Epidural

The most commonly performed injection is an epidural steroid injection.

What should I expect?

Prior to the injection, you will be given a local anesthetic, in the area of the injection site. A steroid will be injected directly around the dura, the sac around the nerve roots that contains cerebrospinal fluid (the fluid that the nerve roots are bathed in). Fluoroscopy (x-ray) is used for guidance.

How will this help me?

Injecting around the dura sac with steroid can noticeably decrease inflammation related with common conditions such as spinal stenosis, disc herniation or degenerative disc disease. The effects of the injection are likely to be temporary (one week to one year). However an epidural can be very favorable in providing relief for patients during episodes of severe back pain allowing them to continue with their physical therapy.

What do I need to bring?

Bring any x-rays, MRIs and reports with you to your injection.

Is there a prep?

• If you allergic to iodine or any medications contact us at our Diamond Hill location (303 433-9729)
• Discontinue taking any aspirin, or any anti inflammatory medications at least 10 days prior to you procedure.
• Contact your doctor if you are taking coumadin or are on heparin.
• If you think you are pregnant contact your physician and Advanced Medical Imaging prior to your procedure

Myelogram/CT

What is a myelogram?

A myelogram is an x-ray procedure used to examine the spinal canal of your back. It will help your physician better understand your back problem.

What should I expect?

A Radiologist will perform this procedure and answer questions you may have. Utilizing fluoroscopy (x-ray) guidance the Radiologist will insert a needle into the subarachnoid space of your spinal canal. Contrast (x-ray dye) will be injected into the canal. Then several x-rays are taken to show the spinal canal and the nerves within it. After the myelogram is completed you will have a CT for additional pictures.

Is there a prep?

• Discontinue taking any aspirin, or any anti inflammatory medications at least 10 days prior to you procedure.
• Contact your doctor if you are taking coumadin or are on heparin.
• If you allergic to iodine or any medications contact us at our Diamond Hill location (303 433-9729).
• Drink plenty of water 24 hours prior to your procedure
• No solid food, however you may have a liquid breakfast the morning of your test.
• No alcohol 48 hours prior to your myelogram
• Bring all pertinent x-rays, MRIs and reports with you to your appointment.
• If you think you are pregnant contact your physician and Advanced Medical Imaging prior to your procedure

Can I drive home?

You must have a driver to take you home.

When can I resume normal activities?

You will receive post procedure instructions before you leave our facility. You will need to lie on your back 1-2 hours after the procedure is finished.