Douglas Manganelli M.D. is a Board-Certified Physician in Anesthesia and Pain Management. Coastal Back and Pain is the leading provider of minimally invasive pain relief surgery in New Jersey. Coastal Back and Pain Institute is one of the only practices to perform leading edge procedures on an outpatient basis. By performing endoscopic laser disectomy, endoscopic fusions, epidural steroid injections, facet joint injections and radio frequency ablation in comfortable fully equipped offices you:
- Avoid expensive hospital stays
- Are home the same day
- Enjoy faster recovery with minimal tissue damage
Dr. Douglas Manganelli prides himself on explaining available options with every patient beforehand, thereby making the treatment process as stress-free as possible. We recognize the realities of back and neck pain, and for this reason have put together a team approach for the management of your pain.
Intradiscal Injection is performed for both diagnostic and therapeutic purposes. For diagnostic reasons, a local anesthetic is used to temporarily block pain within a disc and determine if the pain is coming from that particular disc. For therapeutic reasons, a steroid is injected to decrease inflammation within a disc. The steroid usually takes two to three days to relieve pain.
Facet joints are small joints at each segment of the spine. They stabilize the spine and help guide motion. If the joints become painful due to arthritis, injury, or mechanical stress, they can cause pain in various areas. The lumbar facet joints can cause pain in your lower back, hip, buttock or leg.
Branch nerves extend out from the facet joints in the spine and carry pain signals from these joints. A branch nerve block temporarily interrupts the pain signal being carried by the branch nerves. The entire process generally takes 15 to 30 minutes. The patient is then left to rest on the table for about 20 to 30 minutes following the procedure.
Nerve Root Blocks are injections into the sheath surrounding a nerve root to decrease pain temporarily. Pain relief varies from minimal to long term depending on the symptoms. If symptoms don’t begin to improve within a week of your procedure, your doctor may want to explore other sources for your pain.
Doctors will then determine the proper procedure to treat the affected area. Pain is sometimes induced from the dye causing the disc to inflate. This can be an added proof as to the location of the pain and if the particular disc is contributing to the overall problem.
With spinal probing procedures, the patient remains awake and is administered with a local anesthetic. A small incision is made and a cannula (tube) is inserted. A probe is inserted into the cannula and down to the disc indicated in the preliminary diagnosis under X-ray guidance.
“Everyone from the front desk, through the procedure, to the recovery was great.
The entire staff was very caring, helpful, and understanding with my procedure.
They are the best doctors in the game. Thank you so much for everything.”
“Coastal Back and Pain Institute are in a class by themselves, as is their support staff at the office and surgical center.
Great job – no pain. The staff was wonderful, very thoughtful, and considerate. Overall, a very positive experience.”
“The staff at the Surgery Center of Lakewood is and always has been professional, caring, and courteous in every aspect of taking care of me as a client. As a healthcare professional myself, I can say that the compassion is truly carried throughout the whole staff. Thank you all for everything you have all done for me in making me feel comfortable and safe during my procedures that I have had at your facility.”
“Dear Staff, Thank you all for the wonderful care before, during, and after my procedure. The attention you gave to me is, was, and will always be greatly appreciated. The care is excellent and the professionalism and dedication is marvelous. I will recommend your facility to many people. If at any time I have a problem again, I will certainly call immediately for an appointment.”