Chronic pain can be debilitating, impacting your ability to perform everyday tasks. Dr. Bakshi understands the frustration and discomfort associated with chronic pain, leading him to offer resources for pain management in NYC. He provides minimally-invasive options, like epidural steroid injections, to alleviate recurring pain.
When you are plagued with chronic pain, corticosteroid injections into the epidural space of the spine can relieve pain. The injections work by reducing inflammation in the area, alleviating some of the pressure in the area, including the affected nerves. You are given a local anesthetic to numb the injection site, and then an x-ray is used to guide the injection process.
An epidural steroid injection, also known as ESIs, is a procedure where corticosteroids are placed into the epidural space, with the aid of x-ray guidance, to reduce the inflammation cause by:
Epidural injections are most commonly used to treat pain occurring in the lower back, leg, neck, or arm. After an injury, treatment often begins conservatively with NSAIDs, physical therapy, and/or chiropractic care. When these treatments fail to alleviate a patients symptoms completely, ESI's can be considered after a thorough evaluation by Dr Bakshi. Patients may require anywhere from 1 to 3 injections, based on response, to reduce the inflammation around the spinal nerves and alleviate a patients symptoms.
Epidural injections are generally well-tolerated with few side effects. Some patients may experience temporary discomfort at the injection site that should resolve after a few hours. Medication side effects are rare but are possible since a corticosteroid will be injected. Allergic reactions are possible but allergies to medications will be discussed with Dr. Bakshi and his staff prior to the procedure to avoid unwanted reactions. Any residual pain near the injection site can be treated with over-the-counter painkillers or an ice pack. You can return to work or other activities the next day
Though epidural injections are very effective for pain management, the exact duration of pain relief is different for everyone. You may experience pain relief for anywhere from weeks to several years. You can do several things to help increase the longevity of your pain relief, including:
Dr. Bakshi will work with you to determine a safe and effective pain management plan for long-term relief.
Dr. Sanjay Bakshi is a compassionate doctor who wants to relieve the chronic pain that people sometimes suffer with for years before seeking help. Dr. Bakshi is Board Certified and Fellowship trained at Johns Hopkins in the field of Interventional Pain Management. He focuses on minimally-invasive treatments that can help you have a better quality of life if you suffer from severe pain. After years of practical experience, Dr. Bakshi can effectively identify the underlying cause of your symptoms and develop a treatment to help you get real-world relief.
You may feel pressure or some discomfort at the injection site during the treatment. Prior to treatment the area will be numbed with topical anesthetic to make you more comfortable during the procedure. Most patients experience few negative side effects, and often experience significant pain relief a few days following the injections. In some cases IV sedation will also be offered to make the procedure a more pleasant experience.
It is generally not recommended to receive epidural injections more than a few times each year. If you find that epidural injections are only providing short-term benefits, it is better to consider potential surgical techniques in order to alleviate your pain.
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