Tulsa pain management : Ep-7 Part 4
Tulsa Pain Management offers the best for patients. I know you don’t do very many Well what are your thoughts on the last day.
So I personally offer kind of Plassy to patients who have had an acute acute meaning a fairly recent compression fracture of the spine. And typically the reason for it is because of osteoporosis softening up bone loss of calcium occurs a lot in a lot of elderly patients patients who tend to be female and gender and usually post-menopausal because you know the calcium loss accelerates after menopause. So if the wind comes in at a very bad sudden onset or reason onset back pain is pain in the back. It doesn’t go down your leg because if it goes on a leg and something else going on as a pensioner. So it’s just a pain in the spine. I mean examine the patient. I look out for is this tenderness you know $.10 it’s hard for a patient to as you know stand or sit for a long period of time. And typically I do it for patients where the pain is so debilitating that he can’t get up and do you know go to the bathroom. It’s hard for him to walk. And so. So I know he ordered an extreme you know document that there is a compression fracture or something that might alter a cat scan. Or MRI to see if the fractures are fresh because if the fracture is healed and collapse then it is nothing much we can do with the careful play.
So basically just let you know what is it we put in cement into the collapsed fracture portion of the spine before it from the cement we can to reduce that and reduce the fracture meaning that we we can push up you know to your body so that it restores some height and it we feel that cavity would cement OK as a patient I come to Tulsa pain management.
I have a kifu a plasty. Is this going to be considered like an injection. Is it a surgery.
Is the recovery time it is kind of like an injection because they used needles and needles a bit larger than what we normally use for your spine injections. But there is no research involved you don’t cut patients open. We don’t have the Sujan close. We make two. Incision at one on each side of the side. It is fracture small incision right small and all large enough to accommodate a needle but not big enough to have to close with the sutures. So we made incision and we put a needle in there. All these we do an X-ray guidance because you want to make sure we get in the right spot and then we use a balloon to inflate it to create a cavity you know pushed up the the collapsed portion back up filled with cement and then the needle comes out. So within 20 minutes the procedure. The cement should harden and the patient can get out of the offering operating table and walk. So the downtime is typically not long at all. If I have had a patient where the pain is always in the teams we treat it like we go from a 10 or 10 10 to almost no pain you know after procedure so the down time is limited by I guess you know if I see it because again. We do do this under sedation. And then you know we ask him to take easier as the day you know we can go back to you like TV usually but the next day.
Now we do tell people not to do any heavy lifting because or you know try to avoid false because the reason why he fractured the back is because it was frozen so. So once you have one level fractured as high risk of that happening with the next subsequent level to tell patients you know make sure you take your calcium as you take medication to the love of your bone stock and don’t you know do any heavy lifting or bending or any activity that can cause your spine to collapse.
OK so it’s also a Tulsa pain management if I come in and do the plastic and I get to work that day.
We asked patients to just take the rest of the day off because again you know it’s like the sedation. You know you don’t know how long it lasts depends on the patient. And we don’t want to make any major decisions so you know operating any vehicle or heavy machine or do you want any accidents.
So it was a Tulsa pain management and command. I have shoulder pain I know. And we do a lot of injections in our clinic. We do shoulders hips and knees. What options do we offer for shoulders for shoulders.
We do injections into the various joints on the shoulder to shoulder joint has several components some births and then it’s actually the shoulder joint. So depending on where the pain is and based on the examination we can figure out where the source of the problem is. So the shoulder joint as you know is like a sort of like a ball and a small cup. It’s held in place by a lot of ligaments. A lot of burns or we call it little pads that that can keep the tendons from rubbing too much against the bone. So all these can get in flame sort of tendons can get inflamed the joints can get you can get arthritic and the bursar’s can also get inflamed so you may inject into any of the structures put in steroids and some typically gives the patient immediate pain relief. It has a delayed but more prolonged effect. So you know we can do the injections at multiple locations. Initially we do that X-ray too because we want to get in the right spot.
Are there any risks of doing a shoulder injection.
The only risk is against infection any time you introduce a needle from the outside where you are bacteria into a joint which is risky Sterle then there’s the risk of using an infection. So we typically clean on the shoulder joint skin area with an antiseptic. All equipment has been sterilized and single use you don’t share needles or medication with syringes. And typically I also have a mask on and all that. So you know we take we take precautions the risk of infection is actually very very low. That’s only risk. I think I can think of it of course with repeated injection austerity can get Sterrett toxicity but typically we don’t do the injection very very frequently Tulsa pain management.