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With over 50 years combined experience in pain management, our doctors and staff
provide our patients treatments for:
• Acute Back Pain
• Acute Neck Pain
• Cancer Pain
• Headache Pain
Some of the services that we offer:
Epidural Steroid Injections
(Lumbar & Cervical)
This procedure is done for patients who have either
herniated disc(s) or radiculopathies of various sorts
with some inflammation of their nerve root.
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Facet
Blocks (Lumbar & Cervical)
This procedure is used for patients who have zygopotheseal (facet) arthritis
or zygopophyseal (facet) related pain radicular or not.
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Discograms (Lumbar & Cervical)
This is a problem-solving procedure where a needle is placed into a disc
that clinically seems to be causing the patient pain. Dye is injected and both
a subjective pain response from the patient is elicited as well as an objective
view of the disc on x-ray is done. After this procedure is completed in the
operating room, the patient is sent for a CT Scan to further evaluate the
internal architecture of the disc. This procedure is not necessarily
therapeutic for pain but is highly diagnostic for helping localize the pain
generators in patient with back and/or neck pain.
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Lumbar Medial Branch Blocks
These consist of injections of a small amount of local anesthetic onto the
medial branch nerve. The point of this is to determine whether the patient’s
back pain comes from a particular zygopophyseal joint served by that medial
branch. If this is indeed the case, the patient’s pain syndrome can be relieved
by a medial branch rhizotomy which is the next procedure performed.
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Lumbar Rhizotomy
These are done under x-ray guidance with a radiofrequency lesion generator.
A needle is placed parallel to the medial branch nerve that has previously been
determined to carry pain impulses from the patient’s zygopophyseal joint. After
testing to make sure that there are no motor fibers involved and that this
branch does indeed cause the patient’s pain syndrome, it is lesioned for
approximately 60 seconds at 80 degrees.
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Intradiscal Depomedrol Injection
After a discogram has been done demonstrating where the patient’s pain
center is, needles can be placed back into the disc and some steroid mixed with
local anesthetics can be injected to provide pain relief to the patient. In
conjunction with physical therapy, this may or may not have some long-term
effects.
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Stellate Ganglion Block
This procedure is indicated in the treatment of herpes zoster in the
distribution of the trigeminal nerve and cervical and upper thoracic dermatomes
as well as frostbite and acute vascular insufficiency of the face and upper
extremities. This is also done for both diagnosis and treatment of sympathetic
pain of the upper extremities, and for RSD (CRPS) of the upper extremities.
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Sympathetic Nerve
Block
This is a special test. It helps find the cause of your symptoms. During
the test, medication is injected near your spine. This “blocks” the sympathetic
nerves in that region. If these nerves are causing your problem, the injection
will relieve your symptoms for a while. This test is used for symptoms which
include burning, pain, or tingling in the arms and hands or legs and feet.
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Spinal
Cord Stimulation
A trial of spinal cord stimulation is indicated in patients suffering from
the following painful conditions that have failed to respond to more
conservative therapy: (1) reflex sympathetic dystrophy, (2) causalgia, (3)
ischemic pain secondary to peripheral vascular insufficiency, (4)
radiculopathies, (5) failed back syndrome, (6) arachnoiditis, (7) post herpetic
neuralgia, (8) phantom limb pain, and possible, (9) intractable angina. Spinal
cord stimulators can be placed into the epidural space either percutaneously or
via small laminotomy. Before placing a permanent spinal cord stimulator, a
trial can be done by placing a stimulating catheter through a needle in the
epidural space and advancing the catheter into a position over the spinal cord
which provides stimulation to the affected area.
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Intrathecal Drug Delivery Device (Trials & Management)
Coming Soon
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Joint Injections
Description
Coming Soon
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Synvisc & Hyalagan
Injections
Description
Coming Soon
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Trigger
Point Injections
The cause of your muscle pain or spasms may be one or more trigger points.
Your doctor may decide to inject the painful spots to relax the muscle. This
can help relieve your pain. Relaxing the muscle can also make movement easier.
You may then be able to exercise to strengthen the muscle and help heal it.
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Botox &
Myobloc Injections
Description
Coming Soon
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Intradiscal
Radiofrequency Lesioning
Depending on what is found in a discogram of a particular disc, there can be
some internal derangement of the annulus fibrosis resulting in some contact of
the nuclear contents with the neural ring surrounding the nucleus. Again, this
is determined in the discogram and this painful syndrome can be treated by
carefully lesioning the nuclear material and the annulus in the area of the
derangement. This is done under x-ray and with a radiofrequency lesioning
generator.
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