Treatments

Epidural Steroid Injections
Cervical. Thoracic. Lumbar.

What is the procedure?
These injections are done as an outpatient procedure and treat neck, upper & lower back, shoulder, and arm pain. During this procedure, a corticosteroid (anti-inflammatory medicine) is injected in the epidural space to reduce inflammation. A local anesthetic (numbing medicine) may be injected as well.


Facet Injections

Cervical. Thoracic. Lumbar.

What is this procedure?
These injections are done as an outpatient procedure and are used to diagnose and/or treat headaches, neck, shoulder, upper, and lower back, buttock, hip, and groin pain. A local anesthetic (numbing medication) and a corticosteroid (anti-inflammatory medication) is injected directly into the facet joint.


Medial Branch Block

Cervical. Lumbar.

What is this procedure used for?
A medial branch block is an outpatient procedure for diagnosing and treating neck, shoulder, upper back pain, and headaches. This procedure stops the transmission of pain signals from the facet joint. If pain decreases and range of motion increases, the physician may be able to distinguish which facet joint is causing the pain.


Discography

What is this procedure?
This is an outpatient procedure that helps the doctor to find torn discs that may be causing pain.


Botox

What is Botox?
Botox is a medication to help patients with spasticity of muscles.

What is the procedure?
These injections are done as an outpatient procedure and the Botox medication is injected directly into several locations along or within the muscle group.


Sympathetic Block

What is the procedure?
An injection done as an outpatient procedure of medication into the nerves of the back to reduce pain in the lower extremities.


Stellate Ganglion Block
What is the procedure?
An injection done as an outpatient procedure of medication into the nerves of the neck to reduce pain in the upper extremities.


Surgeries & trials

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Spinal Cord Stimulation


Intrathecal Drug Delivery System

(Pump Implants)


Radiofrequency Ablation (RFA)
Cervical. Lumbar.

What is this procedure used for?
A cervical radiofrequency ablation (RFA), also known as cervical facet thermal coagulation or rhizotomy, is a very effective outpatient procedure for treating neck, shoulder, and upper back pain.

What is this procedure?
RFA uses radiofrequency energy to disrupt a nerve function. When this is done to a medial branch nerve, the nerve can no longer transmit pain.

Is this permanent?
No. Nerves regenerate, on average, approximately in 6-9 months. Therefore, the nerves will be numbed until they regenerate and, at that time, another RFA can be performed.


Joint Injections

Sacroiliac . Common Joints: knee, shoulder, ankle, elbow, wrist, thumb, hands and feet, & hip joint

What is this procedure?
These injections are done as an outpatient procedure and are used to provide pain relief and increase mobility. The joint may be drained if swollen, then a numbing, anti-inflammatory, and/or lubricating medication is injected into the joint.


Trigger Point Injections

Common areas include: upper and lower back, & extremities

What is this procedure?
These injections are done as an outpatient procedure and are used to

What is a trigger point?
Focal areas of spasm and inflammation in skeletal muscle.


Occipital Nerve Block

What is the procedure?
An injection done as an outpatient procedure of medication into the nerves of the back of the head to reduce tension headaches and migraines.


Platelet Rich Plasma Therapy

What is this procedure?
Form of regenerative therapy where the patient’s plasma is injected back into the patient’s injured area, which then facilitates new cell growth and tissue regeneration


Stem Cell
We are exploring advances in regenerative medicine. Please call us for more information.