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PROCEDURES
Joint injections typically constitute of a mixture of steroid and lidocaine solution which is injected into the actual
inflamed joint.
Joint injections are given to relieve the inflammation which is the source of pain in a particular joint. This pain can
be caused by osteoarthritis, cartilage, ligament or tendon injuries within the joint.
This is a simple in office procedure and gives excellent relief for shoulder, hip, knee, and elbow pain. There is minimal to no pain on needle entry as ethyl chloride cold spray is used to freeze the skin.
An ethyl chloride cold spray is used prior to the injection so that the needle is not felt on the skin. The procedure uses ultrasound guidance for accurate guidance of the needle into the joint. A mixture of lidocaine and steroid or lidocaine and homeopathic solution is used to inject the joint.
It is generally a safe procedure. As with any injection procedure, it carries a small risk of potential complications such as bleeding and infection.
Trigger points are “knotty” areas or bands in muscle tissue. Trigger points are commonly seen in “Myofascial Pain Syndrome.”
Trigger point injections are sometimes given for neck pain, headaches, and low back pain to treat muscle spasms and other soft tissue problems. Typically a low dose of anesthetic medication is injected into the trigger points after careful examination.
This is a simple in office procedure and gives excellent relief for headaches, neck pain, and mid/low back pain, shoulder, hip and thigh pain of the myofascial origin and soft tissue damage. There is minimal to no pain on needle entry as ethyl chloride cold spray is used to freeze the skin.
An ethyl chloride cold spray is used prior to the injection so that the needle is not felt on the skin. The procedure takes 5-10 minutes based on the location and number of trigger points. A mixture of lidocaine and steroid or lidocaine and homeopathic solution is used to inject the trigger point, which helps to release the muscle spasm. These injections may be repeated as symptoms return in the patient.
It is generally a safe procedure. But as with any injection procedure, it carries a small risk of potential complications such as bleeding and infection.
Trigger points are “knotty” areas or bands in muscle tissue. Trigger points are commonly seen in “Myofascial Pain Syndrome.”
Trigger point injections are sometimes given for neck pain, headaches, and low back pain to treat muscle spasms and other soft tissue problems. Typically a low dose of anesthetic medication is injected into the trigger points after careful examination.
This is a simple in office procedure and gives excellent relief for headaches, neck pain, and mid/low back pain, shoulder, hip and thigh pain of the myofascial origin and soft tissue damage. There is minimal to no pain on needle entry as ethyl chloride cold spray is used to freeze the skin.
An ethyl chloride cold spray is used prior to the injection so that the needle is not felt on the skin. The procedure takes 5-10 minutes based on the location and number of trigger points. A mixture of lidocaine and steroid or lidocaine and homeopathic solution is used to inject the trigger point, which helps to release the muscle spasm. These injections may be repeated as symptoms return in the patient.
It is generally a safe procedure. But as with any injection procedure, it carries a small risk of potential complications such as bleeding and infection.
Our pain management doctors provide world-class, utmost professional care and a dynamic, team-oriented approach to offer relief for chronic pain.
Dr. Jignyasa Desai has devoted her life to health care and the improvement of pain conditions.
Mission statement:
iHeal Pain Center is founded by Dr. Jignyasa Desai with a dedication to eliminate pain and optimize health. Through traditional and innovative approaches, the center focuses upon healing of sports injuries and spinal disorders in all patients ranging from the athletic to the elderly. Dr. Desai methodology involves a holistic approach encompassing therapy, nutrition, and non-surgical techniques with the ultimate goal of improving daily function and lifestyle.
Training
College: East Tennessee State University B.S. Biology with honors
Medical School: Lake Erie College of Osteopathic Medicine
Internship: Aria Health System via Philadelphia College of Osteopathic Medicine
Residency: Physical Medicine and Rehabilitation- Stonybrook University
Fellowship training: Pain Medicine- Temple University (ACGME accredited training program)
Board Certifications:
• Physical Medicine and Rehabilitation (AAPMR)
• Pain Medicine (ABA)
Society Memberships:
American Board of Physical Medicine and Rehabilitation (AAPMR)
American Society of Interventional Pain (ASIP)
Society of Interventional Pain (SIS)
American Society of Physicians of India (APPI)
American Society of Osteopathic Physicians (AOA)
State Licenses:
New York and New Jersey
Publications
• Frankenberger V, Desai J. Prosthetic Management of Residual Limb Ulcerations with a Vacuum Assisted Socket Suspension: American Journal of Physical Medicine and Rehabilitation. Volume 87 (3), Page S49, March 2008
• Tang N, Desai J, Stickevers S, Awan G. Hip, Buttock, and low back pain associated with ischiogluteal bursitis a case report: American Journal of Physical Medicine and Rehabilitation. Volume 88, (3) Page S12, March 2009.
• Desai J, Stickevers S. Treatment of post amputation focal dystonia with Botulinum Toxin A: American Journal of Physical Medicine and Rehabilitation. Volume 88, No 3. Page S20, March 2009.
• Desai J, Lai Y. Methylmethacrylate (MMP) hypersensitivity reactions post orthopedic hardware implantation: A case report: American Journal of Physical Medicine and Rehabilitation. Oct 22, 2009.
• Desai, J, Fahmy, M. Herpes Zoster associated with Recurrent Bell’s Palsy: A Case Report: American Journal of Physical Medicine & Rehabilitation: 89(4): S79, April 2010.
• Desai, J, Semel, J. Assessing Fall Data in Rehabilitation Hospitals Leading to Prevention Strategies. American Journal of Physical Medicine & Rehabilitation: 89(4): S83, April 2010.
• Kohane, Dan, Desai, J. Case Report: Brachial Amyotrophic Diplegia (BAD). 2011 (AAP) Association of Academic Physiatrists. Annual Meeting in Phoenix, Arizona, April 12-16, 2011.
• Desai J, Falco F. A case study: Peripheral Nerve Stimulator (PNS) in treatment of intractable migraines. To be submitted for publication 2011
• Vesga R, Falco F, Husain A, Desai J. Chapter 12: Abdominal Pain and Treatment Options. In: Kaye A, editor. Understanding Pain: Taking Control of Your Life. Praeger/ABC-CLIO Press; 2011.
• Falco F, Desai J. Stimulation produced analgesia. In: Manchikanti L, Christo P, Trescot A, Falco F (eds.). Comprehensive Pain Medicine and Interventional Pain Management Board Review. Paducah, KY: ASIPP Publishing; 2011.
• Zhu Z, Falco F, Desai J. Intrathecal drug delivery. In: Manchikanti L, Christo P, Trescot A, Falco F (eds.). Comprehensive Pain Medicine and Interventional Pain Management Board Review. Paducah, KY: ASIPP Publishing; 2011.
• Onyewu C, Desai J, Falco F. EEG, MEG. In: Manchikanti L, Christo P, Trescot A, Falco F (eds.). Comprehensive Pain Medicine and Interventional Pain Management Board Review. Paducah, KY: ASIPP Publishing; 2011.•Desai, J, Sakheim, K. Anti-Depressants in Pain Management. Pain Management Clinical Pocket Guide. Currently in Publishing for spring of 2013.