Interventions

Percutaneous treatments such as injections are normally very safe and do not require much time to recover. Most of the procedures are performed at the hospital in the fluoroscopy suite where Xray guidance facilitates precise needle placement upon structures that are a millimeter or so in width. Sedation will be offered for patients who have severe needle phobia undergoing therapeutic injections but not during any procedures that are for diagnostic purposes such as medial branch or ilioinguinal nerve blocks. The uncommon side effects such as infection, bleeding, prolonged nerve block, headache, nerve damage, seizure, or allergic reaction. The two major adverse events are a stroke if the therapeutic medicine is inadvertently injected into an artery that circulates to the brain and clots the blood supply or if blood continues to bleed in the epidural space and begins to compress the spinal cord. These two events would be identified immediately and treated with an emergency surgical evaluation and possible operation.


Procedures Offered

  • Cervical, Thoracic, and Lumbar Epidural Steroid Injections
  • Racz (epidural adhesiolysis) Procedure
  • Facet (zygopophyseal) Joint Injections
  • Sacroiliac joint injection
  • Prolotherapy of musculo-tendinous structures and joints
  • Vertebroplasty and Kyphoplasty
  • Percutaneous Disc Decompression-Intradiscal Electrothermal
    Therapy (IDET)
  • Diagnostic blocks to possibly avoid surgical resection and
    treat nerve pathology instead
  • Head and Neck procedures-Injections including trigger point and Botox
  • Discography
  • Medial Branch Nerve Block (facet joint)
  • Medial Branch Nerve Denervation
  • Radiofrequency Ablation of Peripheral Nerves
  • Cryoablation of peripheral nerves
  • Stellate Ganglion Blocks
  • Celiac Plexus-Hypogastric-Lumbar Plexus Blocks
  • Intrathecal Drug Delivery Device "pain pump" Trial and Implantation, Replacement, and Refills
  • Spinal Cord Stimulatior Trial, Implantation, and Replacement
  • Low Back Pain

    Call 911 if you have lost bowel or bladder control or have become weak in your legs. Chronic low back pain affects millions of people around the world and is a common ailment that is treated at Mind Your Body Clinic. Pain felt in your lower back may come from the spine, muscles, nerves, or other structures in that region. It may also radiate from other areas like your mid or upper back, a hernia in the groin, aortic aneurysm, or a problem in the testicles or ovaries.

    You may have been doing many things improperly -- like standing, sitting, or lifting -- for a long time. Then suddenly, one simple movement, like reaching for something out of the cupboard or bending from your waist, leads to feeling pain. When you meet with Dr Jutla, she will evaluate you to determine which of the five major etiologies (myofascial, osteogenic, facetogenic, discogenic, and radiculopathy) for back pain that you manifest and plan your treatment accordingly.