Results 1 to 5 of 5

Just had a nerve root block and facet joint injection.

This is a discussion on Just had a nerve root block and facet joint injection. within the Diagnostic Tests & Spinal Injections forums, part of the General Spine Discussion Forums category; Wow i am in a lot of pain in my back right now. The lidocaine has worn off and this ...

  1. #1
    Junior Member
    Join Date
    Jun 2010
    Posts
    22

    Default Just had a nerve root block and facet joint injection.

    Wow i am in a lot of pain in my back right now. The lidocaine has worn off and this is painful. I had a question for everyone on this forum. My doctor wants to perform another discogram and I was wondering is it normal for the doctor to inject the side of the disc that is not in pain to reproduce the pain site? When i had my first discogram, the doctor injected the right side of my disc when my problems are all on the left? Also, if anyone is in the nyc area can you recommend a good doctor who does the discograms well? I have been researching but its tough to find a good doctor who performs these procedures.

    thanks

  2. #2
    Moderator KBear's Avatar
    Join Date
    May 2009
    Location
    Denton, Texas
    Posts
    2,941

    Default Re: Just had a nerve root block and facet joint injection.

    I have no idea which side they injected during my discograms, either way it reproduced 10/10 pain. I know Dr. Bitan is in that area, but not sure if he does his own discograms. He has a great reputation for spine surgery though.
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

  3. #3
    Founder / Administrator Justin's Avatar
    Join Date
    Apr 2009
    Location
    Philadelphia
    Posts
    4,503

    Default Re: Just had a nerve root block and facet joint injection.

    Quote Originally Posted by mark kim View Post
    Wow i am in a lot of pain in my back right now. The lidocaine has worn off and this is painful. I had a question for everyone on this forum. My doctor wants to perform another discogram and I was wondering is it normal for the doctor to inject the side of the disc that is not in pain to reproduce the pain site? When i had my first discogram, the doctor injected the right side of my disc when my problems are all on the left? Also, if anyone is in the nyc area can you recommend a good doctor who does the discograms well? I have been researching but its tough to find a good doctor who performs these procedures.

    thanks
    Mark, my understanding is that it doesn't matter which side of the disc is injected. When a disc with significant pathology is "pressurized," the patient should feel pain. Discs with annular tears do not hold a lot of pressure compared to healthy discs; thus, pain at low pressures results from exposure of pain receptors in the outer annulus to the dye used. Pain at high pressures typically results from mechanical stimulation of the annulus.

    Personally, I don't know any docs that do discography in NYC. However, I am sure there are countless docs that are very qualified. Hopefully, someone with experience in NYC will chime in soon.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  4. #4
    Banned - Spine Broker
    Join Date
    Aug 2009
    Location
    Europe
    Posts
    216
    Blog Entries
    1

    Default Re: Just had a nerve root block and facet joint injection.

    Quote Originally Posted by mark kim View Post
    Wow i am in a lot of pain in my back right now. The lidocaine has worn off and this is painful. I had a question for everyone on this forum. My doctor wants to perform another discogram and I was wondering is it normal for the doctor to inject the side of the disc that is not in pain to reproduce the pain site? When i had my first discogram, the doctor injected the right side of my disc when my problems are all on the left? Also, if anyone is in the nyc area can you recommend a good doctor who does the discograms well? I have been researching but its tough to find a good doctor who performs these procedures.

    thanks
    This is not important. When discography is performed, needle is placed in center of your disc. Sometimes due to abnormal anatomy, doctors can't reach your disc space from left side, so they choose right, or opposite. Anyway, as I already said, side is not important for this procedure.

    As far as I know, dr. Daniel Choy is doing discography in NYC.

  5. #5
    Senior Member Nairek's Avatar
    Join Date
    May 2009
    Location
    Southwest Florida
    Posts
    162

    Default Re: Just had a nerve root block and facet joint injection.

    Quote Originally Posted by KBear View Post
    I have no idea which side they injected during my discograms, either way it reproduced 10/10 pain. I know Dr. Bitan is in that area, but not sure if he does his own discograms. He has a great reputation for spine surgery though.
    I just happened to come across this post (should be doing homework but looking for reasons to not do it) so sorry for the delay.

    Dr. Bitan does not do discograms. He will send you to one of his associates to have the testing done. When I told him that the doctor that I had in Westchester did the discograms himself, he was surprised.

    If you need more info on Dr. Bitan, PM me. I'll be more than happy to help!
    Disc Bulge C4/C5, Disc Degeneration T11/T12, Bi-Lateral tears L5/S1, Diagnosed w/ Lumbar Disc Derangement w/ Radiculopaphy. Treatment: IDET, Percutaneous Discectomy, SI Joint Injection, Facet Block. All failed. Empire BC/BS Denied Coverage for ADR-lost all of my appeals. MVP also denied coverage.

    Anterior/Posterior Fusion L5/S1 -1/20/09 - I'm not 100% but I'll take the 85%! When the weather co-operates, it's 95% woohoo!

Similar Threads

  1. L5/S1 Nerve Root Injection
    By Dave in forum Diagnostic Tests & Spinal Injections
    Replies: 84
    Last Post: 11-13-2010, 01:25 AM
  2. Cervical facet joint nerve ablation failure?
    By Kokanee in forum Diagnostic Tests & Spinal Injections
    Replies: 15
    Last Post: 10-31-2010, 08:20 PM
  3. Replies: 0
    Last Post: 07-12-2010, 11:04 PM
  4. Facet joint block C2-6
    By Kokanee in forum Diagnostic Tests & Spinal Injections
    Replies: 3
    Last Post: 06-05-2010, 10:58 AM
  5. [Pain Management] Ultrasound-Guided Cervical Selective Nerve Root Block: A Fluoroscopy-Controlled Feasibility Study
    By Justin in forum Education, Research and Spine Publications
    Replies: 0
    Last Post: 08-22-2009, 07:46 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •