Common Treatments

common

Epidural Injection

An outpatient/office procedure which involves placement of potent anti-inflammatory agents into the epidural space to reduce disc and nerve inflammation, producing relief.

Transforaminal Epidural Injection

A Transforaminal Epidural Injection is performed to relieve low back and radiating leg pain. The transforaminal approach is a

very selective injection around a specific nerve root. The foraminae are small openings between your vertebrae through which the nerve roots exit the spinal canal and enter the body. By injecting medication around a specific nerve root, the doctor can determine if this nerve root is causing the problem. This type of epidural injection is used most often for diagnostic purposes, and it is commonly used in the neck. The medication injected can help reduce swelling and inflammation caused by spinal conditions such as spinal stenosis, radiculopathy, sciatica and herniated discs. However, many patients get significant relief from only one or two injections. In

some cases, it may be necessary to repeat the procedure.

Diagnostic & Therapeutic Nerve Blocks

Are outpatient/office procedures where local anesthetic and anti-inflammatory medication injections are given near a specific nerve or group of nerves to relieve pain:

Intercostal nerve block

An injection of a local anesthetic and anti-inflammatory medication in the area between two ribs. An intercostal nerve block is performed for pain due to herpes zoster (commonly known as shingles), an acute viral infection

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that causes inflammation of the nerves that spread outward from the spine. It may also be performed for pain caused from a surgical incision in the chest area or to help determine the cause of your pain. (Diagnostic nerve block).

Lumbar Sympathetic Block

An injection of local anesthetic around a group of nerves in your lower back. It may be done if you have complex regional pain syndrome (CRPS), a disease involving a disturbance of circulation to the skin or neuropathic pain (pain caused by a disorder of the nervous system).

Facet Nerve Block

An injection of anti-inflammatory and anesthetic medication in and around the facet joint area to reduce the swelling around the nerve. This is performed if your doctor suspects that your neck or lower back pain may be caused in part by the small facet joints

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of the spine (Facet joints are located on the side of your spine, away from the spinal cord.).

Stellate Ganglion Block

An injection of anesthetic medication around the collection of nerves that affect the upper limb. This may be performed to decrease pain and increase the circulation and blood supply to the affected limb.

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A stellate ganglion may be performed for people who have circulation problems or the following nerve injuries: Complex Regional Pain Syndrome (CRPS), Causalgia, Herpes Zoster and Phantom Limb Pain.

Sacroiliac Joint Injection

The sacroiliac facet joints are a small joint in the area of the low back and buttocks where the pelvis joins with the spine. If the joints become painful they may cause pain in the low back, buttocks, abdomen, groin or legs. A sacroiliac joint injection serves several purposes. First, by placing numbing medicine into the joint, the amount of immediate pain relief experienced will help confirm whether or not the joint is the source of pain. Also, the temporary relief of the numbing medicine may better allow the physician to treat that joint. Also, time release cortisone (steroid) will help to reduce any inflammation that may exist within the joint(s).

Trigger point injections

An outpatient/office procedure where small amounts of local anesthetics and anti-inflammatory medications are injected in the area of the muscle where you have pain or tenderness. These areas are called trigger points because they produce pain when stimulated. Trigger Point Injections are performed if you have myofascial pain which is pain in a specific muscle or muscle group.