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Eastern Suburbs Pain Clinic is a specialist chronic pain management service based at The Prince of Wales Private Hospital. The medical specialist you see will also discuss your case with the rest of the team and decide whom else you might benefit from seeing.
It is likely that you have had pain for quite some time and have most likely seen a range of other professionals and services. If you are not covered by one of the above schemes, and wish to be seen as a private patient, you will need a referral from your general practitioner for your initial appointment to see a medical specialist.
A lumbar transforaminal epidural steroid injection is the injection of steroid along the nerve root and in the epidural space. Prognostic, to help decide the next step nothing, second injection (same type of injection or a different injection), physical therapy, or even an evaluation by a surgeon. The steroid injected reduces swelling and inflammation by bathing the painful nerve root, which may reduce pain, tingling, numbness, and other symptoms caused by nerve inflammation, irritation, or swelling.
If you are taking blood thinning medications (coumadin, arixtra, fragmin, innohep, lovenox, normiflo, orgaran, acova, angiomay, ipravask, pradaxa, plavix, heparin, ticlid or in some cases aspirin) you must tell your doctor.  In many cases, the bloodthinning medication is discontinued prior to the procedure, but this has to be cleared by your family doctor and sometimes your cardiologist. Talk to your doctor to decide if a referral to Charlottesville Pain Management Center is right for you.

Each member of the team is a highly skilled chronic pain management specialist with many years experience working in both public hospitals and the private system.
For this reason the Eastern Suburbs Pain Clinic team are drawn from a broad range of disciplines. They will examine you and assess your pain, which will include talking about how the pain impacts on your life. We find that working with several of the team at the same time is the best way to get the best outcome for you.
This injection differs from the interlaminar epidural steroid injection in that it selectively targets a specific nerve or disc. The steroid we use is dexamethasone.  The procedure is performed under live x ray and with the use of x ray dye to ensure accuracy and precision.
We offer therapies for neck and low back pain due to herniated discs, stenosis, spondylosis, facet arthritis, and failed spinal surgery. Following this they will look at medical and non-medical options and may refer you to other members of the team. Rest assured, however, that there are many things that can happen to improve things, and there are many things we can do to help across the full range of problems you are experiencing.

This injection is administered to relieve pain in the low back, hips, and legs caused by pinched nerves in the low back (sciatica).
Sometimes it may can a while, but in our experience things can and often do improve in your life even though you have pain.
For example, we offer a wide range of treatments for medical interventions, medications, physiotherapy, psychology, and psychiatry, or any combination of these.
You are monitored with a blood pressure cuff and a blood oxygen monitoring device which monitors your oxygen levels and heart rate. The other risks involve spinal puncture with headache (post dural headache), infection, bleeding inside the epidural space with nerve damage, worsening of symptoms.
The other risks are related to the side effects of cortisone, which include weight gain, increase in blood sugar (mainly in diabetics), water retention, and suppression of the body’s own natural production of cortisone.

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