After the procedure, the patient is held for approximately 2 hours and can be discharged. We have had no problem carrying out the procedure in an outpatient imaging center. Pain medication and antiinflammatories can be given for a short period after the procedure. If the patient has a very inflamed nerve root, consideration can be given to carrying out an image-guided selective nerve block to facilitate recovery. Postoperative physical therapy can be very helpful to facilitate recovery and prevent a reherniation. A procedure that does not result in substantial relief of pain should not be considered a failure until at least 6 weeks have passed postoperatively.
The only postoperative complication that need be looked for is disci-tis. It can occur months after the procedure and manifests as progressively worsening back pain. A normal sedimentation rate virtually excludes the diagnosis, but normal imaging studies do not exclude the diagnosis. In the face of an abnormal sedimentation rate, the disc should be reaspirated to exclude discitis.
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Tired Having Back Pains All The Time, But You Choose To Ignore It? Every year millions of people see their lives and favorite activities limited by back pain. They forego activities they once loved because of it and in some cases may not even be able to perform their job as well as they once could due to back pain.