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Cervical Epidural Steroid Injection (without contrast) - This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves. It can be done as an outpatient procedure at Nucci Medical or our Citrus Park Surgery Center with sedation. Relief of pain can be seen in as early as 24 hours.
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Coccydynia - This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks. Our orthopedic doctors at Nucci Medical can diagnose the problem and offer treatment options involving medication and injections. Surgery is rarely needed.
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Costovertebral Joint Injection - This outpatient procedure is an injection of pain-relieving medication into one or more costovertebral joints. These are the joints that form the connections between the ribs and the vertebrae. Relief is usually immediate and can be done in outpatient setting with sedation.
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Degenerative Disc Disease - This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back. Our orthopedic experts at Nucci Medical can diagnose this problem and determine if it is a part of your pain. Contrary to popular belief, DDD is often not painful.
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Discography (Lumbar) - This procedure, also called a "discogram," helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let's watch a discography done in the lumbar spine. Dye is usually injected into the disks to show area of potential painful disk tears, also called annular tears.
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Discography (Thoracic) - This procedure, also called a "discogram," helps our doctors find painful spinal discs. It can show the source of pain in your back. To see how it works, let's watch a discography done in the thoracic spine.
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Electromyography (EMG) - This is a test of your muscles and nerves. It usually has two parts. One is a nerve conduction study. This measures how well electricity moves through your nerves. The second part is a needle electromyogram. It records the electrical signals your muscles make when you move them. The results can help our doctors locate nerve compression in your spine, arms, and legs.
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Fluoroscopic Guided Piriformis Injection - This outpatient injection procedure is performed in our Citrus Park Surgery Center to diagnose and relieve the pain of piriformis syndrome, an irritation of the sciatic nerve caused by a contraction of the piriformis muscle in the buttocks.
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Foraminotomy (Lumbar Spine) - This procedure relieves pressure on spinal nerves in your lower back. It makes more room in an opening called a "foramen." That's where a spinal nerve exits as it branches away from your spine. It Is performed outpatient and minimally invasively at our Citrus Park Surgery Center.
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Herniated Discs - A herniated disc is a common injury that can affect any part of the spine. A herniated disc can cause severe pain and other problems in the arms or legs. Our orthopedic surgeons at Nucci Medical can diagnose and treat the problem with physical therapy and injections if needed. Disk herniations usually heal but if they do not, they can be treated at our Citrus Park Surgery Center as an outpatient, with minimally invasive surgery.
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High Dosage Laser Therapy (HDLT) - This is a way of caring for injured tissues with laser light. If your muscles or joints hurt from conditions such as fibromyalgia or arthritis, high dosage laser therapy may help. It is done in our office at Nucci Medical by our Orthopedic specialists. Pain often improved after four treatments.
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Interspinous Stabilization (Coflex) - In this surgical procedure, a titanium alloy device is implanted to relieve back pain or numbness in the legs or buttocks caused by spinal stenosis. This procedure is a non-fusion, minimally-invasive alternative to laminectomy with or without spinal fusion. It Is performed outpatient at our Citrus Park Surgery Center.
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Intraoperative Monitoring (IOM) of the Nerves - This technique is used during complex surgical procedures done at our Citrus Park Surgery Center, especially those that involve manipulation of the spinal cord and spinal nerve. IOM allows a neurotechnologist to monitor the health of the nervous system in real time during surgery. This greatly reduces the risk of surgery-related nerve damage.
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Kyphosis - This condition is a deformity of the spine. With it, your vertebrae change from a cylindrical shape to a wedge shape. Your spine may begin to curve forward. Eventually, this gives your upper back a rounded appearance. The condition is usually not painful and can be diagnosed by x-ray at Nucci Medical by our orthopedic surgeons.
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Laminectomy - This procedure relieves pressure on the nerve roots in the spine. It is most commonly performed to relieve the pain of stenosis. This is a narrowing of the spinal canal that is often caused by the formation of bony growths that can press against the nerve roots. The surgeon may treat one or more vertebrae. The procedure can be done minimally invasively at our Citrus Park Surgery Center by our Board-Certified orthopedic surgeons in Tampa.
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Lumbar Disc Microsurgery - This minimally-invasive procedure relieves pressure on nerve roots caused by a herniated disc. It can eliminate the pain of sciatica.
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Lumbar Epidural Steroid Injection (without contrast) - This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions. Other homeopathic medications can also be used. The procedure can be done in our office or our Citrus Park Surgery Center. Patients can return to work the same or next day.
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Lumbar Radiculopathy (Sciatica) - This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column. Our orthopedic surgeons at Nucci Medical diagnose the problem by physical exams. Treatment options include: medication, epidural steroid injections, and occasional surgery.
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Lumbar Transforaminal Epidural Steroid Injection - This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete. It is done under x-ray guidance in our Citrus Park Surgery Center with sedation. Homeopathic medication can also be used in place of steroids.
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Medial Branch Block - This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time. It is performed outpatient in our Citrus Park Surgery Center.
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Micro Endoscopic Discectomy - This minimally-invasive procedure is performed through a tubular device. It is designed to relieve pain caused by herniated discs pressing on nerve roots. This surgery is performed on an outpatient basis, which allows the patient to leave our Citrus Park Surgery Center the same day.
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Pain Management (Overview) - If you suffer from pain, you know how hard it can be to live with. Pain management is a branch of medical care that specializes in pain control. It can help you enjoy a better quality of life. Our board-certified pain management specialists can help evaluate and treat your injuries.
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Piriformis Syndrome - This is a pain and numbness you feel in your buttock and down the back of your leg. It involves the sciatic nerve. That's a large nerve that travels from your lower spine down to your foot.
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Post-Laminectomy Syndrome - This condition, also called "failed back syndrome," is a type of chronic pain. It can develop in some people after spine surgery.
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Radiofrequency Neurotomy of the Lumbar Facets - During this minimally-invasive procedure performed at our Citrus Park Surgery Center, the physician uses heat from radio waves to treat painful facet joints in your lower back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn't respond to medications or to physical therapy.
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Radiofrequency Neurotomy of the Thoracic Facets - During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your upper back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn't respond to medications or to physical therapy. It is performed under x-ray guidance in our Citrus Park Surgery Center with sedation. Relief usually begins in 3-5 days and continues to improve.
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Sacroiliac (SI) Joint Steroid Injection - This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
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Sacroiliac Joint Fusion - If you have a painful damaged or diseased sacroiliac joint (we call it the "SI" joint), a fusion may help. With the iFuse System, your surgeon uses titanium implants to join your hip's ilium bone to the spine's sacrum. This may relieve the SI joint pain. Our doctors at Nucci Medical may also discuss other SI fusion techniques.
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Sacroiliac Joint Pain - Your sacroiliac joints (we call them the "SI" joints) are the places where your hips meet your spine. These joints don't have a lot of flexibility, but they do move slightly as you move your body. And if SI joints become damaged or diseased, it can be painful.
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Sacroiliac Joint Steroid Injection - This injection procedure is performed at our Citrus Park Surgery Center to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint. Other homeopathic medications can also be used.
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Scoliosis - This condition is an abnormal curvature of the spine. It most often develops in early childhood, just before a child reaches puberty. Our orthopedic surgeons at Nucci Medical diagnose this condition through physical exam and x-ray. X-rays can be done in office at our clinic during your first visit, if not done already.
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Spinal Cord Stimulation - Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed. The patient can be done outpatient in our Citrus Park Surgery Center in Tampa by our orthopedic surgeons. Patients go home the same day.
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Spinal Cord Stimulator Implant (Trial Procedure) - Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.
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Spinal Fusion (Lumbar) - In many spinal surgeries, two or more vertebral bones are permanently joined with a technique called "spinal fusion." A fusion creates a solid mass of bone. It stabilizes your spine. This procedure can be done minimally invasively with small incisions and minimal blood loss. It can be done at our Citrus Park Surgery Center by our board-certified orthopedic surgeons in Tampa.
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Spinal Stenosis - The spinal column contains open spaces that create passageways for the spinal cord and the spinal nerves. Spinal stenosis is a narrowing of (or an intrusion into) these openings. This can cause a compression of the nerves. Spinal stenosis most commonly affects the cervical and lumbar regions of the spine. Our orthopedic experts can diagnose this condition on x-ray and MRI. Treatment options include outpatient epidural steroid injections and minimally invasive spine surgery.
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Spondylolisthesis - This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems. Our orthopedic surgeons can diagnose this condition with flexion-extension x-rays and MRIs. X-rays can be quickly done in our clinic during your first visit, if not done already. Treatment includes outpatient epidural steroid injections and minimally invasive spine surgery.
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Spondylosis - This condition is a degeneration of the spine that can affect the spine at any level, resulting in pain and discomfort that can grow worse over time. This condition is not always painful. Our orthopedic specialists can diagnose the causes of the pain and offer multiple treatment options.
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Thoracic Epidural Steroid Injection - This outpatient procedure is an injection performed to relieve pain in the upper back. It can be performed in our doctor's office or in our Citrus Park Surgery Center with sedation. Relief of pain is usually seen in 24 hours.
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Where Lower Back Pain Begins - Lower back pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your lower back. Our Tampa orthopedic doctors at Nucci Medical can diagnose the different causes of pain and offer non-surgical treatment options.
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