Lumbar Kyphoplasty
Cervical transforaminal epidural steroid injections (TFESI) are a highly effective, minimally invasive treatment designed to alleviate neck and arm pain caused by conditions such as herniated discs, cervical spinal stenosis, and cervical radiculopathy. This targeted procedure delivers potent anti-inflammatory medication directly into the epidural space surrounding the affected nerve roots in the cervical spine, reducing inflammation and providing significant pain relief. At Dr. Grace Maloney’s advanced pain management clinic, patient comfort and safety are prioritized. Utilizing state-of-the-art fluoroscopic guidance, our specialists ensure precise needle placement, maximizing therapeutic benefits while minimizing risks. TFESI not only offers rapid pain relief but also helps improve mobility and overall quality of life for individuals suffering from chronic cervical pain. Ideal candidates for cervical transforaminal epidural steroid injections are those experiencing persistent neck pain that radiates into the arms, often described as a sharp, shooting sensation. The procedure is performed on an outpatient basis, allowing patients to return home the same day with minimal downtime. Explore the benefits of cervical transforaminal epidural steroid injections and regain control over your life. Contact our clinic today to schedule a consultation and learn more about how this innovative treatment can help you manage your pain effectively and safely.
Kyphoplasty is a minimally invasive procedure to treat spinal compresssion fractures. During the procedure, a needle is placed into a compression fracture of the spine. One the needle is within the fractured vertebrae, a balloon or curette is then used to create a cavity within the fracture. Next, bone cement is injected into the fractured region effectively stabilizing the area. Patients return home within 30 minutes to an hour after the procedure and often have some immediate relief of pain which gradually improves over the following days.
What causes lumbar compression fractures?
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Compression fractures can occur due to a traumatic event or spontaneously in the setting of reduced bone strength and density- osteoporosis. As the name suggests, typically a compressive force contributes to fracture of the vertebral body and may lead to mild to significant height loss at the affected segment. On imaging vertebral levels affected by compression fractures appear flatter when compared to unaffected levels. The “wedging” of the fracture can affect normal spinal curvatures especially at the thoracolumbar junction leading to noticeable altered posture due to increased kyphosis. The occurrence of a compression fracture and inadequate treatment may increase risks of additional vertebral fractures if not treated.
Symptoms of lumbar compression fracture:
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The most common symptoms of a compression fracture is onset of acute back pain. Sometimes the pain localized over the site of the fracture and other times the pain refers into regions of the back below the level of fracture. Bending, lifting, standing, and walking often worsen the symptoms while laying flat and sitting still tends to alleviate the symptoms of pain.
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Tenderness to pressure over the level of compression fracture is common. Common events associated with osteoporotic compression fractures include: lifting something heavier than normal, pushing, pulling, coughing, or a fall. Non- osteoporotic fractures typically require higher levels of force for fracture to occur as in cases of motor vehicle accident and hard falls.
Treatment of Lumbar Compression Fractures:
Bone health is an important element that predicts long term outcomes in cases of vertebral compression fractures. Typically screening for osteoporosis as a contributing factor is done during consultation for compression fractures. Appropriate treatment for the underlying condition may be discussed when needed. Treatment of osteoporosis is important to reduce risks of additional fractures.
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Osteoporotic fractures often can be debilitating leading an individual to become bed-ridden or unable to perform daily activities and self-care. In these cases a lumbar kyphoplasty may be a minimally invasive but appropriate treatment.
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