Kyle E. Shilk, DO, MBA
Interventional Pain Management
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Conditions Treated/Clinical Services Provided
- Fluoroscopically guided injections
- Treatment for back, neck and hip pain, spinal disorders and pain associated with neurological disorders
- Botox for migraines
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Locations
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Fellowship Training
Interventional Pain Medicine Fellowship
State University of New York
Upstate Medical University,
Syracuse, NY
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Education
Anesthesiology Residency
State University of New York
Upstate Medical University,
Syracuse, NY
Medical School
Lake Erie College of Osteopathic Medicine, Erie, PA
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Certifications & Activities
Certifications and Licensures
American Board of Anesthesiology (ABA) Diplomat
Board Certified, Anesthesiology
Board Certified, Pain Medicine
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APP
FAQs about Fluoroscopically Guided Injections
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What is a fluoroscopically guided injection?
This procedure is performed under X-ray guidance using a fluoroscope, which allows for safe and accurate placement of the medication using an injection. Most procedures are done with local anesthesia, usually lidocaine, and a small amount of iodine-based contrast material is generally used to ensure appropriate needle placement.
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Why would I receive a fluoroscopically guided injection?
Fluoroscopically guided steroid injections are typically used to alleviate chronic spine, leg or arm pain. Steroids (cortisone) have been shown to reduce inflammation and pain. While the effects of the injection tend to be temporary--providing pain relief for one week to one year--a steroid injection can be highly effective because it delivers the medication directly to the site of inflammation.
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Are there possible complications?
In general, fluoroscopically guided injection procedures are very safe and complications are rare. Patients may experience local tenderness or an increase in pain at the injection site. The specialist will review possible issues prior to your procedure.
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In what offices are the injections performed?
Tri Rivers provides fluoro injections in three of its offices: one in BHS Crossroads, one in Cranberry/Mars and one in Slippery Rock. Dr. DeCotiis performs injections in our BHS Crossroads Campus and Cranberry/Mars offices.

