I am a patient of Dr. Jeffrey Oppenheimer, who is my spine doctor. I have gotten wonderful care from him and all the PAs and staff. At Hollywood and Palm Beach Gardens. They are extremely talented and I could not ask for a better knowledgable doctor in his field. He is kind, patient, and takes the time needed to answer your questions and concerns. He has helped me so much. I will have the lumbar operation with him as my doctor. Also, I was referred to Dr. Shapiro in that group who is a knee doctor. I have gotten an MRI now and he prescribed a physical Therapist that is really helping me. This is the third set, the other two were Prescribed by another doctor that I did not get the hands on treatment from. I can not say enough good things about this group of doctors, PAs and their group.
The needle is smaller in size than that used during a conventional epidural approach. The procedure is performed with the patient lying on their belly using fluoroscopic (real-time x-ray) guidance, which helps to prevent damage to the nerve root. A radiopaque dye is injected to enhance the fluoroscopic images and to confirm that the needle is properly placed (See Figure 2). This technique allows the glucocorticoid medicine to be placed closer to the irritated nerve root than using conventional interlaminar epidural approach. The exposure to radiation is minimal.