Treatment Options

  • Spinal Cord Stimulation

    Spinal cord stimulation is a procedure where percutaneous electrodes are inserted into the epidural space of the spinal canal along the area where the affected nerves attach to the spinal cord. The electric pulses from the electrodes intercept the pain impulses and create a feeling sensation versus traditional pain.

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  • Kyphoplasty

    Kyphoplasty is used to treat fractures in the bones of the spine in which the doctor first inflates a balloon-like device in the bone to make space which is filled with cement. Kyphoplasty can restore a damaged vertebra’s height and may also relieve pain.

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  • Facet Joint Injections

    A facet joint block is an injection of local anesthetic into one or more of the small joints located along the side of each vertebrae on both sides of the spine. Multiple injections may be performed, depending upon how many joints are involved. A facet joint block may be diagnostic and/or therapeutic.

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  • Trigger Point Injections

    A trigger point injection is an injection that is given directly into the trigger point for pain management. With the injection, the trigger point is made inactive and the pain is relieved.

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  • Diagnostic Discography (Cervical, Thoracic, Lumbar)

    A discogram is a test used to evaluate back pain. A discogram may help your doctor determine if an abnormal disk in your spine is causing your back pain. During a discogram, dye is injected into the soft center of the disk. The injection itself sometimes reproduces your back pain. Several disks may be injected to try to pinpoint the cause of your back pain. The dye also moves into any cracks in the disk’s exterior, which can then be seen on an X-ray or CT scan.

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  • Transforaminal Epidural Injections

    The transforaminal approach is a very selective injection around a specific nerve root. The foraminae are small openings between your vertebrae through which the nerve roots exit the spinal canal and enter the body. By injecting medication around a specific nerve root, the doctor can determine if this nerve root is causing the problem.

    Cervical Video | Thoracic Video | Lumbar Video

  • Diagnostic Peripheral Nerve Injections

    A peripheral nerve root block is a diagnostic test performed to determine if a specific peripheral nerve is the source of pain. If the PNRB reduces your pain and related symptoms, then that particular nerve or nerves are identified as a pain source.

  • Stellate Ganglion Injections

    A stellate ganglion block blocks the sympathetic nerves that go to the arms and the face. This may in turn reduce pain, swelling, color and sweating changes in the upper extremity and may improve limited mobility caused by Reflex Sympathetic Dystrophy, Sympathetic Maintained Pain, or Complex Regional Pain Syndrome.

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  • Lumbar Sympathetic Blocks

    A lumbar sympathetic block typically involves a series of injections to relieve leg pain caused by complex regional pain syndromes, usually after injury to a joint or limb.

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  • Radiofrequency Lesioning

    RFL is a procedure using a specialized machine to interrupt nerve conduction on a semi-permanent basis. The nerves are usually blocked for 6–9 months. The procedure is typically used to treat pain of joints in the spine.

    Cervical Video | Thoracic Video | Lumbar Video

  • Medial Branch Blocks

    A medial branch block interrupts the sensory nerve supply to the involved facet joint through the use of a precise administration of an anesthetic agent and steroid. After a local skin anesthetic is applied, the physician uses fluoroscopy guidance to place a needle along the nerves that supply the inflamed joint.

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  • Facet Joint Injections

    A facet joint block is an injection of local anesthetic into one or more of the small joints located along the side of each vertebrae on both sides of the spine. Multiple injections may be performed, depending upon how many joints are involved. A facet joint block may be diagnostic and/or therapeutic.

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  • Sacroiliac Joint Injections

    An injection procedure performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

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  • Epidural Steroid Injections

    An epidural steroid injection delivers steroid medication directly to spinal nerve roots in order to reduce extremity pain and back pain.

    Cervical Video | Thoracic Video | Lumbar Video