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Central Coast Pain Institute is relatively unique in Monterey with its own fluoroscopy suite (see below)
Dr.Rosen conducted a fluoroscopy conference to teach other doctors interventional techinques.
(click to view website)
Questions and answers on epidural steroid injections. (click to view) Photo of a precision transforaminal epidural (above).
Fluoroscopy is a form of X-ray that allows physicians to perform precision placement of medications. After a complete
history and physical combined with the latest radiographic studies such a MRI, Dr. Rosen will make the determination of which
level of the spine is causing the patient's pain. By using fluoroscopic guidance the medication can be placed with increased
precision. Patients can either choose a oral sedative such as the "blue pill" and have the procedure performed in the office
or go a surgicenter and have the procedure performed under intravenous sedation. Procedures performed under fluoroscopy include
epidurals, selective nerve injections, facet injections and SI joint injections
Questions and answers on facet injections. (click to view) Drawing of a lumbar facet joint (above)
Questions and answers on SI joint injections. (click to view) Drawing of left SI joint (above)
Questions and answers on trigger point injections. (click to view)
A recent study proved the effectiveness of transforaminal epidurals (click to view)
Articles proving the importance of using fluoroscopy with epidurals (click to view)
Migraines can be relieved by occipital nerve blocks. (click to view article)
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