- Trigger Point Injections - Trigger Point Injections (TPI) for pain management is an option for a lot of patients. TPI's treat areas of muscle that contain trigger points or knots of muscle that can form if muscles that contain trigger points or knots of muscle that can form if muscles do not relax. Referred pain, or pain that is felt from another part of the body, may occur when these knots irritate surrounding nerves.
Process A small needle containing a local anesthetic will be inserted into the trigger point area. From this, the trigger point is made inactive and pain is alleviated. These injections will only take a few minutes. Several injections sites can be done during one visit and if you are allergic to a certain drug then we can consider using a dry-needle technique where no medication is used.
Candidates Many muscle groups can be treated using trigger point injections. Common areas include the neck, arms, lower back and legs. Trigger Point Injections can treat: -Fibromyalgia -Tension Headaches -Myofascial Pain Syndrome (that does not respond to other treatments. During your visit we will discuss how trigger point injections can relieve your muscle pain and determine what other treatments options there are available so you can make an educated decision what is best for you.
- Nerve Block Injections - A nerve block is when an injection with a nerve-numbing substance is used so pain that is being caused by a specific body region or organ is blocked from sending pain signals to the brain.
Nerve block help control pain. The part of your body where you are experiencing pain will determine what type of block will be used. For example, pain in the neck and back will need a cervical epidural, thoracic epidural or lumber epidural. While those who suffer from pain in the shoulder or upper neck will need a cervical plexus or cervical paravertebral block. Other nerve blocks we may utilize include occipital nerve blocks, genicular nerve block ablation and medial branch nerve block.
Candidates for Therapeutic Nerve Blocks We will discuss the pain you are experiencing to determine if nerve blocks are right for you. Those suffering from disc herniations or peripheral neuropathy find relief with the therapeutic nerve blocks. Your current state of health and medical history will be taken into consideration to ensure this is an ideal treatment for you. Therapeutic nerve blocks only relieve symptoms temporarily and are not considered to be long-term treatment.
- Epidural Steroid Injections (ESI) - We will give you an epidural injection to reduce inflammation in your spine, reducing pain and allowing time for your condition to heal.
The spine consist of boney vertebrae stacked one on the other, with shock absorbing intervertebral discs lying between the vertebrae, ligaments and muscles connecting the bones and the spinal cord branching out to the spinal nerves. The spinal cord is bathed in cerebral spinal fluid and surrounded by a protective membrane called the dura. Just outside this membrane is the epidural space. Each intervertebral disc consists of a tough layer called the annulus fibrosis and a spongy inner material called the nucleus pulposus. As a result, the disc may bulge into the surrounding neuro and vascular structures causing inflammation and pain. If the annulus completely breaks down, the nucleus may ooze through causing a disc herniation. The resulting inflammation and swelling may irritate one of the spinal nerves nearby resulting in a condition known as Radiculopathy.
What is treats Disc herniations in the lower or lumbar region of the back tend to produce shooting pain down the leg, a condition known as sciatica. If a disc herniates in the neck, the pain radiates into the arm. Another condition that can cause pain and inflammation in the are of the spinal nerves is Osteoarthritis, which may cause excess bone growth at the joints of the spine resulting in compression of the nearby spinal nerves.
How it works An epidural steroid injection is a minimally invasive procedure. To begin, your doctor will numb the skin on your back with a local anesthetic. Using an X-ray image for guidance, your doctor will insert a needle between the bones and through the ligaments of your spine until it reaches the epidural space at the level of the inflammation. Once the needle has been inserted into the epidural space, your doctor will inject the steroid solution. After your procedure, you may apply ice to the injection area for pain relief and take over-the-counter pain medications.
- Botox Injections - If your suffer from chronic back and neck pain, you may also suffer from headaches or migraines. Pain in the neck or back can be the primary cause of headaches and migraines. In other case the nerves outside your skull may be the source of your headaches and migraines. In each case the Botox injections may help manage your pain. The theory behind using Botox t interrupt the signals between the nerve and muscles while increasing your range of motion. Botox must be administered through a licensed medical doctor. Botox helps relax the muscles and decrease the pressure on the nerve(s) that cause you pain.
Advantages Using Botox for headaches and migraines over oral medication is beneficial because the effects of the solution are local and do not cause side effects that other medications tend to have, such as dizziness, fatigue, and sedation. If you suffer from chronic headaches or migraines we will work with you to develop a treatment plan that will give you results you're looking for.
- Joint & Facet Joint Injections If your suffer from chronic back and neck pain, you may also suffer from headaches or migraines. Pain in the neck or back can be the primary cause of headaches and migraines. In other case the nerves outside your skull may be the source of your headaches and migraines. In each case the Botox injections may help manage your pain. The theory behind using Botox t interrupt the signals between the nerve and muscles while increasing your range of motion. Botox must be administered through a licensed medical doctor. Botox helps relax the muscles and decrease the pressure on the nerve(s) that cause you pain.
How It Works The facet joint of the spine is a movable connection that connects one vertebra (bone of the spine) to another. The injections includes both a long-lasting steroid and an anesthetic. The steroid reduces the inflammation and irritation and the anesthetic works to numb the pain. The combination medicine then spreads to other levels and portions of the spine, reducing inflammation and irritation. The entire procedure usually takes less than 15 minutes.
- Spinal Cord Stimulators - A spinal cord stimulator (SCS) device is surgically placed under your skin and sends a mild electric current to your spinal cord. A small wire carries the current from a pulse generator to the nerve fibers of the spinal cord. When turned on, the SCS stimulates the nerves in the area where your pain is felt, resulting in decreased pain and discomfort.
Candidates for Spinal Cord Stimulators A general condition known as failed back surgery syndrome one of the most common reasons spinal cord stimulation is used. The term describes chronic pain after one or more back or neck surgeries fails to alleviate persistent low back pain, leg pain (sciatica or lumbar radiculopathy) or arm pain (cervical radiculopathy). This therapy is also used to treat arachnoiditis, chronic neck or back pain, complex regional pain syndrome, peripheral neuropathy, and refractory angina.
- Radiofrequency Ablation -
Radiofrequency ablation (RFA) is a procedure used to reduce pain. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area. Candidates for Radiofrequency Ablation RFA can be used to help patients with chronic (long-lasting) low back or neck pain as well as pain related to the degeneration of joints due to arthritis or another medical condition.