Minimally invasive advanced pain management procedures include:
Epidural steroid injections – Steroids are delivered directly into the epidural space in the spine to reduce pain and inflammation.
Facet joint injections – Numbing medicine and steroids are put into the small joints of the spine. Often to locate and relieve pain.
Trigger point injections – With only a brief course of treatment, an anesthetic is injected into a knot of a muscle that will not relax, providing lasting relief. Treatment can be done to arms, legs, lower back and neck.
Joint injections – Injections are performed to relieve pain in a variety of joints including the knees, ankles, elbows and wrists.
Radio Frequency Ablation – A treatment option for facet-related back pain that destroys the nerves that supply the facet joint and transmit pain signals.
Sacro-iliac joint injections – A long-lasting steroid, such as cortisone, is injected into the joints in the lower back to reduce inflammation and swelling.
Discography – X-ray dye is injected into the discs of the spine to evaluate disc morphology.
Percutaneous disc decompressions – For minor herniated discs, a needle which emits radio waves is placed into a disc to decompress it from the inside and provide relief.
Intradiscal therapies – For damaged discs that cause pain by pressing on a nerve, a special needle is placed into the disc through which intradiscal therapies can be performed.
Spinal cord stimulator implants – An electronic device is inserted beside the spinal cord to treat chronic pain in the trunk and limbs. The device sends low voltage electrical impulses that prevent pain signals from reaching the brain.
Intrathecal pump implants – A device delivers concentrated amounts of medication into the spinal cord through a catheter. This treatment is done in two phases. Once a trial is performed and is successful, a permanent pump is placed under the skin.
Kyphoplasty – Bone height is restored by repairing stress fractures of the vertebra. Our procedure fills the bone with cement from the inside.
Celiac plexus blocks – A local anesthetic is injected into the nerves that surround the aorta, the main artery of the abdomen, to reduce pain as part of a treatment for chronic abdominal pain.
Stellate ganglion blocks – The sympathetic nerves in the neck that go to the arms and face are blocked to reduce pain and swelling and improve mobility in the upper extremity.
Lumbar plexus blocks – After hip replacement surgery, post-operative pain is blocked from the set of nerves that go to the front part of the hip and thigh.
Botox injections – A small amount of medical Botox is injected into specific muscles, causing them to relax for several months. (This medicine is different from Botox Cosmetic which is used to treat wrinkles.)
Drug detoxification – For those addicted to prescribed medications or illegal drugs, a prescription drug therapy program helps alleviate the painful side effects of withdrawal.
Please ask one of our Board Certified Pain Management physicians for more information about any of the procedures listed to the right.