Injury of a disc in the low back is the most common reason for chronic low back pain in adulthood. Treatments for these painful discs range from steroid injections to injections of reparative medicines into the discs. Degenerated discs can herniate allowing the inner nuclear material to escape outward inflaming and placing tension on a nearby nerve causing leg pain or sciatica. Herniated discs can be treated with steroid injections and sometimes removal of the herniation through...More >>
Injection of steroid and anesthetic around the inflamed and painful nerve root can effectively reduce nerve root pain from a herniated disc or stenosis. On average, close to 2 injections are necessary to reduce leg pain.More >>
Steroid injections for painful sacroiliac joints can be effective at reducing low back pain. Dr. DePalma's research has shown the sacroiliac joint pain occurs more so in adults over age 55 and in females than in males. In a separate research project, Dr. DePalma found that the sacroiliac joint was the most common source of chronic low back pain in patients having undergone a lumbar fusion surgery. In these patients after a fusion surgery, steroid injections may be less helpful.More >>
Whiplash injuries can occur to joints or discs in the neck resulting in neck pain and headaches after a motor vehicle collision. VA I-Spine Physicians utilize technically sound diagnostic injections to determine the source of the whiplash induced neck pain in order to optimally treat it. Steroid injections can help reduce disc related neck pain while a neurotomy can successfully reduce neck pain emanating from an injured facet joint. More >>
Insufficiency fractures of the vertebral bodies in the spine and bones in the pelvis can be debilitating. Such fractures can be a common occurrence due to osteoporosis. The risk of recurrent fractures and death is high after a fracture. Dr. DePalma has presented and published research findings of effective treatment for vertebral and pelvic fractures. More >>
Spinal stenosis can develop over time as we age or congenitally as our spines develop. Typically spinal stenosis will cause leg pain by restricting blood supply to spinal nerve roots resulting in lower limb pain that is worse with standing and walking. Selective nerve root blocks can alleviate leg pain due to stenosis. Persistent symptoms may require surgery.More >>
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