Taghva is able to spare many patients unnecessary spine surgeries and has over 80% of spinal cord stimulator patients in his practice achieving benchmarks of 50% pain relief or more.ĭr. In that way, he believes that spinal cord stimulation trials (a minimally invasive outpatient procedure covered by Medicare and most PPO insurance) can be used as both a therapeutic and diagnostic tool for neuropathic pain. Taghva has a unique philosophy regarding spinal cord stimulation in that he believes many patients with neuropathic (nerve-related) pain are misdiagnosed with mechanical pain and are offered, in many cases, unsuccessful fusion operations. Taghva has experience with the implantation of all major devices including Nevro HF10, Medtronic, Abbott, and Boston Scientific.ĭr. Taghva is able to tailor his surgical approach to individual patients rather than a “one-size-fits-all” approach.ĭr. Taghva has a busy practice of minimally invasive spine surgery orange county including artificial disc replacement, microdiscectomy orange county, minimally-invasive laminotomies, and endoscopic spine surgery. Taghva is unique in that he is a neurosurgeon with dedicated fellowship training in spinal cord stimulation, and as a result, he routinely performs all aspects of spinal cord stimulation including percutaneous implantation, laminotomy, and paddle implantation, as well as complex and routine trials, and complex revision of spinal cord stimulation. Typically this pain is caused by nerve irritation following spine surgery ( failed back surgery syndrome), direct nerve injuries (complex regional pain syndrome), spinal stenosis or radiculopathy, or peripheral neuropathy.ĭr. Patients who are successful with spinal cord stimulation often have nerve-related pain in the back, legs, neck, arms, or feet. Taghva is a national and worldwide expert on spinal cord stimulation, with over 1000 implanted patients as well as involvement in highly-cited studies including the SUNBURST trial. Call The Rehab Doctors, or use the online scheduler for help now.Dr. Keep track of your pain so you can determine exactly how effective the injection is for you.įind out how epidural injections can relieve your pain with virtually no downtime. You may need further treatment to maintain your results.Īfter your epidural injection, you take a pain log home. It can depend on the individual and how much inflammation you have, but many patients have several pain-free months following an epidural injection. How long does pain relief last following my epidural injection? The Rehab Doctors’ team chooses the ideal epidural injection approach based on the type and location of your pain. In cases where your doctor targets one specific nerve root, the epidural is a selective nerve root block. In a transforaminal epidural, your doctor injects from the side, and in a caudal injection, they inject from below. In an interlaminar epidural, your doctor injects the epidural space from behind. There are several different approaches for epidural injections. This type of injection treats chronic mid and upper back pain. Thoracic epidural injections go in the upper or mid-back, the area called the thoracic spine. Lumbar epidural injections go in the lumbar spine, the lower part of the spine to treat chronic lower back pain. The Rehab Doctors’ team offers the following epidural injections for pain relief: Cervical epidural injectionsĬervical epidural injections treat chronic neck pain. What are the different types of epidural injections? The Rehab Doctors team may recommend an epidural injection if physical therapy doesn’t give you enough pain relief. This type of injection is often particularly effective in treating nerve pain associated with: If you’re dealing with chronic back or neck pain, an epidural injection may help. Epidural injections contain a steroid to reduce inflammation and an anesthetic to numb pain. There are a variety of epidural injection variants, each uniquely suited for particular issues. Your epidural space is often the ideal area to deliver pain-relieving injections because the medication goes directly to the area where you're having problems.Īn epidural injection is any injection that your physician places directly within your epidural space. Your epidural space is in the outer part of your spinal canal, just beyond the dura that coats your spinal cord and nerves. An epidural injection is a pain-relieving injection that goes within the epidural space in your spine.
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