Treatments
At our clinic, we specialize in providing the most effective pain management options for your unique condition or injury. Our comprehensive treatment plans include a variety of options, such as injections, medications, and physical therapy, tailored to your individual needs. We believe in a holistic approach to care that considers not only your physical but also your mental well-being. This approach has proven successful when other methods have failed in the past.
Here are some of the treatments we offer:
Epidural Injection
This outpatient or office-based procedure aims to manage pain by administering powerful anti-inflammatory medications into the epidural space. This technique effectively reduces inflammation of the spinal discs and nerves, thereby providing relief from pain. Participation in physical therapy and day-to-day activities is often enabled in many cases.
Transforaminal Epidural Injection
The Transforaminal Epidural Injection is a procedure specifically designed to provide relief for those who suffer from low back and radiating leg pain. Using a transforaminal approach, this injection targets a specific nerve root that may be causing the pain. The foraminae, which are small openings between the vertebrae, provide access for the injection to be delivered around the targeted nerve root.
This type of epidural injection is commonly used for diagnostic purposes, particularly in the neck, to determine if a specific nerve root is the root of the pain. Additionally, it can help to alleviate the swelling and inflammation caused by spinal conditions such as spinal stenosis, radiculopathy, sciatica, and herniated discs.
It’s important to note that while many patients experience significant relief after just one or two injections, some may require multiple procedures to achieve long-lasting pain relief. Your healthcare provider will work with you to determine the best course of treatment for your individual needs.
Diagnostic & Therapeutic Nerve Blocks
Outpatient/office procedures that involve the administration of local anesthetics and anti-inflammatory medication injections around specific nerves or nerve groups are performed to manage pain. Here are a few examples:
Intercoastal Nerve Block:
This involves injecting a local anesthetic and anti-inflammatory medication in the area between two ribs. It is performed for pain due to herpes zoster, or to alleviate pain caused by a surgical incision in the chest area. Additionally, it can help to diagnose the root cause of your pain.
Facet Nerve Block:
This procedure involves injecting anti-inflammatory and anesthetic medication in and around the facet joint area to reduce the swelling around the nerve. It is performed when your doctor suspects that your neck or lower back pain may be caused, in part, by the small facet joints of the spine.
Medial Branch Nerve Block:
In a medial branch nerve block, targeted injections of anesthetic medication are administered near the medial branch nerves that supply sensation to the facet joints in the spine. This procedure aims to temporarily interrupt pain signals from these nerves and provide relief for individuals with suspected facet joint-related pain in the neck or lower back.
Genicular Nerve Block:
By precisely injecting anti-inflammatory and anesthetic medication around the genicular nerves in your knee, a genicular nerve block helps alleviate pain and reduce swelling. This procedure is recommended when chronic knee pain is suspected to originate from the genicular nerves within the knee joint. RF can also be applied to the nerve to decrease pain sensation.
Your healthcare provider will work with you to determine the most effective pain management plan based on your individual needs.
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
Trigger Point Injections are an effective outpatient/office procedure used to manage pain and tenderness in specific muscle or muscle groups. During this procedure, small amounts of local anesthetics and anti-inflammatory medications are injected directly into the affected trigger points, which are areas that can cause pain when stimulated.
This procedure is typically performed for those who have myofascial pain, which is pain in a specific muscle or muscle group. By delivering medication directly to the affected area, trigger point injections help to alleviate pain and discomfort, allowing you to regain mobility and improve your quality of life.
Minimally Invasive Lumbar Decompression (MILD)
This procedure is designed for individuals suffering from lumbar spinal stenosis. A small incision is made in the lower back, allowing for the removal of bone and ligament calcification that is causing compression on the lumbar nerves. This minimally invasive surgery reduces the pressure on the nerves and can provide relief to patients experiencing chronic pain. The small incision minimizes the risk of complications and allows for a faster recovery time compared to traditional back surgery.
This procedure is typically performed for those who have myofascial pain, which is pain in a specific muscle or muscle group. By delivering medication directly to the affected area, trigger point injections help to alleviate pain and discomfort, allowing you to regain mobility and improve your quality of life.
PRP (Platelet Rich Plasma) & Stem-Cell Injections
Platelet rich plasma (PRP) & Stem Cell injections are advanced treatments that can effectively alleviate pain and promote healing in various musculoskeletal conditions. These procedures involve injecting concentrated growth and healing factors directly into affected areas of the body, which can stimulate the body’s natural healing process and promote the growth of new cartilage. By targeting the source of pain and delivering these growth factors in a selective manner, PRP & Stem Cell injections can help to significantly strengthen the body’s natural healing signal and provide long-lasting relief from pain.
This procedure is typically performed for those who have myofascial pain, which is pain in a specific muscle or muscle group. By delivering medication directly to the affected area, trigger point injections help to alleviate pain and discomfort, allowing you to regain mobility and improve your quality of life.
Botox® (Botulinum Toxin)
Botox® has been approved by the FDA as an effective treatment for chronic migraine headaches, cervical dystonia (painful neck muscle spasm), spasticity (spasms), and other pain-related issues.
When used for chronic migraine headaches, Botox® is injected into specific areas of the head and neck to block the release of certain chemicals that cause pain and inflammation. The procedure is done on an outpatient basis, and the effects can last up to three months.
In addition to chronic migraines, Botox® can also be used to treat other pain-related conditions, such as cervical dystonia and spasticity. By targeting the affected muscles, Botox® injections can help to alleviate muscle spasms and pain, allowing you to regain mobility and improve your quality of life.
If you suffer from chronic migraines, cervical dystonia, spasticity, or other pain-related issues, talk to your healthcare provider about whether Botox® is right for you. They can help you understand the risks and benefits of the treatment and develop a personalized treatment plan tailored to your specific needs.
Radiofrequency
Radiofrequency Ablation is an effective outpatient procedure that uses a radiofrequency current to target and heat a small volume of nerve tissue, interrupting pain signals from that specific area.
During the procedure, a small needle is inserted into the targeted nerve tissue, and a radiofrequency current is applied to heat the tissue, which effectively disrupts the pain signals traveling to the brain. The procedure is minimally invasive and can be performed on an outpatient basis, allowing you to return to your daily activities shortly after the procedure.
Radiofrequency Ablation is often recommended for those who suffer from chronic pain conditions, such as chronic low back pain or neck pain, and who have not responded well to other treatments. By interrupting the pain signals from the affected area, this procedure can provide significant pain relief and improve your overall quality of life.
If you suffer from chronic pain and are looking for effective pain management options, talk to your healthcare provider about whether Radiofrequency Ablation is right for you. They can help you understand the risks and benefits of the treatment and develop a personalized treatment plan tailored to your specific needs.
This procedure is typically performed for those who have myofascial pain, which is pain in a specific muscle or muscle group. By delivering medication directly to the affected area, trigger point injections help to alleviate pain and discomfort, allowing you to regain mobility and improve your quality of life.
Percutaneous Discectomy Disc Decompression
Percutaneous Discectomy is an effective minimally invasive option for those suffering from low back and leg (radicular) pain due to contained disc herniations, who have not responded to conservative treatments.
This procedure is performed in a surgical setting using local anesthetic or conscious sedation to help with patient comfort and monitoring. The procedure involves using a small discectomy probe, guided by fluoroscopic imaging, to remove disc tissue through a tiny puncture in the skin. This minimally invasive approach reduces the risk of complications and allows for a faster recovery time compared to traditional back surgery.
The procedure typically takes 30-60 minutes, and patients can usually return home on the same day. By removing the damaged disc tissue, Percutaneous Discectomy can relieve painful pressure on the surrounding nerves, providing significant pain relief and improved quality of life.
If you are experiencing low back and leg pain due to a contained disc herniation and have not found relief through conservative treatments, talk to your healthcare provider about whether Percutaneous Discectomy is a viable option for you. They can help you understand the risks and benefits of the procedure and develop a personalized treatment plan to address your specific needs.
Nucleoplasty
This outpatient procedure is a minimally invasive option for patients experiencing pain due to pressure from a herniated disc. The procedure involves inserting a transmitter catheter, also known as a Wand, into the nucleus of the affected disc through a special cannula inserted through the skin. The Wand uses radio waves to dissolve tissue volume and reduce or eliminate pressure on the nerve root, which is the cause of the pain. The procedure is performed in an outpatient setting and typically takes a short amount of time. By using this minimally invasive approach, patients can potentially avoid more invasive traditional surgery options.
This procedure is typically performed for those who have myofascial pain, which is pain in a specific muscle or muscle group. By delivering medication directly to the affected area, trigger point injections help to alleviate pain and discomfort, allowing you to regain mobility and improve your quality of life.
Neurostimulation / Neuroaugmentation
Spinal cord stimulators and peripheral nerve stimulators are outpatient procedures that involve implanting a medical device under the skin, similar to a heart pacemaker. The device sends mild electrical impulses through special electrodes or leads that are surgically implanted to specifically target the area of pain. This can help manage chronic pain that has not been relieved by other treatments. A trial test is typically performed to assess the effectiveness of this treatment before proceeding with permanent implantation.
This procedure is typically performed for those who have myofascial pain, which is pain in a specific muscle or muscle group. By delivering medication directly to the affected area, trigger point injections help to alleviate pain and discomfort, allowing you to regain mobility and improve your quality of life.