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The staff at The Central Orthopedic Group is comprised of talented and professional physicians who care about your orthopedic health and progress; we invite you to get to know our team.
At The Central Orthopedic Group, understanding your orthopedic health is of the utmost importance. The comfort of our clients is our highest priority; The Central Orthopedic Group is proud to offer our patients two beautiful, state-of-the-art facilities to treat their medical needs. When seeking an orthopedist, your primary concern is to find a treatment center that will allow you to live a full and healthy life free from pain.
After visiting several doctors, I chose The Central Orthopedic Group to handle my ACL reconstruction.
A friend recommended the Central Orthopedic Group to me and they have exceeded my expectations.
The doctors at The Central Orthopedic Group helped me recover from a terrible accident faster than I could have imagined.
Playing softball for many years I have injured myself repeatedly and have never sought medical attention. Your quality of life is greatly effected if you're suffering from agonizing back pain, neck pain, throbbing headaches or facial pain. At Pain and Spine Specialists, we are passionate about treating those who suffer from pain. The Central Orthopedic Group of Long Island are your general orthopedic pain management specialists.
Your entire body will benefit from these movements, including your mood and productivity at work as you increase the circulation in your body, making everything work better. Pain is always unwanted, but pain at work that keeps you from performing at your peak is truly unacceptable. 3rd Now this is the repetitive motion part: bring your fingers in to the center (like the ASL signing position for “more”) and then slide them outward again.
The repetitive sliding of the fingers in this mirrored stretch effects the carpal tunnel structures. 1st On the side that is causing you pain, straighten your arm and hold it out in front of you. 4th Repeat the folding, holding, release movement a few times and then repeat on the other arm.
This exercise is a little more intense and deeper than the first, and can bring more immediate relief. At Central Orthopedics of Long Island we are here to help you manage your pain and return your body to its peak of functionality. Along with exercises and therapy there are non-surgical options available to relieve carpal tunnel syndrome pain such as cortisone shot injections. Injections are commonly used by pain specialists, both to help diagnose the painful condition and to help treat the painful condition.
Epidural steroid injections (sometimes referred to as an ESI) are commonly used to control back and leg pain from many different causes.
To perform an ESI, your doctor inserts a needle into the spinal canal so that the tip of the needle is in the epidural space. There are several openings to the spinal canal and epidural space where a needle can be placed. An interlaminaris performed by placing the needle directly into the spinal canal from the back of the spine between the lamina of two adjacent vertebra.
A transforaminal injection is performed by inserting the needle from the side of the spine through the neural foramen.
In other conditions, the cortisone injection is repeated several times per year to help control the symptoms.
You may be instructed to discontinue certain medications that affect the clotting of your blood several days before the injection.
You may need to arrange to have transportation both to and from the location where you will undergo the injection. When you are ready to have the injection, you will be taken into the procedure area and an IV will be started. Finally, because the the injection is done inside the spinal canal, the spinal nerves can be damaged by the needle itself.
Most doctors doctors will arrange a follow-up appointment, or phone consult, within one or two weeks after the injection to see how you are doing and what effect the procedure had on your symptoms. And remember, these injections are not a cure for your pain; they are only a part of your overall pain management plan. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.
That is why when you need comprehensive, specialized orthopedic care, your first choice should be The Central Orthopedic Group located in Plainview and Rockville Centre, Long Island. Located in Plainview and Rockville Centere, Long Island, the compassionate and insightful team at The Central Orthopedic Group are proud to be your first choice for orthopedic care and relief.
We work with patients in multiple locations, including Plainview and Rockville Center, to relieve their Carpal Tunnel pain and bring back function to their hands.

The best part is that they are very minimal and can be done while sitting up straight at your desk. To avoid pain in your hand and loss of function while at work you can incorporate one of these into a two minute break once every hour, or as works with your schedule. The median nerve gets irritated when carpal tunnel syndrome is affecting a person’s body, and this stretches it out. Then release the wrist so the wrist moves to point straight again with the fingers outstretched forward again. Should you and one of our doctors decide surgery is the best option for you, an open release would be performed to relieve the pain and increase muscle function.
The epidural space is the area between the bone of the spinal canal and the covering of the spine called the dura. Fluid, such as the medication that is injected during an ESI, is free to flow up and down the spine and inside the epidural space to reach the spinal nerves that run inside the spinal canal. The caudal injection is performed at the very lower end of the spine through a small opening in the bones of the sacrum. When this medication is injected around inflamed swollen nerves and connective tissues, it can reduce the inflammation and swelling. They may be used to reduce your symptoms so that you can more easily begin a physical therapy program with less pain. For example, in older adults with spinal stenosis, injection therapy may be preferable to surgery. This means that you should not eat or drink anything for the specified amount of time before your procedure. The IV allows the nurse or doctor to give you any medications that may be needed during the procedure. The fluoroscope is an x-ray machine that allows the doctor to actually see an x-ray image while doing the procedure. You will remain in the recovery area until the nurse is sure that you are stable and do not have any allergic reaction to the medications. The ESI procedure is safe and unlikely to result in a complication, but no procedure is 100% foolproof. This injury to the nerves will usually recover on its on and will not require any additional procedures to correct.
If all went as planned, you probably won’t have any restrictions on activity or diet.
Your doctor will be interested in how much the pain is reduced while the anesthetic (numbing medication) is working. You will still need to continue working with the other recommendations from your pain management team.
My surgery was 100% successful and now over a year later I’m still feeling great and have no need for pain meds or repeat surgery. The Central Orthopedic Group is very caring and it is super convenient to have the doctors, MRI, and physical therapy all in one location!
Call to make an appointment with one of our doctors or specialists at (516) 764-PAIN or (631) 331-PAIN. Through our specialty services, such as orthopedic surgeries, non-surgical interventions, physical therapy, pain management, and more, we can find a solution to whatever is causing you physical distress. For pain management on long island, contact us today to start your road to recovery with one of our orthopedic surgeons. They do not cure any of the problems they are commonly used for, but can control the symptoms for prolonged periods of time. The sacrum is made up of several vertebrae that fuse together during development to form a single large bone. During an ESI the medications that are normally injected include a local anesthetic and cortisone. These medications may include the common Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) such as aspirin, ibuprofen, naproxen and many other medications that are commonly used to treat arthritis.
You may wish to take a shower the morning of the procedure, using a bactericidal soap to reduce chances of infection.
The IV is for your safety because it allows very rapid response if you have a problem during the procedure, such as an allergic reaction to any of the medications injected. This document doesn’t provide a complete list of the possible complications, but it does highlight some of the most common problems. This is the same thing that happens when your doctor performs a spinal tap or a spinal anesthetic.
If the doctor sees that the spinal sac has been punctured before he removes the needle, this may be done at the time of the ESI. The epidural hematoma occurs when one of the small blood vessels around the spinal sac continues to bleed after the procedure. Most doctors would recommend that you limit the number of injections to three to five per year. After having my rotator cuff repaired I am feeling younger and I am on the road to a pain-free life.

To help you, we put together this blog post with exercises you can do at home or at work to help relieve pain from Carpal Tunnel Syndrome.
We are positive that we can help you find relief from your carpal tunnel pain through physical therapy or orthopedic surgery. In some cases, an epidural steroid injection may be used to control your symptoms so that you can participate more fully in a physical therapy program and become more active. The advantage to this type of injection is that it is easy to do, even without the guidance of a fluoroscopic x-ray machine. During the transforaminal injection, your doctor places the tip of the needle into the neural foramen using the fluoroscopic x-ray machine to watch and guide the needle into the correct position. A local anesthetic medication, such as lidocaine or bupivicaine, is the same medication that is used numb an area when you are having dental work or having a laceration sutured. Reducing swelling can allow the nerves to function better – reducing numbness and weakness. You may receive special instructions to take your usual medications with a small amount of water. If you are in pain or anxious, you may also be given medications through the IV for sedation during the procedure. The bleeding can cause a large pocket of blood to form around the nerves putting too much pressure on the nerves. Checo is an excellent doctor who always takes the time to listen to me and answer my questions. Over time, maintaining an increased activity level may lead to an overall reduction in your symptoms. The injection is usually done as close as possible to the area of the spine that is causing your symptoms. The advantage to this type of injection is that it places the medication in the front of the spinal canal, near the intervertebral disc. The medication causes temporary numbness lasting one hour to six hours, depending on which type of anesthetic is used. This is thought to be due to chemicals that leak from the torn disc and inflame the nerves. You will most likely need to have this medication regulated or temporarily discontinued prior to the injection.
Like most procedures where medications are injected, there is always a risk of allergic reaction.
Because the epidural needle is larger than the spinal needle, the hole in the spinal sack may continue to leak and not seal itself off immediately. This procedure involves taking a small amount of blood from a vein in your arm and injecting it into your back in the epidural space. Cortisone has bad side effects when you take the medication often, either as a pill or as an injection. The spinal cord ends at the second lumbar vertebra, so in the lower lumbar spine there are only spinal nerves running within the spinal canal. Fluid injected through this opening can flow upward through the epidural space and reach the nerves throughout the lower lumbar spine.
The nerves do not have enough room to function correctly and begin to cause pain, numbness and weakness into the legs.
Your doctor will need to determine if it is safe to discontinue these medications in order to have the injection. The infection can cause a large pocket of pus to form around the nerves and puts too much pressure on the nerves.
These side effects are why doctors do not like to do these injections more often than necessary..
If the cortisone can reduce the symptoms at the beginning, then as the cortisone injection wears off the chemical irritation may be gone and the pain may not return. An ESI once every four to six months may reduce the swelling enough to reduce the pressure on the nerves and the symptoms of pain, numbness and weakness.
The medication used for the injection will go in the same place, so the doctor wants to make sure that the medication will go to the right place to do the most good. Once the correct position is confirmed, the medication is injected and the needle is removed. That is why the headache goes away when you lie down – the spinal fluid pressure goes back to normal in your skull. Most spinal headaches go away in a few days when the hole in the spinal sac heals and closes.

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