Procedures

Trigger Point Injections

Trigger point injection (TPI) are used to treat intense pain in the muscles containing trigger points. Trigger points are tight bands or knots that are formed when the muscle fails to relax after the contraction.

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Spinal Injections

Lumbar Spinal Injections

Lumbar spine injections are utilized in the assessment and treatment of low back pain. These injection procedures are valuable in determining whether particular structures are the source for low back pain.

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Sacroiliac and Peripheral Joint Injections

X-ray Guided Sacroiliac Joint Injections

The pelvis is made up of two hip bones located and fused on either side of the sacrum, the last section of the backbone. Each hip bone is comprised of three bones fused together – the ilium, ischium and pubis.

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Peripheral Nerve Injections – Celiac

The peripheral nervous system carries signals of movement and senses, such as hot, cold and pain, from different parts of your body to the spinal cord and brain. Injecting an anesthetic at a peripheral nerve can block the transfer of pain signals from the region it supplies to the brain.

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Medial Branch Block

Medical branch block is an injection of a local anesthetic near the medial branch nerves to temporarily block the pain signal carried from the facet joints of the spine to the brain. It is used to assist your physician in diagnosing the cause of your back pain.

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Lumbar Sympathetic Block

Sympathetic nerves, located in the lower spine, control basic functions such as regulating blood flow. They also carry pain signals from tissues to the spinal cord. Lumbar sympathetic block is an injection containing a local anesthetic and steroid,

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Occipital Nerve Root Blocks

A greater occipital nerve block involves injecting medication around the greater occipital nerve to relieve pain. The greater occipital nerve travels through the muscles at the back of the head and into the scalp providing sensation to the back and top of the scalp.

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Stellate Ganglion Block

The stellate ganglion is a set of nerves located at the last two vertebra of the neck which supply the face and arm. Trauma, injury or infection to these nerves can cause pain. A stellate ganglion block is an injection containing local anesthesia

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Selective Nerve Blocks

A selective nerve block is the injection of an anesthetic and steroid medication around the spinal nerve root to diagnose or treat pain. It is indicated to relieve pain, weakness, numbness and tingling sensation in your neck, back and extremities due to nerve injuries such as a pinched nerve and spinal stenosis (narrowing).

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Peripheral Nerve Blocks

The peripheral nervous system carries signals of movement and sensations such as heat, cold and pain from different parts of your body to the central nervous system formed by the spinal cord and brain. Injecting an anesthetic around a peripheral nerve can block the transfer of pain signals from the region it supplies to the brain.

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Neurolytic Blocks

A neurolytic block is a method of controlling pain or other distressing neurological symptoms by chemically or physically damaging or destroying nerves. It is usually used to treat cases of chronic and refractory pain. Chemical neurolysis can be performed by administering injections of phenol, alcohol

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Hypogastric Plexus Blocks

The hypogastric plexus is a bundle of nerves present near the distal end of the spinal cord. The nerves transfer pain impulses from the organs around the pelvic region, such as the bladder, rectum, descending colon, perineum, uterus, vagina, vulva, prostate, testes and penis.

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Intrathecal Pain Pump

Morphine is a strong analgesic medication used to treat severe pain. It may be administered through a delivery system called a pain pump to treat severe back pain and related symptoms. The system delivers morphine at a predetermined rate set by your doctor into the intrathecal space around the affected region of the spinal cord.

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Spinal Cord Stimulator

Spinal cord stimulation is a technique used to relieve chronic back or leg pain. This is achieved by directing electrical impulses to particular regions of the spine to interrupt pain signals before they reach the brain.

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Epidural Steroid Injection – caudal/interlaminar/transforaminal

Epidural spinal injection is a non-surgical treatment option utilized for relieving back pain. Spine degenerative conditions such as herniated disc, spinal stenosis and many others may induce back pain due to the compression of the associated spinal nerves.

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Radiofrequency Ablation

Radiofrequency ablation (RFA) also called rhizotomy or neurotomy is a novel non-surgical technique of treating pain. This technique employs radiofrequency waves to produce heat and the heat produced damage the nerves transmitting pain

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