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.
BOTOX® Injections
BOTOX® injections have been approved as a preventive treatment option for those suffering from chronic migraines, offering relief by reducing the frequency of headache days. Administered by a healthcare professional, these injections are typically given every 12 weeks. They can be a part of a comprehensive treatment plan to help patients manage their migraine symptoms more effectively.
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
Discography (Lumbar)
Discography, particularly in the lumbar region, is a diagnostic procedure where contrast dye is injected into the intervertebral discs to identify the source of back pain. It is primarily used to evaluate patients for degenerative disc disease, herniated discs, or other disc abnormalities in the lower back that may be causing pain.
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 pain relief procedure that involves injecting an anesthetic near the femoral nerve to numb the thigh and lower leg. It’s primarily used for pain control after surgeries on the thigh or knee and for treating conditions such as femoral neuropathy or pain associated with diabetic neuropathy.
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 in managing 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.
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 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.
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.
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.
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.
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.
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).
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
Trigger Point Injections involve injecting a small amount of local anesthetic and, sometimes, a steroid into a trigger point, which is a tight, painful knot in the muscle. This treatment is effective for conditions like myofascial pain syndrome, fibromyalgia, and tension headaches, as it helps to alleviate muscle pain and spasms in the affected areas.
