We understand that each patient’s pain is unique and therefore, treatment recommended to each patient will also be unique. We offer advanced interventional and minimally invasive techniques to help treat chronic complex pain.
Chronic pain is one of the most challenging conditions to manage. However, when it comes to finding a treatment for these symptoms, there are numerous options available. We understand that each patient’s pain is unique and therefore, treatment recommended to each patient will also be unique. We offer advanced interventional and minimally invasive techniques to help treat chronic complex pain. There is no guarantee that a certain treatment will cure a patient’s pain, therefore we promise to explore as many options as possible to ensure that the pain can be diminished to a level that allows a patient to feel comfortable.
We also utilize other approaches besides specialized procedures such as myofascial therapy, biofeedback, counseling and life style changes. Moreover, we recommend rehabilitation and reconditioning which focuses on biomechanical, postural and strength deficits, commonly associated with spine pain.
List of Treatments
Epidural steroid injection
It’s a targeted minimally invasive procedure that can help relieve radicular pain in the neck, arm, back, and leg. There are multiple approaches to the epidural space, and your doctor will choose the one most appropriate for your anatomy.
Medial Branch Block
are the nerves that supply the facet joints. Since we cannot make the spine younger or less degenerative, what we aim to do is turn off the painful signal that comes from those joints. The medial branch nerves are the messengers of this painful signal, and by blocking them with numbing medicine we can oftentimes turn off the pain.
SI Joint Injection
The SI joint connects the large triangular-shaped bone at the end of the spine (the sacrum) to the two hipbones (iliac bones). The SI joints are designed for stability, not mobility. However, it is subject to degenerative and inflammatory arthritis as well as mechanical dysfunction.
Selective Nerve Root Block
is a targeted injection that is typically used by your surgeon and pain doctor to diagnose and/or treat the cause of pain.
Intra-articular Joint Injection
utilize X-ray guidance to place numbing medication and steroids in a joint space, most commonly hips, knees, or shoulders. These are broadly recommended in societal guidelines as part of a comprehensive treatment plan. The goal of the intra-articular injection is to reduce inflammation, thereby relieving pain and increasing function.
Pulsed Radiofrequency Neuromodulation
is a needle-based, non-narcotic treatment that can be used for many purposes, one of which is chronic shoulder, knee, and other joint pain. Over time, inflammation in joints and ligaments is believed to cause small nerve endings to grow into the joint structures.
Sympathetic Nerve Block
The sympathetic nerves are a part of the autonomic nervous system, which control a number of different functions in the body as part of the “fight or flight” response. In some conditions, these nerves can also carry pain signals or maintain painful states.
The piriformis muscle is involved in rotation of the thighbone. In its course running from the sacrum to the outside of the hip, it can compress the sciatic nerve. This results in pain that runs down the back of the leg into the sole of the foot. This is called piriformis syndrome.
Trigger Point Injections
(TPIs) have been widely used to facilitate this process and are the gold standard for the treatment of MPS. They are relatively safe when performed by clinicians with appropriate training.
Intercostal Nerve Blocks
numb up the nerves that run underneath the lower edge of each rib. They are typically used when an injury to the nerve or associated rib has occurred. This is most frequently in the setting of rib fractures or chest surgery, but may also be used in the treatment of post-herpetic neuralgia (pain after shingles).
Spinal Cord Stimulator
is an advanced implantable device that can be used to interrupt or mask painful signals coming from the body on their way to the brain. Spinal Cord Stimulation can be thought of as a white noise machine for pain – it drowns out painful signals along certain neural pathways using wires that are placed inside the bony spine into the epidural space.
is a route of medication administration that delivers the medicine directly into the spinal fluid. This is achieved using a small pump that is surgically implanted under the skin and connected to a thin catheter inserted into the fluid-filled sac that houses the spinal cord.
Vertiflex(R) Interspinous Decompression
novel treatment for patients with lumbar spinal stenosis that do not have misalignment of their spine. In this minimally invasive treatment, a small wedge is placed to keep the spine “open” and block painful extension at one or two levels.