Term

Lumbar/Cervical Epidural Injection Procedure Lumbar/Cervical Epidural Injection is a widely applied therapeutic procedure for most degenerative spinal diseases such as disc prolapse or spinal stenosis in their early stages. It can be applied for those with pain not well responding to medication or physiotherapy. Main goal of this injection is to decrease inflammation and swelling around the affective spinal nerve to stabilize the pain provoking condition of the spine pathology.    Percutaneous Epidural Adhesiolysis and Neuroplasty (Lumbar or Cervical) Percutaneous Epidural Adheioslysis and Neuroplasty (PEN) procedure is a stronger way of pain coming from degenerative spinal diseases. This procedure is suitable for those with early or sub-acute stages of disc prolapse or spinal stenosis. It can also be an alternative to surgery who strongly wishes to avoid the surgery. Major difference of this procedure from the epidural steroid injection is utilization of steerable epidural catheter which aids mechanical clearance of the adhesions around the nerve which happens after some period or inflammatory condition.    Intervertebral Foraminal Balloon Dilation. This procedure is similar to Percutaneous Epidural Adheioslysis and Neuroplasty (PEN) but more to the targeting of the nerve exit (foramen), especially for spinal stenosis cases. When disc degenerates and spinal stenosis results, the nerve exit becomes smaller with formation of adhesion within the foramen, further shrinking the exit. With the specialized balloon tipped steerable catheter, clearing of the adhesion and mechanical widening of the exit is performed by dilation effect of the balloon.