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Interventional Pain Management
Non-Surgical Treatment
If you're in pain, interventional pain management can help reduce pain and get you on track to your normal daily activities pain-free. Our practitioners use the latest treatment options and combine them with holistic therapy in order to achieve a quicker recovery. For example: once a patient receives diagnostic testing to determine the root issues of their pain, a procedure/procedures will be recommended for longer lasting pain relief. During the same time of that procedure, stem cells harvested directly from a patient bone marrow will be injected into the affected areas to promote regenerative cells and a speedy recovery.
Therapeutic injections are a non surgical option for acute chronic neck, back, joint, or nerve pain. Different types of injections are usually considered after non surgical conservative measures such as chiropractic care and physical therapy treatments have been exhausted. Injections can provide temporary or long-term pain relief. The length of one's pain relief may vary from person to person as everyone body anatomy operates definitely to mediations. These types of injections aim to veer patients away from the addiction to most oral medications. In most cases injections can help determine the source pain and when a patients body builds a tolerance for injections and they have no other choice but to move forward with surgical options the surgeon can easily pin point what area to operate on.
Injection treatments for pain can work in one or more of the following way:
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Targeting specific areas to cancel out non pain generators from pain causing generators.
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Provide temporary relief and promote patients to have the use of their full range of motion to carry out daily activities.
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Allow patients to maximize physical therapy treatments without pain to build muscle support and stability.
We Offer the Following Procedures
Facet Joint Injections
The facet joints are the small joints between the vertebral segments on both sides of the spine. Each vertebra has two sets of faces downward. One pair faces upward and one pair faces downward. These joints provide stability and control for bending and twisting. Pain in the low back with less specific, vogue aching in the legs (one or both) may be caused by trauma, such as a high (low impact from automobile accident, on slip and falls, and other related accidents).
Epidural Steroid Injection
The epidural space is located inside the bony canal but outside the thecal sac, which is the tube that holds the spinal fluid. This space extends from the base of the skull to the sacrum (at the base of the spine). The local anesthetic may provide short-term relief of the pain and therefore, help the physical diagnose a cause for the pain. Steroids are patent medications that can reduce inflammation and swelling. Once the inflammation is reduced, the blood supply and nourishment to the area can be increased and hopefully, the patient will be more comfortable and healing can begin.
Discograms
The epidural space is located inside the bony canal but outside the thecal sac, which is the tube that holds the spinal fluid. This space extends from the base of the skull to the sacrum (at the base of the spine). The local anesthetic may provide short-term relief of the pain and therefore, help the physical diagnose a cause for the pain. Steroids are patent medications that can reduce inflammation and swelling. Once the inflammation is reduced, the blood supply and nourishment to the area can be increased and hopefully, the patient will be more comfortable and healing can begin.
Selective Nerve Root Blocks
The spinal cord branches off into 31 pairs of nerve root. These nerve roots exit on both sides of the spine through spaces between each vertebra. The brain controls bodily functions by sending signals through the spinal cord and out the individual nerve root. These nerve roots can cause pain to their area of distribution on the arms or legs if they are compressed or inflamed by a spinal problem such as a disc herniation. The purpose of this injection is to determine whether numbing a selective structure influences the patient’s pain. This injection can be done as a diagnostic test, therapeutic injection or both.
Trigger Point Injections
Trigger point injections are a therapeutic modality to treat myofascial trigger points, especially in symptomatic patients, and have been demonstrated effectiveness to inactivate trigger points. Treating pain with a multimodal approach is paramount in providing safe and effective results for patients. Injections to trigger points can relieve pain immediately and increase mobility for people with chronic muscle pain, but some people find that results take several days or weeks to appear. Although uncommon, some patients report that their pain does not improve after injections. Pain relief can last about one month. Recurring injections may be needed to achieve long-term pain relief. If the injections consist of anesthetic only, patients can receive injections more frequently than if they also contain steroid medication.
Radio Frequency Ablation
Your physician has determined with diagnostic testing that your spine or extremity pain is caused by injury to your facet joint or extremity joint. Medial Branch Radio Frequency Ablation is recommended to eliminate those pain signals. The medial branch nerves that supply the facet joint carry pain signals to the spinal cord where the signal then travels to the brain. The brain interprets the signal, and you feel pain in the damaged area. Radio Frequency Ablation is designed to block the nerves from sending pain signals without causing radiating pain or extremity weakness. This procedure is meant to stop pain on a long-term basis. The typical time period of pain relief varies from person to person. The relief usually last between 12 to 18 months, but we've seen some patients last shorter and longer time periods.
Meet Our Doctors
Practitioners look at the patient as a whole person, rather than just their pain. Because of this, interventional pain management is uniquely situated to help relieve chronic pain symptoms.