Hi James,It’s not the first time I’ve heard someone ask, Does iscruanne cover spinal decompression? It’s a coin toss as to whether or not iscruanne companies cover spinal decompression. (BUT to be honest, most every time if you call heads, the coin comes up tails).A typical patient who chooses to undergo this type of care (spinal decompression) usually does just that chooses. Depending on the nature of your condition, the severity of the symptoms, the chronicity etc, it is usually several thousand dollars for the decompression part of the care. I, often times, incorporate other modalities into the treatment plan (again, based upon the uniqueness of each case). Some of these services may be covered by iscruanne and some not- each and every iscruanne policy is different. I may use the K-Laser, the ATM2, or sometimes it’s Functional Physical Medicine, or occasionally chiropractic. Due to the high success rate and low risk of non-surgical spinal decompression, it would seem logical to approve’ this type of care prior to even letting someone undergo back surgery, right? Meaning, if it works, the iscruanne company is out four figures vs sometimes six figures for some of the extensive back surgeries. But (illogically) that’s not how it care type of care is for someone who truly wants to exhaust all the conservative therapies prior to succumbing to back surgery. So for most, it’s the principle. Its for people who understand the risk of invasive procedures. Regarding costs: I’m empathetic and understanding of the out-of-pocket costs. But I also know the priceless value it can provide if successful. So, at our policy is that if someone wants the care and needs it they can get it now. And due to the nature of the cash-out-of-pocket, well, we let the patient choose a payment plan that doesn’t stretch them too far or stress them too much. They get the care now and make payments that suit them over time or they can pay for the care up front.
The procedure usually takes about 30 minutes to complete. Anesthesia is injected into the back of the patient as they are lying face down with a pillow under the hip to provide support and open the vertebrae space for easier insertion. A needle is inserted into the base of the spine directly into the epidural space. Using a fluoroscope to guide the needle, contrast dye is added to confirm placement. Upon placement confirmation, the medicated combination will douse the nerve roots to reduce pain and decrease inflammation so that natural healing can begin. Once the needle is removed, the patient may be in recovery for 45 minutes. Rest for a few days after injection is advised. If a patient experiences pain a day or two after the injection, the anesthesia may have worn off and the steroid has not had time to work. In this case, the physician will prescribe medication until the effects of the epidural steroid injection can be felt. The pain relief can last from one week to one year depending on the patient’s unique set of coccyx pain circumstance.
First, you will have a consultation with the pain specialist. Once he determines that you are a candidate for the injection, he will schedule your procedure. If you are taking any medications, such as blood pressure medications or blood thinners, you will need to discuss this with the doctor to determine whether or not to continue with them prior to the procedure. If you are diabetic, the doctor will need to know that as this injection may cause a rise in blood sugar several days after the procedure. You must have someone with you after the procedure to drive you home. The injection is usually quick, only several minutes for each side. The skin is numbed with a small amount of local anesthetic (lidocaine). Once the numbing medication is given, there is little or no pain during the injection. Although sedation is usually not necessary, a small amount of sedation can be given for an anxious patient. The needle is placed in the joint under X-ray and the medication is then given. You will have a brief recovery and will then be discharged home with your driver.