Interventional Pain Management

This is an anesthetic injection that is delivered around the facet joint of the spine where small nerve branches reside. It is done to temporarily block pain signals at a specific facet joint. The facet joints are the connecting points between the boney prominences (spines) of the vertebra. X-rays are used to locate the proper site for administration. This procedure is both therapeutic and diagnostic. If the medial branch is identified as a target for more permanent pain relief, a neurotomy can be offered to provide long lasting pain relief.

Using radio frequencies, selective regions of nervous tissue can be targeted and heated to deliver pain relief. Guided with X-rays, a microelectrode is introduced to a specified region via a needle. The desired tissue is heat to block pain signals from that region.

A corticosteroid with or without an anesthetic is injected in the region of the occipital nerves. The location is just above the neck, at the back of the head. This procedure offers patients temporary relief from neuralgia in this region.

An anesthetic and/or corticosteroid is injected into the area where the pelvic bone (Ilium) joins the spine (sacrum). Bilaterally, these joints help transfer the upper body weight into the hip and legs. X-rays are used to locate the proper site for administration. This procedure is both therapeutic and diagnostic. Pain from sacroiliac joint dysfunction can be significantly reduced with this treatment option.

An Epidural Steroid Injection (ESI) is one method of reliving pain and pressure on the spinal cord via an injection into the space around the spinal cord and nerve roots. The injection involves both a local anesthetic, for more immediate pain relief, and a corticosteroid, for strong anti-inflammatory effects. X-rays are used to locate the proper site for administration. Epidural Steroid injections are offered when other non-surgical options have not proved beneficial to the patient.

Neurostimulation (also called spinal cord stimulation, or SCS) is a proven therapeutic approach for managing chronic pain that is not effectively controlled with conventional treatments. This therapy uses an implantable medical device, similar to a pacemaker, to interrupt pain signals from reaching the brain. Neurostimulation therapy has enhanced the lives of people with chronic pain, some of who have been able to reduce or even eliminate the use of pain medications.

Injection directly into the hip joint to reduce pain and inflammation.

Injection into the piriformis muscle to relieve muscle spasms and sciatic nerve irritation.

Injection directly into the knee joint for pain and inflammation relief.

Injection into painful muscle knots (trigger points) to reduce pain and improve movement.

Injection into the bursa on the outer side of the hip to treat bursitis pain.

Injection around the tailbone (coccyx) to relieve tailbone pain.

Injection into the bursa near the sitting bone (ischium) to reduce pain and inflammation.

Injection near a nerve cluster in front of the tailbone to relieve pelvic, rectal or tailbone pain.

Injection into the obturator internus muscle to treat pelvic, hip or buttock pain.

Injection into the joint at the top of the shoulder to reduce pain and inflammation.

Injection around the iliopsoas (hip flexor) tendon to relieve tendon inflammation and groin/hip pain.

Injection into the ligament connecting the lower spine to the pelvis to treat low back pain.

Injection near nerves in the lower back to reduce chronic leg pain and improve blood flow.

Injection around nerves near the abdomen to relieve severe upper abdominal pain, often from pancreatic or other abdominal conditions.

Injection near spinal nerves to relieve pain in the chest, abdomen, or back.

Injection near nerves in the lower back to reduce chronic leg pain and improve blood flow.

Injection near spinal nerves to relieve pain in the chest, abdomen or back.

Injection into the abdominal wall nerves to relieve abdominal pain, often after surgery.

Injection around a thigh nerve to treat burning, numbness, or pain on the outer thigh.

Injection around nerves in the lower back/buttock area to relieve low back and buttock pain.