Written by Paul J. Lynch M.D. , Tory L. McJunkin M.D. , Jillian Maloney M.D. | 31 May 2010

Physician's Pick!

Overview

Epidural steroid injections (ESI) have been utilized for many years to diagnose and treat spinal pain. 

Written by Tory L. McJunkin M.D. , Paul J. Lynch M.D. , and Adam L. Wuollet, MD | 11 May 2010

Percutaneous Discectomy is a class of minimally invasive surgical procedures designed to treat symptomatic herniated discs. Lumbar disc herniation or protrusion is the most common cause of nerve root pain and accounts for nearly 5% of all low back pain (1). Herniated discs are initially treated with conservative treatment, which includes rest, avoiding any aggravating activity, physical therapy, chiropractic care, and medical treatment (anti-inflammatory medications, oral steroids, muscle relaxers, and opiates). In some cases, the disc may heal effectively without further intervention. Epidural steroid injections may be performed for diagnosis and treatment of the nerve root inflammation (radiculitis) after conservative treatment fails.

Written by Tory L. McJunkin M.D. , Paul J. Lynch M.D. , and Adam L. Wuollet, MD | 01 May 2010

Sacral nerve stimulation (SNS) is similar to Spinal Cord Stimulation and is a minimally invasive procedure that involves implanting a device that applies low currents of electrical stimulation to the sacral nerves at the base of the spine. Nerve stimulation is referred to by some pain experts as a “pacemaker for pain”. It works by sending a small electrical impulse created by a compact generator through thin leads, or electrical cables, to targeted nerves, where they block pain signals traveling to the brain. Pain is replaced with a mild tingling or massaging sensation, called paresthesias. A wireless remote control is used to adjust the location and degree of stimulation by selecting pre-programmed settings.

Written by Tory L. McJunkin M.D. , Paul J. Lynch M.D. ,and Adam L. Wuollet, MD | 01 May 2010

Spinal Cord Stimulation (SCS) is a minimally invasive procedure that involves implanting a device that applies low currents of electrical stimulation to the spinal cord and/or its exiting nerves.