.

  • Your surgeon will let you know when you can resume normal activities and whether you should take any supplements or medications to help in your recovery. You will come in for a follow-up to assess the progress of your treatment.

Other Treatments

Cervical Transforaminal Epidural Steroid Injection

  • A transforaminal cervical epidural steroid injection is a simple procedure for treating neck, upper back, shoulder, and arm pain.

Cervical Interlaminar Epidual Steroid Injection

  • A cervical interlaminar epidural corticosteriod injection is an outpatient procedure for treating neck, upper back, shoulder, and arm pain.

Lumbar Transforaminal Epidural Steroid Injection

  • A lumbar transforaminal epidural steroid injection is a simple procedure for treating low back and leg pain.

Lumbar Interlaminar Epidural Steroid Injection

  • A lumbar interlaminar epidural steroid injection is a simple procedure for treating low back and leg pain.

Thoracic Transforaminal Epidural Steroid Injection

  • A thoracic transforaminal epidural steroid injection is a simple procedure for treating upper and middle back pain.

Cervical Medial Branch Block

  • A cervical medial branch block is an outpatient procedure for diagnosing and treating headaches, and neck, shoulder, and upper back pain.

Lumbar Medial Branch Block

  • A lumbar medial branch block is an outpatient procedure for diagnosing and treating low back, buttock, hip and groin pain.

Thoracic Medial Branch Block

  • A thoracic medial branch block is an outpatient procedure for diagnosing and treating upper and middle back pain.

​Cervical Radiofrequency Ablation

  • A cervical radiofrequency ablation (RFA) is an outpatient procedure for treating neck, should, and upper back pain. It is also called cervical facet thermal coagulation or rhizotomy.

Lumbar Radiofrequency Ablation

  • A lumbar radiofrequency ablation (RFA) is an outpatient procedure for treating low back, buttock, hip, and groin pain. It is also called lumbar facet thermal coagulation or rhizotomy.

Thoracic Radiofrequency Ablation

  • A thoracic radiofrequency ablation is an outpatient procedure for treating upper and middle back pain. It is also called thoracic facet thermal coagulation or rhizotomy.

Lumbar Facet Injection

  • A lumbar facet injection is an outpatient procedure for treating low back, buttock, hip, and groin pain.

Platelet Rich Plasma (PRP) Injections

  • The use of platelet-rich plasma (PRP), a portion of the patient’s own blood having a rich platelet concentration, is used to promote the healing of injured tendons, ligaments, muscles, and joints. Clinical studies have shown that PRP injections have improved function and decreased pain.

Stem Cell Injections

  • Stem cell Injections are a form of therapy that utilizes the body’s natural healing properties to treat various conditions. Stem cells are being used in regenerative medicine to treat pain and treat damaged tendons, bones, or joints.

Other Spine Injections

  • Cervical Stellate Ganglion Blocks

  • Lumbar Sympathetic Blocks

  • Sacroiliac Joint Injections

  • Ganglion Impar Injection

  • Caudal Epidural Injections

  • Epidural Lysis of Adhesions

  • Atlantoaxial & Atlantooccipital Joint Intraarticular Injections

  • Spinal Cord Stimulator Trial

  • Ultrasound Guided Hydrodissection

  • Ultrasound Guided Tenotomy

  • Ultrasound Guided PRP injections

  • Minimally Invasive Percutaneous Kyphoplasty

  • Minimally Invasive Percutaneous Discectomy

  • Intradiscal PRP injections

  • Nerve block

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