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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.