Dr. Tai is certified by the American Board of Physical Medicine and Rehabilitation with subspecialty certification in Pain Medicine. He is licensed as a Physician by the New Jersey State Board of Medical Examiners and as an acupuncturist by the New Jersey State Acupuncture Examining Board. He is currently practicing pain management at his office in Bridgewater New Jersey, at Robert Wood Johnson University Hospital-Somerset, and at Somerset Ambulatory Surgical Center.
During the ILIF procedure, the surgeon makes a small incision in the lower back and an opening is created through the ligaments. This allows access to the spinous processes (the bone you can feel when you run your hand down your spine). The damaged portion of the disc is removed and allograft bone is placed in the empty space. This helps protect the spinal cord and nerves. A metal implant is inserted to stabilize the spine and secure the spinous processes until the fusion takes place. Morsellated bone is used together with the allograft to fuse the vertebra above and below.
An interlaminar epidural injection is commonly given for inflammation in one of three areas of the spine. In a cervical epidural injection, the steroids alleviate neck, shoulder, and arm pain. A lumbar epidural injection affects lower back, hip, and buttock pain, as well as discomfort in the legs. With a thoracic epidural, the medicine attacks inflammation in the upper back, ribs, and, in some instances, the abdomen. About 50% of patients report noticeably less pain in the affected areas after receiving an interlaminar epidural injection.