Caudal epidural steroid injection with catheter cpt code

What should I do and expect after the procedure?
You may have some partial numbness in your buttocks and/or legs from the anesthetic after the injection. This may last several hours but you will be able to function safely as long as you take precautions. You will report your remaining pain (if any) and also record the relief you experience over the next week in a “pain diary” which we will provide. *Mail or fax the completed pain diary in the envelope provided, so that your treating physician can be informed of your results and plan future tests and/or treatment if needed.

The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.

An epidural steroid injection involves bathing an inflamed nerve root in steroids (potent anti-inflammation medicine) in order to decrease the irritation of the nerve root that is causing pain.  Epidural steroid injections are most commonly used in situations of radicular pain, which is a radiating pain that is transmitted away from the spine by an irritated spinal nerve. Irritation of a spinal nerve in the low back (lumbar radiculopathy) causes pain that goes down the leg. Epidural injections also are used to treat nerve compression in the neck (cervical spine), referred to as cervical radiculopathy.

Dr. Ward is a South Georgia native raised in nearby Mitchell County. He attended Valdosta State College graduating with honors in Biology and Chemistry. Dr. Ward received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, Georgia. His Internship and Residency in Anesthesiology was completed at Eugene Talmadge Memorial Hospital and University Hospital in Augusta. Dr. Ward had subspecialty training emphasis on regional anesthesia/pain managemet techniques. This subspecialty of Anesthesiology eventually became the recognized subspecialty of Pain Management with specialized training and certification in the late 1990's.

I had three injections all of which worked for a few days to two weeks then stopped. The excruciating pain returned and only Vicoden 5 mg 3-4 times a day controlled the pain. Vicoden at that dose is the lowest dose prescribed. it worked perfectly for several years and doctors refused to prescribed opioids for fear of losing their license. My sister recently died of throat cancer and she complained constantly of pain. She died with unrelieved pain. As a cancer patient she was prescribed Morphine 2 mg. every 6 hours. That is beyond ridiculous but keeps our doctor’s license safe. Our doctors are violating their Hippocratic oath – Do No Harm. They had added a caveat “except when the government is breathing down your neck. Then the patient be damned. I am glad this helped you Randy. I don’t know your clinical status but I am sure it differs from mine. Do you have severe and crippling arthritis?

Caudal epidural steroid injection with catheter cpt code

caudal epidural steroid injection with catheter cpt code

Dr. Ward is a South Georgia native raised in nearby Mitchell County. He attended Valdosta State College graduating with honors in Biology and Chemistry. Dr. Ward received his Doctor of Medicine Degree from the Medical College of Georgia in Augusta, Georgia. His Internship and Residency in Anesthesiology was completed at Eugene Talmadge Memorial Hospital and University Hospital in Augusta. Dr. Ward had subspecialty training emphasis on regional anesthesia/pain managemet techniques. This subspecialty of Anesthesiology eventually became the recognized subspecialty of Pain Management with specialized training and certification in the late 1990's.

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