An Overview Of An Epiduroscopy In Pain Management

An epiduroscopy is an outpatient procedure that is minimally invasive utilizing a flexible instrument containing a small camera known as an epiduroscope. The procedure may assist with figuring out the cause of pain in the legs and lower back. This pain often emanates from sciatica. The procedure was first developed in the 1990’s and entails a catheter system that is enhanced with a saline flush system attached to its side.

During the procedure, the pain doctor often administers medication to treat the pain. IN preparation for the procedure, the patient is positioned with appropriate padding and the patient is given local anesthesia. The doctor utilizes x-ray fluoroscopy during the procedure to hopefully ensure accurate placement of the camera.

Once the problem area is located on the fluoroscopy, a small incision is made through which a catheter is inserted containing the epiduroscope. The scope is inserted through the sacrococcygeal membrane to allow direct visualization of the epidural space.

The scope contains a fiberoptic camera which enables visualization of damage and scar tissue on the spine which may be causing sciatica. Adhesions can be visualized, nerve roots may be inspected and the specific areas of inflammation hopefully identified. A small needle is placed through the sacral hiatus into the epidural area. Through this a small metal guide wire is positioned. The doctor then removes the small needle which then leaves the guide wire in place. A series of dilators are then passed over the guide wire and once a large enough space is created, the sheath cannula is positioned.

The doctor can utilize instruments placed through the catheter to take out some of the scar tissue. This is termed an adhesiolysis and it may decrease pain substantially.

Steroid and/or anesthetic numbing medicine can be placed to relieve pain from inflammation. Once complete, patients can be sent home same day so it’s outpatient. Returning to work should be quick.

Complications can occur during an epidurolysis. When a significantly sized camera is placed near a nerve root, the root can be injured. A dural tear may occur if the epiduroscope makes a small hole in the dural membrane. This can cause a post dural puncture spinal headache.

One additional complication that may be seen is a macular hemorrhage. This is bleeding in the internal layers of the eye. If excessive flush is used during the procedure, a rapid rise in cerebral pressure may occur and cause this complication.

Want to find out more about Scottsdale Pain Management, then visit Preferred Pain Center’s site on how to choose the best Arizona Pain Center for your needs.

To Reduce Your Chances Of Getting 4 Deadly Diseases by 50%, All You Have To Do Is This One Thing!

There is new research that shows one easy way you can reduce your risk of breast cancer, colon cancer, multiple sclerosis and Type 1 diabetes by a whopping 50%! We’ve all heard it, but who really pays attention to these wise words? Maybe we are all just a little lazy or just too skeptical.

Come on – you are amongst friends – you can admit it! An ounce of prevention is worth a pound of cure? Maybe “cures” are “sexier” than simply preventing the mess in the first place? Or, maybe it’s because “prevention” can be a pain in the you know what? Always finding and preparing the right foods can be time consuming and expensive.

Wouldn’t it be nice to not have to exercise or diet and still be healthy? Well…we can’t promise that you can eat all you want and don’t have to exercise but we will say that there is one simple way to reduce your chances of developing 4 deadly diseases that requires little to no time and it is inexpensive… Would You Do It? Well, according to a new study, there may be.

Here’s what this is all about: The current government recommendation for Vitamin D intake is 400- 600 international units (IU) per day. 400 IU was found to be the minimum amount of Vitamin D needed to prevent rickets over a century ago. But “minimum” and “optimum” are two very different things. Researchers at the University of California, San Diego School of Medicine and the Creighton University School of Medicine in Omaha, have reported that markedly higher intake of Vitamin D is needed to reach blood levels that can prevent or markedly cut the incidence of breast cancer and several other major diseases than originally thought. The results were published on February 21 in the journal Anticancer Research.

According to a EurikAlert press release on February 22, 2011, “We found that daily intakes of Vitamin D by adults in the range of 4000-8000 IU are needed to maintain blood levels of Vitamin D metabolites in the range needed to reduce as much as half the risk in several diseases such as breast cancer, colon cancer, multiple sclerosis, and Type 1 diabetes,” said Cedric Garland, DrPH, Professor of Family and Preventive Medicine at UC San Diego Moores Cancer Center. “I was surprised to find that the intakes required to maintain Vitamin D status for disease prevention were so high – much higher than the minimal intake of Vitamin D of 400 IU/day to defeat rickets in the 20th century. I was not surprised by this,” said Robert P. Heaney, MD, of Creighton University, an accomplished biomedical scientist who has studied Vitamin D needs for decades. “This result was what our dose-response studies predicted, but it took a study such as this, to confirm it.”

The studies also said only about 10% of people have this new appropriate level of Vitamin D in their blood – and these are often people who work outdoors. As a physician in San Diego at New Century Spine Centers, we regularly see people with all kinds of conditions. Educating our patients on proper healthcare is an important part of our treatment. With knowledge, patients can make their own decision.

Looking to find the most up to date information on chiropractic, then visit to find the best advice and request a free video on back pain for you.

Less Preferred Therapies For Back Pain

Talk about back stiffness and there are numerous therapies that can help you with the same. While typical treatments like massage and OTC medicines are known to one and all, there are some cures that are comparatively less known. Here are some alternative therapies that may not be as popular as their opposite numbers but do offer excellent results.

Alexander system is one of the lesser known treatments to treat back pain. This treatment works by training you to use your body in the right manner, to avoid pain. It shows you how to utilise the acceptable amount of energy for diverse activities. As a result, you are left with more energy than the usual. This method essentially focuses on re-educating you on how to use the body right. It helps improve coordination, movement and balance.

Feldenkrais is another less preferred yet a very effective care for the handling of back stiffness. The two formats of the treatment are ‘awareness through movement ‘ and ‘functional integration’. The former is taught through proper classes, whereas the second is taught on an one on one basis. In ‘awareness thru movement ‘, you are taught basic activities related to your back including the postures of sitting, standing and lying on the floor. You are taught to practice these activities without over-exerting your muscles.

From the other perspective, the functional integration makes use of ‘hands on ‘ technique to help the pupils learn all about the connections between body parts. The teacher uses his / her hands to lead the movements of the pupil. The pupils learn to move and perform other functions unreservedly without putting in much effort. Health problems like protracted muscle agony can get handled using this method.

Osteopathy is another less popular treatment utilised for the treatment of back pain. This treatment is understood not only for treating sciatica but for making certain over all well being of the patient. It braces your muscoskeletal system including the joints, spine and muscles to help live a better and healthful life. And, it uses manual techniques to supply results.

The osteopath employs gentle hand systems to relief the patient from back trouble. These involve joint manipulation, tissue stretching and deep tactile pressure. This care also decreases the stiffness in your joints and muscles, which is the major reason for sciatic agony. It should be used together with main line medication to gain optimum results. Try using it as an alternative medicine and you may be relived of your back pain for ever.

Use any of these alternative cures for sciatica and other kinds of back stiffness. These are absolutely safe therapies and have no risk of complications. Hence you could try them and witness the results for yourself.

Here Are A Few More Ways To Know About Treating Sciatica and Alternative Therapies For Sciatica.