INTERVENTIONAL DISC INJECTIONS

When the discs between your vertebrae can tear or bulge and cause a lot of pain. While treating disc pain without surgery is difficult, it is possible. 

Under image guidance  one of our highly trained physicians can inject medicine in and around the disc. Anti-inflammatory medication and local anesthetic (freezing) can reduce inflammation and relieve pain. 

Another alternative is to inject and orthobiologic (cells from your own body) in the same way. Though the use of orthobiologics to treat disc pain is at an investigational stage, early research suggests these procedures carry the same risk profile as a cortisone injection but may provide more significant relief. 

The video shows this intervention using “stem cells”, an orthobiologic. As of right now, Health Canada is regulating the use of stem cells, requiring a lengthy and costly drug trial before they can be sold to the public. Until this changes, PRP, another orthobiologic, can be used.

Before The Procedure

For your safety, you will have to be off any blood thinning medications for a certain number of days before the procedure. However, do not stop this medication without getting permission to do so from the physician who prescribed it. You must do this before each procedure, as your medical situation can change over time. General guidelines are as follows:
**CoumadinLovenoxHeparinTiclidPradaxa (Dabigatran)Plavix, Persantine, Aggrenox, Trental or Arixtra
Stop 5 days before procedureStop 48 hours before procedureStop 6 hours before procedureStop 14 days before procedureStop 4 days before procedureStop 7 days before procedure

**If you are on Coumadin, a PT/INR should be ordered by your primary care physician. You can have your blood work drawn on the day before your scheduled procedure and have the results faxed to us at 403-351-8882.

It is acceptable to continue taking Motrin and other non-steroidal anti-inflammatories (NSAIDs). Please continue to take Aspirin if it has been prescribed to you by a physician. Please notify us if you are allergic to Betadine, Iodinated Contrast Material (CT scan dye), Lidocaine, or Steroids.

We do not inject steroids in patients with active infections (viral, bacterial, etc). If you are currently taking antibiotics or have an active infection at this time, please notify us

After The Procedure

You may experience immediate relief of your symptoms (for about 4-6 hours) due to the local anesthetic. Your pain may return until the steroid starts to work, which can take 3 days to 2 weeks. If you are diabetic and measure your blood sugar at home, you may find you have increased blood sugar for several days following the procedure. Please discuss this with the doctor treating your diabetes. Please have someone available to give you a ride home after your procedure.

Interventional Disc Injections (Intradiscal Injections)