Epidural Steroid Injections
At Minneapolis Vascular, our radiologists also specialize in epidural steroid injections (ESI). An ESI is a non-surgical treatment performed on the neck or back (cervical, thoracic or lumbar levels) to help reduce inflammation and irritation of exiting nerve roots. While the effects of an injection tend to be temporary, providing relief from pain for one week up to one year, an ESI can be beneficial for patients during an episode of severe back pain and provide sufficient pain relief to allow patients to progress with their rehabilitation program.
Joint Injections (Shoulder & Hip) may be used to both identify the source of pain and provide temporary pain relief by injecting steroids into the affected joint.
Pain injections are performed with the use of fluoroscopy for precise placement of the injection. As the procedure begins, a nurse and a highly trained technologist will help you get situated and comfortable, explain the procedure, and answer any questions you may have.
Prior to the injection, your skin will be numbed with a local anesthetic. In some cases, sedation may be used for patient anxiety and comfort.
Fluoroscopy is used to guide the needle to the exact position. Once the needle is in position, use of a contrast agent enhances visualization of the area. After confirmation of the needle placement, the steroid solution is injected and the process is complete.
Most pain injections are performed in 15 to 30 minutes. Following the procedure, you may spend some time in the recovery area to be monitored. You should allow approximately one hour at our clinic.
You may experience numbness for up to 12 hours following your injection. The desired effects of the steroidal medication usually occur within 48-72 hours but may take as long as one week. Occasionally, it may take more than one injection to obtain full pain relief. If there is no change in patient symptoms after injections, an investigation into other potential sources of the pain may be beneficial.
These are image-guided, minimally invasive procedures used to restore vertebrae in the spine that have been weakened or compressed, typically as a result of osteoporosis.
Vertebroplasty is where, under image guidance, a cement mixture is injected into the damaged vertebrae, restoring it to its original shape and height.
Kyphoplasty is similar to vertebroplasty. It is performed using image guidance to insert a small balloon catheter into the vertebrae, where it is then inflated, elevating the fracture, while compressing the inner bone to create a cavity where a cement mixture is then injected to restore the original shape and height.
Are you suffering from Chronic Tendon Disease?
Do you have:
- Daily persistent pain in a localized joint, worsened by activity?
- Pain associated with point tenderness?
- Reduced mobility in the affected joint?
- Pain that has lasted more than 3 months?
- Pain that has not improved with conservative treatments?
Chronic Tendon Disease can take many forms:
- Achilles tendinosis
- Plantar fasciitis
- Tennis/Golfer’s Elbow
- Jumper’s/Runner’s knee
- Shoulder pain / Swimmer’shoulder
Now, there is a solution to chronic tendon disease:
Tenex Health TX™ combines ultrasound imaging for visualization to pinpoint the location of the damaged, tendon tissue with the advanced TX MicroTip™ to specifically cut, break-down and extract the damaged tissue and stimulate a healing response. Since the surrounding healthy tissue is not disturbed, patients enjoy less discomfort and quicker recovery times versus traditional open surgical procedures.
Why choose Tenex Health TX™
- Quick pain relief
- Return to normal activities rapidly
- Local anesthetic used instead of general anesthesia
- No sutures, no stitches (requires only a small, adhesive bandage)
- Minimally invasive, not open surgery
- Covered by most insurances
The procedure is performed in an outpatient setting at our MVP-New Brighton office; the procedure takes less than 30 minutes, uses only local anesthetic and allows the patient to walk out of the office. Dr. Troy Long, an interventional radiologist, performs the procedure as it is an ultrasound, image-guided treatment.
Who is a candidate for Tenex Health TX™
- Individuals who have tried any combination of conservative treatment (rest, ice, compression, elevation, physical therapy, cortisone injections and medication) with little or no improvement
- Individuals who would like try a minimally invasive procedure before scheduling a potentially unnecessary tendon surgery
What you can expect with Tenex Health TX™ procedure:
- You will need to have a consultation with Dr. Troy Long prior to the procedure. At this meeting, Dr. Long will get to understand your symptoms and look at your painful joint with an ultrasound machine. Together, you will decide if Tenex Health TX™ is right for you.
- On the day of the procedure, Dr. Long will have you mark the exact location of your tendon pain then this area will be cleaned for the procedure.
- The procedure takes less than 30 minutes and uses only local anesthetic, so you can drive yourself.
- Some patients take over the counter pain medication if they have discomfort after the procedure.
Tenex patient testimony
Plantar Fasciitis made it difficult to do almost anything and I would wake up constantly at night from the pain. The Tenex procedure took only 3-4 minutes per foot and I was able to walk out on my own and drive myself home. The best part was that several days later, the pain was completely gone. I can’t believe how much better my life is!