Best Kyphoplasty in Linwood, New Jersey

Kyphoplasty involves creating space in the vertebrae with a balloon and injection of cement in the cavity created by the balloon . This procedure is performed for alleviation of pain of lumbar or thoracic fractures which is not controlled with more conservative measures such as bracing or pain medications. The vertebral fractures lead to worsening of scoliosis or kyphosis and restoration of height of fractured vertebrae may avoid this worsening. This procedure is usually performed under anesthesia. The procedure is performed under X ray guidance. Patients with osteoporosis , vertebral metastatic tumors , large vertebral hemangiomas are prone to vertebral compression fractures. Your physician may perform a bone biopsy while performing kyphoplasty. 

Mainland’s kyphoplasty is rated the best kyphoplasty in New Jersey due to the pain alleviation it provides to patients. It has assisted numerous individuals in achieving excellent pain reduction results. It is also an advanced treatment used for treating back pain.

Vertebroplasty/Kyphoplasty

Vertebroplasty and Kyphoplasty are procedures used to treat fractures in the thoracic and or lumbar spine, and involve injection of cement into the vertebral body. Such fractures are common if you have been diagnosed with osteoporosis. Your doctor will use an X-ray machine to see the fracture and cement spread. If a balloon is used to create a space for the cement , it is kyphoplasty. Cement can also be injected directly with a needle and this procedure is called vertebroplasty. When there is fracture of the vertebral body, the vertebra loses its rectangular shape and get compressed. This compression can cause pain. It could involve more than one vertebral body.

Those who have received the kyphoplasty treatment at Mainland have noted great results. Almost 75% of our patients have noticed complete alleviation of pain. These results obtained by our patients have helped us become known as a top provider of the best kyphoplasty treatment in Linwood.

Who is a candidate for Kyphoplasty / vertebroplasty?

Before providing the best kyphoplasty in New Jersey, the doctor will determine whether the patient is a good candidate for the procedure. Among the deciding factors are:

  1. If you were diagnosed with compression fracture of thoracic or lumbar vertebral body and you have osteoporosis
  2. If you were diagnosed with cancer and have fracture associated with it
  3. If you have hemangioma and pain associated with hemangioma
  4. If you have failed more conservative treatments such as bed rest, bracing or pain medications.
  5. If you require bed rest after a fracture of the vertebral body and cannot move without pain
  6. If you require hospitalisation because of fracture
Best kyphoplasty treatment in Linwood, New Jersey

How to prepare

First of all you might require imaging to diagnose a fracture
Common imaging modality include

  1. X rays : Your doctor will order X rays of Lumbar and thoracic spine if there is a suspicion of fracture ( history of osteoporosis, fall, severe pain, history of cancer)
  2. CT scan: CT scan of thoracic spine and Lumbar spine can provide for definite diagnosis of fracture
  3. MRI : MRI spine can tell whether the fracture is new /old or healing
  4. Dexa scan: Your provide may order Dexa scan to diagnose osteoporosis

Your physician will need to know if you have complicated medical or surgical history. Let your physician know of any heart or respiratory or neurological problems in the past. Also give them a complete list of medications and allergies.It is important to tell them if you are on anticoagulants or blood thinners. If you are on heart medications and or anticoagulants the physician will consult with your cardiologist or neurologist if its safe for you to hold blood thinners.
There might be additional blood tests involved including your blood count or CBC, electrolytes or BMP and PT/INR/PTT for coagulation profile

On the day of procedure

  • You will be asked to not eat anything 8 hours prior to procedure
  • You can have all your medications with a sip of water or pulpless apple juice. You can have black coffee up to 2 hours prior to procedure
  • You will need to hold blood thinners, the provider will provide you information regarding what medications need to be held , and for how long, prior to the procedure.
  • You will need a responsible adult to bring you to and from the procedure as you will not be able to drive 24 hours of the procedure

The procedure is usually performed using deep sedation or general anaesthesia, typically you will talk to the anaesthesia team or sedation team prior to the procedure.There will be bandages around the site of procedure. You will be prescribed pain medications for any procedure related pain

What to expect

Most patients have very good pain relief immediately after the procedure. Some patients might experience soreness after the procedure , which is usually resolved with anti-inflammatory medications or stronger pain medications. 

You are not soaking in the bathtub or swimming pool until 5 days after the procedure is recommended. You can resume Physical therapy 2 days after the procedure if you are not in pain. The dressing can come off 5 days after the procedure. It is recommended that you follow up with the pain clinic within 2 weeks of the procedure for further instructions after the procedure. You can only get a successful treatment if you stick to the guidelines shared by the doctor.

To provide the best kyphoplasty treatment in Linwood, our expert encourages patients to follow the post-procedure guidelines and attend all the follow-up sessions.

Facet medial branch diagnostic blocks

Facets are the joints of the spine. They are responsible for movements of the trunk and neck. Medial branches are the small nerves that innervate the facet joints, they are named as cervical in neck, thoracic in the upper back and lumbar in mid back or low back. The medial branch blocks are injections of numbing medicine such as lidocaine or bupivacaine and a steroid.
The medial branch blocks are typically used for patients with arthritic facet in the neck or back, or mechanical or axial neck and back pain. The procedures can be performed using CT scan, fluoroscopy or ultrasound. They are most commonly blocked using fluoroscopy. You may need multiple injections depending upon the number of facet joints involved.

How to know if you are a candidate for facet medial branch diagnostic blocks

  • If you have neck or low back pain with or without sciatica or radiculopathy with a normal radiological findings
  • If you are diagnosed with facet arthritis
  • If you are diagnosed with disc degenerative disease or spondylosis and have neck or back pain
  • If you had back surgery or neck surgery and now have pain in the neck or back above or below the surgery
  • If you are diagnosed with post laminectomy syndrome without arachnoiditis or disc herniation
  • If you had spinal fusion and have pain in adjacent levels

How to prepare

  • Your physician might send you to Physical therapy or chiropractor before starting any treatment. You may be prescribed anti-inflammatory medications and or muscle relaxants before any interventions.
  • You will need X rays and MRI before any diagnostic blocks.
  • Like most pain procedures you will need to hold blood thinners prior to procedures. Your physician will get clearance to hold the medications from prescribing providers before the procedure. You might need additional blood tests if deemed necessary given your medical conditions.

Though these are minimally invasive procedures you can ask your physician for moderate or deep sedation for these procedures.

On the day of procedure

  • You will be asked to not eat anything 8 hours prior to the procedure if you choose to have anaesthesia or sedation for the procedure.
  • You can have all your medications with a sip of water or pulpless apple juice. You can have black coffee up to 2 hours prior to procedure
  • You will need to hold blood thinners, the provider will provide you information regarding what medications need to be held , and for how long, prior to the procedure.
  • You will need a responsible adult to bring you to and from the procedure as you will not be able to drive 24 hours of the procedure

The procedure is usually performed using moderate sedation, however you can choose to be put to sleep or can avoid any and all anaesthetic.

There will be a bandage around the site of the procedure, which can be taken off the next day. To learn more about the best kyphoplasty treatment in Linwood provided by our experts, pay a visit to Mainland Pain Management.

What to expect after the procedure

One of three common outcomes after the procedure:

  • Pain does not go away, this means the pain is not coming from the blocked facet joint
  • Pain goes away for months , this means that the cause of the pain is facet and you might choose to repeat the block or go for radiofrequency ablation
  • Pain goes away for hours and then comes back, it means the pain is coming from facet joint and you will benefit from radiofrequency ablation

You can take off the bandages next day
Your blood can get thinners next day
You can continue your Physical therapy and normal activity if you are not too sore.

To get the best kyphoplasty in New Jersey or a facet medial branch diagnostic blocks treatment, book an appointment with Dr. Dipty Mangla at Mainland Pain Management.

What are the Risks of SNRB Injections?

The risks are low since the SNRB injections are always done under the continuous guidance of an X-ray machine. However, some of the reported side effects are

  • Procedural pain and discomfort

  • Bruising on the skin and swelling

  • Steroids can cause flushing, a feeling of warmth around the face and chest.

  • Headaches usually last 24-48 hours

  • Sleeping problems

  • Anxiety

  • Menstrual issues
  • Water retention
  • In rare cases, worsening of pain for 1-2 days

Serious complications of SNB injections are rare but can include

  • Allergic reactions

  • Infection

  • Bleeding /Hematoma

  • Nerve damage

  • Paralysis

To avoid side effects getting treated by a skilled pain management specialist is a must. One can get the best selective nerve root block treatment in Linwood at Mainland Pain Management.

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