Head, Neck and Spine Treatments
Caudal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid and anesthetic medication combination through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete and it can reduce pain to the lower back and legs. This procedure allows a direct route to the epidural space and in cases of patients with prior spine surgery, it can allow the pain physician to obtain access without encountering scar tissue. This procedure can help the pain of Lumbar Radiculopathy due to lumbar stenosis.
Celiac Plexus Block (Percutaneous Approach)
This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. It can reveal Discogenic Pain. In many cases, a spine surgeon will order a discogram to help determine what painful discs to address during surgical planning. To see how it works, let’s watch a discography performed in the lumbar spine.
Facet Joint Injections
The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. This is especially common in arthritic conditions of the spine. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation. Facet pain can also be relived with facet nerve or medial branch nerve blocks with subsequent radiofrequency ablation.
Lumbar Epidural Steroid Injection
This injection procedure is performed to relieve low back and radiating leg pain (Lumbar Radiculopathy). Steroid medication can reduce the swelling and inflammation caused by spinal conditions and steroids are theorized to help stabilize nerve endings that cause pain.
Lumbar Transforaminal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid and anesthetic medication combination. The medication can reduce swelling and inflammation of irritated spinal nerves from a Herniated disc. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs (Lumbar Radiculopathy). The injection takes only a few minutes to complete and is highly specific at treating the painful levels.
Radiofrequency Neurotomy of the Lumbar Facets
This injection procedure is performed to relieve pain caused by arthritis in the facet joint. This procedure helps to destroy a sensory nerve implicated in transmitting pain signals from the facet joints. Therefore, this procedure can help pain resulting from Facet Joint Syndrome.
Sacroiliac Joint Steroid Injection
Stellate Ganglion Block
A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. This procedure maybe effective for a condition called Complex Regional Pain Syndrome. Treatment may require a series of injections in combination with physical therapy exercises.
Thoracic Transforaminal Epidural Steroid Injection
This injection procedure relieves pain in the upper back, ribs, and abdomen caused by a pinched nerve (or nerves) in the thoracic spine. It is a highly targeted procedure to address specific levels of pain generators.
This minimally-invasive, outpatient procedure is used to treat a compression fracture of the vertebra, an injury that commonly results from osteoporosis and/or injury. This technique can restore the height of the vertebra and stabilize the fracture, providing rapid pain relief. Furthermore, this procedure helps to reduce the risk of subsequent compression fractures of neighboring vertebral bodies.
General Body Treatments
Trigger Point Injections
This procedure is designed to reduce or relieve the pain of trigger points. These small, tender “knots” can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete and can be done in the office setting without anesthesia. Trigger points are commonly found in many pain conditions including fibromyalgia.