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.
In some instances, your specialist may recommend that you undergo an injection of gentamicin into the middle ear instead of a steroid. Gentamicin is an antibiotic which is known to have mildly toxic effects on both the balance and hearing parts of the ear, although its toxic effects on the vestibular system are very much more potent than on the hearing. Despite this, there is an increased chance of a hearing loss occurring with intratympanic gentamicin injections. For this reason, they are usually reserved for patients with a pre-existing severe hearing loss at the time the vertigo is diagnosed.
An epidural steroid injection places this powerful anti-inflammatory medication directly around the spinal nerves. Traditionally epidural injections were administered without any special equipment, by inserting the needle by feel in the area around the spinal nerves. More recently epidural injections have been administered with the aid of imaging tools to allow your physician to see the needle going to the proper location. Either real-time x-ray called fluoroscopy, or CT scan can be used to 'watch' the needle deliver the medication to the proper location.