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Saurabh
Hospital
An ISO 9001 : 2000 Certified
 

Orthopaedic
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Dr. Nainesh Vankawala
M.S., D.N.B (Ortho.)
Consultant Orthopaedic Surgeon
Gynaecologist, Orthopaedic Department, Attending surgical, orthopaedic emergencies, orthopaedic surgery, Orthopaedic Surgeon, Trauma, Accident care Centre, Fracture care Centre, Laminectomy, Laminotomy, Lumbar Spinal Surgery, Lumbar Disk Surgery, Joint Replacement Surgeries, Knee Joint Replacement, Hip Joint Replacement, Paediatric Orthopaedic, Arthroscopic Surgeries, Spine surgeries, Backache clinic, Radiology Department, Diagnosis and Treatment
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    Department of Orthopaedic  
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Trauma, Accident and Fracture care Centre
Laminectomy and Laminotomy
Lumbar Spinal Surgery
Lumbar Disk Surgery
Joint Replacement Surgeries
Knee Joint Replacement
Hip Joint Replacement
Paediatric Orthopaedic for
devolopmental and congenital deformities
Arthroscopic Surgeries
Spine surgeries and Backache clinic
In-house Radiology Department
Diagnosis and Treatment
 
Facilities Available in Orthopeadic

 

 
Diagnosis and Treatment to Help Reduce Pain
What Is a Lumbar Epidural Injection?
Your doctor may have suggested you have a lumbar epidural injection. This procedure can help relieve low back and leg pain by reducing inflammation (swelling and irritation). An injection also can help your doctor diagnose the source of your pain by numbing certain areas of your back. Where you are injected depends on the goal of the injection.
A Way to Relieve Pain
A Way to Relieve Pain, Diagnosis and Treatment, Treatment to Reduce Pain, Lumbar Epidural Injection, swelling and irritation, injection to get relief, source of pain, spinal canal, back pain, Injection Procedure, Briefly increased pain, Headaches, Trouble sleeping, Spinal headache, Bleeding, Infection
A lumbar epidural injection won't stop all low back and leg pain. But it can reduce pain and break the pain cycle. This cycle may begin when back pain makes it hard to move. Lack of movement can then slow down healing. By getting you back on your feet, the injection can help speed your recovery. Some people may feel more relief from an injection than others. And some people may need more than one injection to get relief.
A Tool for Diagnosis
A Tool for Diagnosis, Diagnosis and Treatment, Treatment to Reduce Pain, Lumbar Epidural Injection, swelling and irritation, injection to get relief, source of pain, spinal canal, back pain, Injection Procedure, Briefly increased pain, Headaches, Trouble sleeping, Spinal headache, Bleeding, Infection
An injection can help locate the source of pain. Also called a selective nerve block or a selective epidural, it numbs the roots of specific nerves. The effect lasts only briefly. But if you feel relief, it may indicate the source of the pain. If you feel no relief, it may mean that the pain's source is at another level in your spine. Or it may mean that something other than inflammation is causing the pain. Injection results also may be used to help plan back surgery, if needed.
Understanding Anatomy
Understanding Anatomy, Diagnosis and Treatment, Treatment to Reduce Pain, Lumbar Epidural Injection, swelling and irritation, injection to get relief, source of pain, spinal canal, back pain, Injection Procedure, Briefly increased pain, Headaches, Trouble sleeping, Spinal headache, Bleeding, Infection
Learn more about your back anatomy. That way, you can understand how an injection can help relieve or locate your pain.
Vertebrae are the bones that stack up to form the spine.
Disks are "cushions" that provide padding between the vertebrae. A damaged disk can lead to inflammation and pain.
The spinal canal is a tunnel that's formed within the stacked vertebrae. Nerves run through this canal. The nerves are wrapped by a thin layer of tissue.
A nerve root is the part of a nerve that leaves the spinal canal. Inflamed nerve roots can lead to back pain.
The sciatic nerve is a nerve that extends down to the leg. When its nerve roots are inflamed, buttock and leg pain often result.
Possible Injection Sites
Understanding Anatomy, Diagnosis and Treatment, Treatment to Reduce Pain, Lumbar Epidural Injection, swelling and irritation, injection to get relief, source of pain, spinal canal, back pain, Injection Procedure, Briefly increased pain, Headaches, Trouble sleeping, Spinal headache, Bleeding, Infection
Where the medicine is injected in your spine depends on the goal of the injection. For pain relief, the injection is done in the epidural space. This is the area that surrounds the nerves within the spinal canal. To locate the source of the pain, your doctor may target a specific nerve root. Medicine is then injected directly onto that nerve root.
Your Injection Procedure
A lumbar epidural injection is an outpatient procedure. It's often done in a hospital or an outpatient surgery center. Before your injection, your doctor will ask you questions about your health. He or she also will discuss how you need to prepare.
Getting Ready
Getting Ready, Diagnosis and Treatment, Treatment to Reduce Pain, Lumbar Epidural Injection, swelling and irritation, injection to get relief, source of pain, spinal canal, back pain, Injection Procedure, Briefly increased pain, Headaches, Trouble sleeping, Spinal headache, Bleeding, Infection
Your doctor may ask you to prepare by doing the following:
Provide a list of all medicines you take, including aspirin and anti-inflammatories. (You may need to stop taking some of them before the injection.)
Don't eat 6 hours before check-in, or drink anything 4 hours before.
Arrange for a responsible adult to drive you home afterward.
Bring any requested x-ray, CT, or MRI images on the day of the procedure.
Checking In
You'll be asked to fill out and sign some forms when you check in. These can include surveys about your pain. Your doctor also may give you a brief physical exam. Finally, you may receive an IV (intravenous) line to give you fluids and medicine.
Risks and Complications
A Lumbar epidural injection has certain risks and complications.
They include :
Spinal headache Bleeding (rare) Infection (rare)
During the Procedure
During the Procedure, Diagnosis and Treatment, Treatment to Reduce Pain, Lumbar Epidural Injection, swelling and irritation, injection to get relief, source of pain, spinal canal, back pain, Injection Procedure, Briefly increased pain, Headaches, Trouble sleeping, Spinal headache, Bleeding, Infection
The injection takes just a few minutes. But extra time is needed to get ready. You may be given medicine before the injection to help you relax.
Monitoring devices may be attached to your chest or side. These devices measure your heart rate, breathing, and blood pressure.
You lie on your stomach or side, depending on where the injection will be given.
Your back is cleaned and may be covered with sterile towels.
Medicine is given to numb the skin near the injection site.
If fluoroscopy (x-ray imaging) is to be used, a contrast "dye" may be injected into your back. This helps get a better image.
A local anesthetic (for numbing), steroids (for reducing inflammation), or both are injected into the epidural space.
After the Procedure
After the Procedure, Diagnosis and Treatment, Treatment to Reduce Pain, Lumbar Epidural Injection, swelling and irritation, injection to get relief, source of pain, spinal canal, back pain, Injection Procedure, Briefly increased pain, Headaches, Trouble sleeping, Spinal headache, Bleeding, Infection
An x-ray image lets the doctor target nerve roots.
You'll spend up to an hour in a recovery area. Before going home, you may be asked to fill out another survey about your pain. You may notice some side effects. They should go away in the first few days.
They can include:
Briefly increased pain
Headaches
Trouble sleeping
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