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Pain Procedures

Axillary Brachial Plexus Block (Video)

This outpatient procedure numbs the arm and hand with an injection of local anesthetic. Typically, it is used before or after surgery on the elbow, forearm or hand. Read More.

Botox® Injections For Chronic Migraine(Video)

If you have the frequent, severe headache condition known as “chronic migraine,” your doctor may want you to try injections of BOTOX® in your head and neck. The injections can help stop migraines before they start.. Read More.

Kyphois

This minimally-invasive procedure treats spine fractures caused by osteoporosis. It is designed to provide rapid back pain relief and help straighten the spine.

Caudal Epidural Steroid Injection (Video)

This outpatient procedure is an injection of a steroid-anesthetic medication 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. Read More.

Celiac Plexus Block (Video)

A celiac plexus block is an injection of local anesthetic into or around the celiac plexus of nerves that surrounds the aorta, the main artery in the abdomen. Normally these nerves control basic nerve functions. Read More.

Cervical Epidural Steroid Injections (Video)

A cervical epidural steroid injection delivers steroids into the epidural space surrounding spinal nerve roots to help alleviate pain in the upper spine/neck caused by irritated nerves. Read More.

Cervical Facet Radiofrequency Neurotomy (Video)

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy. Read More.

Fluoroscopic Guided Piriformis Injection (Video)

This injection procedure is performed to diagnose and relieve the pain of piriformis syndrome, an irritation of the sciatic nerve caused by a contraction of the piriformis muscle in the buttocks. Read More.

Cervical Selective Nerve Root Block

When the cervical selective nerve root block is used, it allows the physician to see if the nerve root blocked is the one that is causing the pain. If it is the one suspected, then proper treatment can move forward. If not, another can be tried or this may validate concerns your physician has about another reason for the pain.

Cervical Transforaminal Epidural Steroid Injection

This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Chronic Pain Syndrome (CPS)

Chronic pain syndrome (CPS) is a term used to define patients with severe persistent pain from virtually any source which has resulted in marked changes in behavior, self-imposed restriction of daily activities, and heavy, largely ineffective use of the healthcare system. CPS overwhelms all other medical symptoms to the point of becoming the problem itself. It is often accompanied by bouts of irritability, uncontrolled anger, and depression.

Discography

Discography is a diagnostic procedure in which x-ray dye is injected under gentle pressure into the discs of the spine. Based on the presence or absence of pain during the injection of dye, your doctor maybe be able to determine if the disc is responsible for your pain symptoms. After the x-ray dye is injected, an x-ray picture is taken of the discs. This image, called “discogram” may be normal or may show tears (fissures) in the lining of the disc.

Facet Joint Injections (Video)

Facet joints are small joints at each segment of the spine that provide stability and help guide motion. Facet joints can become painful due to arthritis, back injury, or mechanical stress. A facet joint injection delivers a steroid medication which anesthetizes the joints and blocks the pain. Read More.

Hip Joint Injection (Video)

If you have pain in your hip, your doctor may inject medicine into your hip joint. It can help your doctor find where your pain is coming from. It can also make your hip feel better. Read More.

Intrathecal Pump Implant (Video)

An intrathecal pain pump implantation, or targeted drug delivery, is used to relieve chronic pain. The intrathecal pain pump implantation delivers small amounts of medication directly to the intrathecal space (area surrounding the spinal cord) to prevent pain signals from being perceived by the brain. Read More.

Lumbar Epidural Steroid Injection

A lumbar epidural steroid injection delivers steroid medication directly to spinal nerve roots in order to reduce leg pain (also known as sciatica) and lower back pain. These types of pain can be caused by a spinal condition such as a lumbar herniated disc, which places pressure on nerve roots leading out of the spine.

Radiofrequency Neurotomy of the Lumbar Facets (Video)

A lumbar radiofrequency neurotomy (or radiofrequency ablation) is a minimally invasive procedure that reduces or eliminates the pain from damaged facet or sacroiliac joints by disrupting the medial branch nerves that carry pain signals. Read More.

Lumbar Sympathetic Block (Video)

A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Normally these nerves control basic functions like regulating blood flow. Read More.

Lumbar Transforaminal Epidural Steroid Injection (Video)

This injection procedure is performed to relieve low back and radiating leg pain. The steroid medication can reduce the swelling and inflammation caused by spinal conditions such as spinal stenosis, radiculopathy, sciatica and herniated discs. Read More.

Medial Branch Block (Video)

Medial branch nerves are small nerves that feed out from the facet joints in the spine and carry pain signals from the facet joints to the brain. A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. Read More.

Prolotherpay Treatment For Chronic Lower Back Pain

Prolotherapy is an injection procedure used to treat connective tissue injuries of the musculoskeletal system that have not healed by either rest or other nonsurgical therapies in order to relieve back pain. The injections promote a healing response in small tears and weakened tissue, with the goal of alleviating back pain and improving function. Prolotherapy is also referred to as sclerosant therapy, sclerotherapy, regenerative injection therapy, “proliferative” injection therapy, and nonsurgical ligament reconstruction.

Spinal Cord Stimulation

Spinal cord stimulation is a treatment for pain that uses a mild electric current to block nerve impulses in the spine.

Spinal Cord Stimulator Implant (Video)

Your pain is reduced because the electrical current interrupts the pain signal from reaching your brain. Figure 1. The spinal cord stimulator (SCS) system consists of a pulse generator implanted under the skin of your buttock or abdomen. Read More.

Stellate Ganglion Block (Video)

A stellate ganglion block is an injection of local anesthetic in the sympathetic nerve tissue of the neck. These nerves are a part of the sympathetic nervous system. The nerves are located on either side of the voice box, in the neck. Read More.

Thoracic Epidural Steroid Injection

Thoracic epidural steroid injections are administered to relieve pain in the mid-back and shoulder blade area caused by pinched or inflamed nerve(s) in the thoracic spine. Conditions such as herniated discs, spinal stenosis or arthritis can compress nerves causing inflammation and pain.

Thoracic Facet Radiofrequency Neurotomy

This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates the pain of damaged facet joint by disrupting the medical branch nerves that carry the pain signals. This procedure is performed with local anesthetic.

Thoracic Transforaminal Epidural Steroid Injection

In a thoracic epidural injection a corticosteroid (anti-inflammatory medicine) are injected into the epidural space to reduce inflammation. A local anesthetic (numbing medicine) may also be injected. When it is done from the side where the nerve exists the spine, it is called a transforaminal injection.

Anesthesia (Conscious Sedations)

Conscious sedation is a combination of medicines to help you relax (a sedative) and to block pain (an anesthetic) during a medical procedure. You will probably stay awake but may not be able to speak. Conscious sedation lets you recover quickly and return to your everyday activities soon after your procedure.

Anesthesia (General Body)

General anesthesia is a combination of medicines that you inhale or receive through a needle in a vein to cause you to become unconscious. It affects your whole body. Under anesthesia, you should be completely unaware and not feel pain during the surgery or procedure. General anesthesia also causes forgetfulness (amnesia) and relaxation of the muscles throughout your body.

Cold Laser Therapy

Cold Laser Therapy or Low Level Laser Therapy (LLLT) is a treatment that utilizes specific wavelengths of light to interact with tissue and is thought to help accelerate the healing process.

Electromyography (EMG)

Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles. EMG is performed using an instrument called an electromyograph, to produce a record called an electromyogram.

Intraoperative Monitoring (IOM) Of The Nerves

IOM is used during complex surgical procedures, especially those that involve manipulation of the spinal cord. It allows a neurotechnologist to monitor the health of the nervous system in real time during surgery. This greatly reduces the risk of surgery-related nerve damage.

Lumbar Sympathetic Block

A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Normally these nerves control basic functions like regulating blood flow.

Myofascial Release

Myofascial release is a soft tissue therapy for the treatment of skeletal muscle immobility and pain. This alternative medicine therapy aims to relax contracted muscles, improve blood and lymphatic circulation, and stimulate the stretch reflex in muscles.

Platelet Rich Plasma (PRP) Injection Overview

Is blood plasma that has been enriched with platelets. As a concentrated source of autologous platelets, PRP contains (and releases through degranulation) several different growth factors and other cytokines that stimulate healing of bone and soft tissue.

Stellate Ganglion Block

A stellate ganglion block is an injection of local anesthetic in the sympathetic nerve tissue of the neck. These nerves are a part of the sympathetic nervous system. The nerves are located on either side of the voice box, in the neck.

Joint Injections – Hip/Knee

By injecting medication into a joint, pain and stiffness can decrease. Injections are commonly used as a treatment for joint inflammation conditions like arthritis and tendonitis.

Trigger Point Injections

A trigger point injection is an outpatient procedure designed to reduce or relieve the back pain caused by trigger points. These small knots can form in muscles or in the fascia tissue leading to myofascial pain.

Prolotherapy Treatment

Prolotherapy is a method of injection treatment designed to stimulate healing. Many musculoskeletal injuries and pain syndromes lend themselves to prolotherapy treatment including low back and neck pain, chronic sprains and/or strains, whiplash injuries, tennis and golfers elbow, knee, ankle, shoulder or other joint pain, chronic tendonitis/tendonitis, and musculoskeletal pain related to osteoarthritis.

Sciatic Nerve Block (Posterior Approach, Ultrasound Guided)

A selective nerve root block (SNRB), is primarily used to diagnose the specific source of nerve root pain and, secondarily, for therapeutic relief of low back pain and/or leg pain.

Ultrasound – Guided lloinguinal Nerve Block

This non-operative, outpatient procedure is designed to provide relief for patients with hip and lower abdominal pain. The technique allows the physician to inject an inflammation-reducing steroid around the ilioinguinal nerve with maximum accuracy.

Ultrasound – Guided Injection for Knee Pain

This non-operative, outpatient procedure is designed to provide relief for patients with arthritis of the knee. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.

Epidural Steroid Injection

An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI may be performed to relieve pain caused by spinal stenosis, spondylolysis, or disc herniation.

Pain Mapping

Pain mapping is a process that allows for the precise pinpointing and isolation of back and neck pain. When a nerve becomes irritated, it can be extremely challenging to find the exact pain source and often MRIs or CT scans are not adequate. But with real-time, medication-filled X-ray injections it is possible to find the specific nerve causing the pain, a procedure that must be performed by a trained physician.

Radio Frequency Thermocoagulation or Lesion

Radiofrequency (RF) thermocoagulation of disc is the use of an electric current to reduce degenerative changes of the disc and burn and destroy nerves that carry pain signals from the damaged disc to your brain.

Selective Nerve Block

A selective nerve root block can help determine if a specific nerve root is causing your pain. In a lumbar epidural injection, a corticosteroid (anti-inflammatory medicine) is injected into the epidural space to reduce inflammation. A local anesthetic (numbing medicine) may also be injected.

Rhizotomy

Rhizotomy is a surgical procedure to sever nerve roots in the spinal cord. The procedure effectively relieves chronic back pain and muscle spasms. For spinal joint pain, a facet rhizotomy may provide lasting low back pain relief by disabling the sensory nerve at the facet joint.

Therapeutic Nerve Block

A nerve block is an injection of an anesthetic directly in the area of the affected nerve. The purpose of a nerve block in treating neuropathic pain is to interrupt transmission of the pain signal to the brain. If the pain signal does not get to the brain, then pain is not actually felt or perceived.