Procedures carried out to manage pain (Part 1)

Epidurals are a basic procedure used to manage lower back pain and neck pain. Patients with symptoms of sciatica and pain shooting down the arms with evidence of a disc bulge or compression of a spinal nerve ie due to narrowing of a space proven by a MRI scan.There are 4 types of Epidurals.

: Cervical Epidural
: Thoracic Epidural
: Lumbar Epidural
: Caudal Epidural

Caudal Epidural under X ray

Another Causal Epidural

Lumbar Epidural

Facet Joint Injections

These are of 3 types according to the area. Carried out for neck and lumbar pain. Diagnosis of facet joint pain is my physical examination and X ray.

: Cervical Facet Injections

: Thoracic Facet Injections

: Lumbar Facet Injections

Lumbar Facet Injection

Next week more procedures will be discussed

Pl note all procedures carried out by the London Pain Clinic

The writer is Dr. Namal Senasinghe
MBBS DPM FFARCS FFPMCA
Consultant in Pain Medicine
London Pain Clinic
31 Horton Place
Colombo 7
Sri Lanka

[email protected]

0767 155716 – London Pain Clinic