It is very difficult to predict if the injection(s) will indeed help you or not. The patients who present early during their illness tend to respond better than those who have this treatment after about six months of symptoms do. Patients in the advanced stages of disease may not respond adequately.

Stellate Ganglion Injection is an injection of local anesthetic in the "sympathetic nerve tissue" – the nerves which are a part of Sympathetic Nervous System. The nerves are located on the either side of the voice box, in the neck.

This procedure is performed to determine if there is damage to the sympathetic nerve chain and if it is the source of the patient’s arm pain. This is mainly a diagnostic block but may also provide pain relief in excess of the duration of the anesthetic.

Cortisone can reduce the inflammation in an area of the body enough so that the body’s natural defenses can work more effectively. Often there is just too much inflammation for our body to deal with.

A ganglion cyst is a bump or mass that forms under the skin. Most commonly, ganglions are seen on the wrist (usually the back side) and fingers, but they can also develop around joints on the shoulder, elbow, knee, hip, ankle and foot. Ganglion cysts form when tissues surrounding certain joints become inflamed and swell up with lubricating fluid. They can increase in size when the tissue is irritated and often can "disappear" spontaneously.

One of the most effective ways to avoid injection site reactions and keep your skin healthy is to rotate your injection areas each day. You can learn more about proper injection techniques and tips by clicking here. For people on COPAXONE®, Shared Solutions® can send you a free daily planner to keep track of injections and medical appointments.

A cortisone injection into the area of the posterior inferior iliac spine can be of benefit. Marcaine and triamcenalone seem to be effective. I you inject into the joint and the joint is intact, you may encapsulate the injection and it will not reach the tissues posterior to the S3 segment the are most affected.

Ganglion cysts are fairly easy to diagnose because they are usually visible and pliable to the touch. They are distinguished from other growths by their location near tendons or joints and by their fluid consistency. Ganglion cysts are sometimes confused with a carpal boss (a bony, non-mobile spur on the top of the wrist), but can usually be distinguished by the fact that they can be moved and are usually less painful for the patient.

The cause of ganglions is not always clear. Non-occupational factors or conditions such as rheumatoid arthritis have been associated with ganglion cysts. Occupational factors play also an important role in the development of ganglions. Those occupations that require workers to excessively overuse certain joints such as the wrist and fingers pose the risk for ganglion cysts.

If you are allergic to any of the medications to be injected, if you are on a blood thinning medication (e.g. Coumadin), or if you have an active infection going on near the injection site, you should not have the injection. No part of this document may be reproduced in any form without the written consent from Shishir A. Dhruva, MD

Fuel injection is a replacement for the carburetors that were around since the dawn of the automobile. There are many basic types of fuel injection, but we should start by saying what a fuel injector is - it's basically an atomizer, something that sprays a mist of gasoline into the air. This helps the gas to mix better with the air and stay in an even suspension, so that it burns more evenly and creates less pollution and more power. (Think of cooking spray vs.

The Division of Oil and Gas, Underground Injection Control Section has primacy of its injection well program. Injection well permits are issued by the Division. Please contact the Underground Injection Control Section at (614) 265-6926 for details.

It is very difficult to predict if the injection will indeed help you or not. Generally speaking, the patients who have "radicular symptoms" (like sciatica) respond better to the injections than the patients who have only back pain. Similarly, the patients with a recent onset of pain may respond much better than the ones with a long standing pain. Also, the patients with back pain mainly due to bony abnormality may not respond adequately.