March 27, 2025

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Professional Health

Spinal Operations – Different Types And Benefits

How to Know When You Might Need Spine Surgery | Penn

Image-guided pain injections can be used to treat areas of the spine, like the lower and the mid-region, along with the neck and cranium.

TMJ

Within the mandible and the temporal bone in the cranium is the temporomandibular joint (TMJ). The meniscus can become dislodged in this joint, usually due to an injury, causing mandible locking or clicking. These pain relief procedures humble can help.

  1. Greater/Lesser Occipital Nerves

A steroid or other medication is injected around the occipital nerves in the back of the skull, just above the neck, to perform an occipital nerve block.

  1. Botox for Persistent Migraine

BOTOX is capable of helping prevent headaches in adults suffering from persistent migraine who experience at least 15 headaches per month lasting at least 4 hours per day.

  1. Injection of a Facet

To suppress pain, cortisone is injected during a facet injection. The facet joints of the spine are small joints that aid in movement and support the spine. Back injuries, arthritis of the spine, and other stresses on the back can cause pain.

  1. MBB is the Medial Branch Block

To determine whether the facets of the spine are the source of the patient’s back pain, a medial branch nerve block is performed. A contrast X-ray is used to corroborate the placement of the needles, after which the injection sites are frozen. The patient maintains a diary recording pain scores for the next 24 hours.

  1. Radiofrequency Neurotomy/Ablation (RFN) is a neurosurgical technique.

Radiofrequency Neurotomy is an approach used for alleviating facet joint pain induced by degenerative or traumatic changes. The radiologist directs a needle toward nerve endings using fluoroscopic assistance and local anesthesia. The needle is subsequently heated to create a lesion, interrupting pain signals sent to the brain and effectively eliminating pain.

  1. (ESI) Epidural Steroid Injection

Cortisone is injected around nerves in an Epidural Steroid Injection to reduce inflammation while offering pain relief. The target region is numbed with a local anesthetic, and the syringe is guided into the sac surrounding the nerves using a live X-ray. 

  1. NRB – Nerve Root Block

An NRB is a cortisone injection administered to a particular nerve. Similar to ESI, a local anesthetic is used to immobilize the area before the injection. The catheter is guided to the designated nerve using fluoroscopy, and X-ray dye confirms its placement.  The injection then contains an amalgam of cortisone and Marcaine (a local anesthetic).

  1. The SI Joints

During a SI Joint injection, cortisone is injected into the sacroiliac joint next to the spine. A needle is guided to a specific location using fluoroscopy.

  1. Coccyx

A coccyx injection entails cortisone injected around the tailbone.

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