As a skilled and experienced Pain Medicine Interventionalist, Dr. Levin evaluates each patient very thoroughly and carefully to help determine appropriate treatment options in order to provide the most effective individualized care. These treatment options may include: Lumbar, Thoracic and Cervical Epidural Steroid Injections utilizing targeted transforaminal techniques, Lumbar and Cervical Sympathetic Blocks, Sphenopalatine, Facial and Head and Neck Procedures, Discography, Percutaneuos Discectomy or Disc Decompression procedures, precision joint and nerve injections, Radiofrequency Neuroablative procedures, Peripheral or Spinal Cord Stimulator trials and implants, Foraminoplasties and several patented and patent pending advanced interventional procedures.
I have some info. I developed this same ileopsoas tendinitis two weeks after left hip and two weeks after right hip replacement. The surgeon denied it could be the hip causing this. He sent me to a rheumatologist and low back surgeon, wasting my money. He is considered the best surgeon in the state! He got so frustrated with me. The pain became so severe I could barely walk. I was in misery. Finally, he put cortisone in the trochanter bursa and the pain went away in a couple days. When the same pain occurred after the second hip, I got the cortisone. I have also tried cortisone directly into, by ultrasound, the tendon. That did not work any better than just doing the bursa. So every three months for five times each hip, I got cortisone. I went to PT and stretching made the pain severe and debilitating. I also had several dry needling from the PT which did nothing.
Although epidural steroid injections (also called epidural corticosteroid injections) may be helpful to confirm a diagnosis, they should be used primarily after a specific presumptive diagnosis has been established. Also, injections should not be used in isolation, but rather in conjunction with a program stressing muscle flexibility, strengthening, and functional restoration.
Epidural injections and intradiscal injections have been used in the treatment of non-radicular degenerative disc disease with limited success. Proper follow-up after injections to assess the patient's treatment response and ability to progress in the rehabilitation program is essential. A limited number of injections can be tried to reduce pain, but careful monitoring of the response is required prior to a second or third injection.