Services

Our pain management team takes your overall health concerns into consideration as we choose the course of treatment that is right for you. We use fluoroscopy for all procedures to assure precision, eliminate guesswork, reduce discomfort, and maximize results. We offer sedation to minimize discomfort during procedures that are appropriate. We are experienced in the following procedures.

Vertebroplasty
Percutaneous Vertebroplasty is a minimally invasive procedure designed to relieve back pain caused by osteoporotic compression fractures of the thoracic and lumbar spine that have failed to heal normally. By injecting bone cement into the compressed vertebra the facture is stabilized significantly improving or alleviating back pain. Vertebroplasty also prevents further vertebral collapse, which is associated with height loss and spine curvature commonly seen with osteoporosis. With non-surgical therapies like vertebroplasty, you will experience less pain and risk, and will return quickly to previous activity levels.

Spinal Cord Stimulation (SCS)
Is a pain procedure that is used to treat back pain, certain types of headaches and limb pain. This works by implanting a small electrical device near the spinal cord which blocks the pain perception from traveling the spinal cord to the brain.

Facet Nerve Injection
Facet nerve injections are diagnostic procedures that identify the source of irritation in the nerves that run along the outer edge of the facet joints within the spine. If multiple levels of pain exist within the facets, several injections may be required on different days to pinpoint the pain source in each injection. By anesthetizing these nerves, the physician can determine whether the nerve irritation should be treated with medication or by radiofrequency (RF) rhizotomy. Pain relief varies for each patient, ranging from short-term to long-term relief.

Radiofrequency Rhizotomy (RF)
This is a therapeutic procedure designed to decrease and/or eliminate pain symptoms arising from degenerative facet joints within the spine. The procedure involves destroying the nerves that innervate the facet joints with highly localized heat generated with radiofrequency. By destroying these nerves, the communication link that signals pain from the spine to the brain can be broken.

Continuous Epidural Infusion
Involves the placement of a small catheter into the epidural space in order to provide a continuous supply of medication for pain relief to a specific region of the body. Restores circulation to ischemic limbs and facilitates painful physical therapy.

Intrathecal Pumps (ITPs)
Are devices that are used in the treatment of chronic pain. ITPs are automated pumps that deliver medication into the spinal fluid through a small catheter.

Discography
Is a diagnostic test performed to view and assess the internal structure of a disc and determine if it is a source of pain. It is a diagnostic procedure, not a treatment. X-ray dye is injected into the spinal disc(s) and an x-ray (or a “discogram”) is taken. The discogram may show tears (fissures) in the lining of the disc. The results of a discography can be used to plan treatment options of your back pain including percutaneous decompression (nucleoplasty) or spinal surgery.

Nucleoplasty/IDET (Percutaneous Disk Decompression)
Nucleoplasty is a minimally invasive alternative for treating a disc bulge. Performed in an outpatient setting, this procedure uses a needle that emits radio waves to shrink a disc bulge by dissolving excess tissue. This relieves the pressure inside the disc and on the nerves responsible for causing pain.

Lumbar Sympathetic Blocks
Injection of local anesthetic near the sympathetic nerve tissue – the nerves that are a part of the lumbar sympathetic nervous system. This injection blocks the sympathetic nerves which may in turn reduce pain, swelling and may improve mobility and circulation.

Stellate Ganglion Injection
Injection of local anesthetic near the sympathetic nerve tissue. The nerves are located on either side of the voice box in the neck. This may reduce pain and swelling in the upper extremity, improve circulation in conditions such as RSD, Raynauds and facial pain.

Trigger Point Injections
Injection of medication into the tender areas of muscle to help relieve pain and spasm.

Epidural Steroid Injections
An epidural steroid injection is a combination of corticosteroid with a local anesthetic used to treat symptoms associated with herniated disc.

Selective Nerve Root Blocks
A nerve root block is an injection into a specific nerve root in the spine for both diagnostic and therapeutic benefits. The exam uses therapeutic steroid and local anesthetic (numbing medication) to decrease pain and inflammation. Pain relief from the procedure varies from minimal to long-term, depending on the specific symptoms.

Joint Injections (Diagnostic/Therapeutic)
Injections of corticosteroids into joints and soft tissue to help relieve swelling and assist with pain relief.

Celiac Plexus Block
An injection of a drug into the collection of nerves that receive pain signals from the pancreas. This numbs these nerves and reduces the sensation of pain caused by a pancreatic tumor.

Sacroiliac Joint Injection
A Sacroiliac Joint Injection places local anesthetic (pain-relieving medication) in the sacroiliac joint, which is the region of your low back and buttocks where your pelvis joins the spine. Once the sacroiliac joints become painful, they may cause pain the low back, buttocks, abdomen, groin, or legs. The amount of immediate relief experience during the injection will help confirm or deny the joint as a source of pain. The cortisone (steroid) will help to reduce any inflammation that may exist within the joint(s).