Cervicalgia and chronic pain syndrome post-op diagnosis

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Reference no: EM133868291

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Pre-op Diagnosis: multilevel C spine degenerative disc disease, with upper extremity radiculopathy. neck pain, cervicalgia and chronic pain syndrome Post-op diagnosis: same as pre-op dxs Procedure: Cervical epidural steroid injection, level C6/C7 via midline approach with fluoroscopy and epidurogram Anesthesia: local anesthesia with IV sedation per Anesthesia department due to complications associated with anxiety and low pain threshhold due to complications associated with severe chronic pain. Procedure: 18 gauge, 3 1/2 inch Tuohy epidural needle advanced via midline approach until cervical epidural space identified. Confirmation of needle placement identified. Epidurogram performed which showed excellent spread of contrast solution one segment above and one segment below tip of needle placement. 120mg of Depo-Medrol and 4cc preservative free normal saline injected into cervical epidural space without complications. Needle removed. Bandaid was placed over puncture site.

Reference no: EM133868291

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