Pain Care Treatments

PAIN MANAGEMENT

Chronic Pain Treatments

Chronic pain patients can find relief by conducting thorough diagnostic evaluations and developing multimodal treatment plans. Our program adopts a multidisciplinary strategy to assist patients in both reducing and managing their pain. Comprising physicians, nurses, medical assistants, and ancillary staff, our team consists of trained professionals specializing in acute and chronic pain management. After a detailed evaluation, we craft a customized treatment plan with personal objectives tailored to each patient’s specific pain issues. Once finalized, a team member discusses the plan with the patient, initiating their journey toward recovery. Our physicians are equipped to perform both non-invasive and interventional treatment methods as required.

Caudal Epidural Steroid Injection

A Caudal Epidural Steroid Injection is a minimally invasive procedure that delivers steroids directly into the lower back’s epidural space to reduce inflammation and alleviate pain. This treatment is particularly effective for conditions such as sciatica, herniated discs, and spinal stenosis, providing significant relief for patients suffering from lower back and leg pain associated with these issues.

Celiac Plexus Block (Percutaneous Approach)

A Celiac Plexus Block performed through a percutaneous approach, is a targeted pain relief technique where an anesthetic is injected to block the nerves of the celiac plexus. This procedure is commonly used to manage pain in patients suffering from chronic abdominal conditions such as pancreatitis or pancreatic cancer, offering substantial relief from visceral abdominal pain.

Cervical Facet Radio-Frequency Neurotomy

Cervical Facet Radio-frequency Neurotomy is a procedure that uses heat generated by radio waves to target and disrupt nerve function in the cervical spine, providing pain relief. This treatment is particularly effective for conditions such as cervical facet joint syndrome, neck pain, and headaches originating from the cervical spine.

Costovertebral Joint Injection

A Costovertebral Joint Injection involves administering medication directly into the costovertebral joint, where the ribs meet the spine, to alleviate pain and reduce inflammation. This procedure is often used to treat conditions that cause thoracic back pain, such as costovertebral joint dysfunction or intercostal neuralgia.

Epidural Steroid Injection (ESI) in the Cervical Spine

An Epidural Steroid Injection (ESI) in the Cervical Spine is a non-surgical treatment that involves the injection of corticosteroids into the epidural space to alleviate inflammation and pain. This therapy is commonly used for conditions such as cervical radiculopathy, neck pain, and herniated discs, offering relief from discomfort and improved mobility.

Facet Joint Injections

Facet Joint Injections involve the delivery of a corticosteroid and an anesthetic agent directly into the facet joints, which can relieve pain and reduce inflammation. This treatment is often used for managing symptoms of spinal conditions such as facet joint syndrome, arthritis of the spine, and persistent back or neck pain following back surgery.

Femoral Nerve Block

A femoral nerve block is a targeted procedure designed to relieve pain in the thigh, knee, or hip by blocking pain signals from the femoral nerve to the brain. This non-surgical treatment is often used for thigh or knee surgery, broken hips or femurs, and to manage chronic pain in the lower extremities.[1] Whether used for diagnostic purposes or to provide short-term, long-term, or even permanent relief, femoral nerve blocks can be a game-changer for individuals with persistent pain.

Fluoroscopic Guided Piriformis Injection

A Fluoroscopic-Guided Piriformis Injection is a precise, image-guided procedure that delivers medication directly into the piriformis muscle to alleviate pain and reduce muscle spasms. This treatment is particularly effective for conditions like piriformis syndrome, where sciatic nerve pain is caused by the piriformis muscle. It is also used to manage certain types of hip and buttock pain.

Fluoroscopic Guided Steroid Injection

A Fluoroscopic Guided Steroid Injection for the knee is a targeted procedure that uses imaging technology to accurately administer corticosteroids into the knee joint, relieving pain and inflammation. This treatment is particularly beneficial for conditions like osteoarthritis, rheumatoid arthritis, and other degenerative joint diseases affecting the knee, helping to improve mobility and reduce discomfort.

Hyaluronic Acid Injections

Are you all too familiar with the stiffness and pain of arthritis? You’ve likely tried various medical and at-home treatments to ease your arthritic aches and pains. Maybe you’ve heard of hyaluronic acid (HA) injections and wondered if they can help you. Whether your joint pain is a new development or you’ve been battling this progressive, degenerative disease for years, HA injections offer a promising solution for joints, especially in the knees. These injections, called viscosupplementation, introduce a thick, lubricating fluid into your arthritic joints.[1]

Intracept for Radiofrequency Basivertebral Nerve Ablation

The Intracept procedure is a minimally invasive treatment designed to target chronic low back pain caused by vertebral endplate nerve irritation. It works by using radiofrequency energy to ablate, or interrupt, the basivertebral nerve within the spine, thereby helping to reduce pain signals at their source.

Intrathecal Pumps – Trial and Implant

Intrathecal Pumps involve a trial period followed by the surgical implantation of a pump that delivers pain medication directly into the spinal fluid, providing consistent pain relief. This advanced treatment is particularly effective for managing chronic pain conditions such as cancer pain, severe spasticity, and certain types of chronic neuropathic pain, offering an alternative for patients who have not responded to other pain management therapies.

Joint Injection

Joint Medication Injections involve administering medication directly into a joint to relieve pain and reduce inflammation. This treatment is widely used for various joints, including the knee, hip, shoulder, and small joints of the hands and feet, effectively managing conditions such as osteoarthritis, rheumatoid arthritis, and tendinitis.

Kyphoplasty

Kyphoplasty is a minimally invasive surgical procedure that involves the insertion of a balloon to gently lift and stabilize fractured vertebrae, followed by the application of a special cement to secure the structure. This technique is primarily used to treat painful compression fractures in the spine, often resulting from conditions like osteoporosis, metastatic cancer, or traumatic injuries, significantly reducing pain and improving spinal stability.

Lumbar Epidural Steroid Injection

A Lumbar Epidural Steroid Injection is a procedure where corticosteroids are injected into the epidural space in the lower back to reduce inflammation and alleviate pain. This treatment is particularly effective for conditions such as sciatica, herniated discs, and spinal stenosis, offering significant relief for lower back and leg pain associated with these spinal issues.

Lumbar Sympathetic Block

Lumbar sympathetic nerve blocks are a minimally invasive, non-surgical treatment that disrupts pain signals to the brain, offering both diagnostic and therapeutic relief for chronic pain.[1] Pain relief may last temporarily or provide long-term benefits, helping to restore one’s quality of life and reduce reliance on medication.[1] Lumbar sympathetic blocks (LSBs) are particularly effective for managing persistent pain conditions like complex regional pain syndrome (CRPS), lower back pain, leg or pelvic pain, and nerve-related pain disorders.[2]

Lumbar Transforaminal Epidural Steroid Injection

A Lumbar Transforaminal Epidural Steroid Injection involves the precise delivery of corticosteroids into the neural foramen of the lumbar spine, targeting specific nerve roots to alleviate pain and inflammation. This procedure is especially effective in treating conditions such as sciatica, herniated discs, and radiculopathy in the lower back, providing focused relief and reducing the symptoms associated with nerve compression or irritation.

Minimally Invasive Lumbar Decompression (MILD)

The Minimally Invasive Lumbar Decompression (MILD) procedure is used to relieve pressure on the spinal nerves caused by lumbar spinal stenosis. It involves a small incision and specialized tools to remove excess ligament tissue, helping to reduce pain and improve mobility with minimal recovery time.

Medial Branch Block

A Medial Branch Block is a diagnostic and therapeutic procedure that involves injecting an anesthetic near the medial branch nerves, which supply the facet joints in the spine. This treatment is primarily used for diagnosing and providing relief from facet joint pain, commonly seen in conditions like arthritis of the spine, and is also helpful in managing chronic back pain originating from these joints.

Nerve Blocks

Nerve blocks are a targeted pain management technique used to interrupt pain signals traveling along specific nerves, providing relief from chronic or acute pain. They involve injecting anesthetic or anti-inflammatory medication near the affected nerve, reducing pain and inflammation in the targeted area. Nerve blocks can be an effective treatment for conditions such as back pain, migraines, or post-surgical pain, offering significant pain relief with minimal side effects.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

If you’ve ever had a headache, fever or backache, you’ve probably taken an NSAID. NSAIDs, or Nonsteroidal Anti-Inflammatory Drugs, are a class of prescription and over-the-counter (OTC) medications used to relieve pain, fever or other inflammation.[1] Common OTC NSAIDs are aspirin, ibuprofen and naproxen sodium.[2] When a higher dose is necessary, healthcare professionals can prescribe more potent NSAIDs.

Occipital Nerve Block

An Occipital Nerve Block involves the injection of a steroid and anesthetic medication around the occipital nerves located at the back of the head. This treatment is particularly effective for conditions such as occipital neuralgia, tension headaches, and certain types of migraines, providing significant relief from pain and discomfort in the head and neck area.

Percutaneous Cervical Disc Nucleoplasty

Percutaneous Cervical Disc Nucleoplasty is a minimally invasive procedure that involves decompressing herniated discs in the cervical spine through a needle without the need for a full surgical incision. This technique is particularly effective in treating conditions such as cervical herniated discs and radiculopathy, offering pain relief and reduced nerve pressure while preserving the disc’s structure.

Peripheral Nerve Blocks

Peripheral Nerve Blocks involve injecting anesthetic medication around specific nerves to block pain signals temporarily. This procedure is particularly effective for managing pain during and after surgeries and for treating chronic pain conditions such as neuropathic pain, complex regional pain syndrome (CRPS), and certain types of nerve injury-related pain.

Platelet Rich Plasma (PRP) Therapy

Platelet Rich Plasma (PRP) Therapy uses a patient’s own blood, processed to concentrate platelets, to promote healing and reduce pain. The PRP is injected into the affected area, stimulating tissue repair and reducing inflammation. This minimally invasive procedure is commonly used for joint, tendon, and muscle pain.

Prolotherapy

Prolotherapy is an injection-based treatment used to help strengthen and heal injured or weakened tissues. It involves injecting a natural solution into the affected area to stimulate the body’s healing response and promote tissue repair over time.

Radiofrequency Nerve Ablation

Radiofrequency Nerve Ablation (RFA) is a minimally invasive procedure used for pain management that targets specific nerves to disrupt pain signals. By applying heat generated through radiofrequency energy, RFA deactivates the nerve responsible for transmitting pain, providing long-lasting relief for conditions like chronic back, neck, or joint pain. This procedure is often recommended when other treatments have been ineffective, offering patients significant pain reduction with minimal recovery time.

Radiofrequency Neurotomy

Radiofrequency Neurotomy of Lumbar or Thoracic Facets is a minimally invasive procedure that uses heat generated by radio waves to selectively disable nerve fibers carrying pain signals in the lower and mid-back areas. This technique is particularly effective for managing chronic pain arising from facet joint disorders, including arthritis-related back pain and lumbar or thoracic facet joint syndrome.

Regenerative Medicine

Regenerative medicine is a treatment approach focused on helping the body repair, restore, and heal damaged tissues. It often uses cells, proteins, or biologically active materials to support natural healing and improve function in areas affected by injury or disease.

Sacroiliac Joint Steroid Injection

A Sacroiliac Joint Steroid Injection involves administering corticosteroids into the sacroiliac joint, which links the lower spine to the pelvis, to alleviate pain and reduce inflammation. This procedure is particularly beneficial for treating conditions like sacroiliac joint dysfunction, arthritis in the sacroiliac joint, and lower back pain that stems from these joint issues.

Spinal Cord Stimulator

A Spinal Cord Stimulator is a device surgically placed under the skin that delivers mild electrical pulses to the spinal cord, helping to mask pain signals before they reach the brain. This advanced treatment is particularly effective for chronic pain conditions such as failed back surgery syndrome, complex regional pain syndrome (CRPS), and intractable neuropathic pain, offering significant relief and improved quality of life for patients with these challenging conditions.

Spinal Disk Decompression

Spinal decompression treatment is a non-surgical therapy designed to relieve pressure on the spine by gently stretching it, allowing for better alignment and reducing pain. This treatment typically involves using a motorized traction table where the patient lies down, and the device carefully applies and releases traction to create negative pressure within the spinal discs.

Stellate Ganglion Block

A Stellate Ganglion Block involves the injection of an anesthetic around the stellate ganglion, a collection of nerves in the neck, to relieve pain. This procedure is commonly used to treat conditions like complex regional pain syndrome (CRPS) and certain types of facial pain. It can also be effective for managing symptoms of post-traumatic stress disorder (PTSD).

Stem Cell Therapy

Stem cell therapy is a regenerative treatment that uses the body’s own cells to support healing in damaged tissues. These cells can help reduce inflammation, promote repair, and potentially restore function in areas affected by injury or disease.

Thoracic Transforaminal Epidural Steroid Injection

A Thoracic Transforaminal Epidural Steroid Injection involves the precise delivery of steroids into the neural foramen in the thoracic region of the spine, targeting specific nerve roots to reduce inflammation and pain. This procedure is particularly effective for treating conditions such as thoracic radiculopathy, herniated discs, and spinal stenosis in the mid-back region, providing significant relief from the associated discomfort.

Trigger Point Injections

Are you dealing with painful muscle knots that just won’t go away? These tender, uncomfortable areas, called trigger points, are hyper-irritated spots within a tight, tense band of muscle fibers.[1] Painful knots are common in the neck, shoulders, and back and often limit your range of motion.[1] Trigger point injections deliver medication directly to the affected area to relax the muscles, relieving pain and discomfort.

VIA Disc NP

VIA Disc NP is a minimally invasive treatment for managing pain caused by tissue loss in lumbar intervertebral discs. It involves using imaging to guide a needle into the affected disc, where an allograft is delivered to restore hydration and cushioning. This procedure helps reduce pain and improve disc function.