Interventional Pain Management Procedures
- Epidural Steroid Injection
Injection of a short-acting anesthetic agent and a long-lasting steroid into
the epidural space. This usually reduces pain, tingling, and numbness or other symptoms caused by nerve inflammation/
irritation or swelling. For example, as with a disc herniation
- Facet Joint Injection
Injection of a short-acting anesthetic agent and a long-acting steroid into
the small joints that are formed where the vertebral bodies of the spine come together with one another.
- Lumbar Sympathetic Block
Injection of a local anesthetic into the sympathetic nerve tissue which lies
along the side of the spine in the lower back. This is used to block the sympathetic nerves that can send messages of
pain from the lower extremities.
- Medial Branch Block
Injection of a local anesthetic into the facet joints in an effort to block
the nerves that supply the joint. This will determine if your neck or back pain is coming from the facet joints.
- Radiofrequency Lesioning
Radiofrequency lesioning uses a specialized machine to heat a small volume
of nerve tissue, thereby interrupting nerve conduction. RF treatments block pain signals for a prolonged period of time,
usually up to one year.
- Sacroiliac (SI) Joint Injection
Injection of a local anesthetic and a long-lasting steroid into the joint created
where the spine joins the pelvis. This may reduce inflammation of these weight-bearing joints.
- Stellate Ganglion Block
Injection of local anesthetic into the sympathetic nerve tissue that lies along
the side of the spine in the neck. This is used to block the sympathetic nerves that can send messages of pain from
the upper extremities.
- Spinal Cord Stimulator Placement
A specialized device that stimulates nerves by tiny electrical impulses which
block pain signals from reaching the brain. This can provide significant pain relief for patients with certain types
of chronic pain problems.
- Racz Epidurolysis
Scar tissue can form in the epidural space after surgery or injury. This
scar tissue can cause chronic back pain. By using a special catheter and medications it is possible to reduce
this scar tissue and put long lasting steroids into the spinal canal, which can result in significant improvement in pain.
- Trigger Point Injections
Deactivation of the trigger zone and injection of local anesthetic into the
soft tissue (muscles) overlying localized tender points typically in the area next to the spine.
- Occipital Nerve Block
Injection of local anesthetic and possibly a long acting steroid into the occipital
nerve to treat occipital headaches and occipital neuralgia.