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Treatments

All procedures are performed under direct video fluoroscopically guidance.
Innovative, minimally invasive treatments include:

  • Cervical, thoracic, and lumbar epidural steroid injections
    • An epidural steroid injection is a combination of a corticosteroid, a strong anti-inflammatory pain medicine, and a local anesthetic medicine, which provides immediate pain relief.
    • The epidural steroid is injected into the space around your spinal cord and nerve roots.
    • Direct video fluoroscopy guidance is used to identify the exact location of the pain.
  • Facet injections
    • A local anesthetic or corticosteroid is injected into a facet joint, a point at which one vertebra connects to another. Facet joints connect vertebrae in the back of the spine.
  • Vertebroplasty and kyphoplasty
    • Both procedures are performed to relieve pain from spine compression fractures that result from conditions such as osteoporosis or tumors.
    • Vertebroplasty is used to relieve pain from spinal compression fractures. After you receive a local anesthetic, a needle is inserted into your vertebrae and a cement-like mixture is injected into the crushed area of your spine, where it will harden.
    • Kyphoplasty is used to return your vertebrae to a more normal shape. After you receive either a local or general anesthetic, a small incision is made in your back. A balloon device is then inserted into the fractured vertebrae and inflated, and a cement-like material is injected into the space created by the balloon.
  • Spinal cord stimulation
    • Spinal cord stimulation involves placing stimulating electrodes next to your spinal cord to help relieve pain.
  • Thermal denervation (radiofrequency)
    • Thermal denervation can relieve pain from neck joints and aims to deactivate the nerve responsible by applying an electric current to damage the nerve with heat. The goal of thermal denervation is to restore the nerve to its original state, before it “learned” to transmit pain more efficiently.
  • Discogram, provocation discography
    • A discogram is an X-ray of the discs in your spine. After dye is injected into the center of the discs causing you pain, the dye makes the discs clearly visible on X-ray film and on a fluoroscope (special X-ray TV screen). Provocation discography involves injecting local anesthetic into the center of the discs to relieve pain.
  • Sympathetic blocks
    • Sympathetic blocks are performed in a variety of ways. One technique involves the injection of medication to block sympathetic receptors. Another technique involves the placement of an anesthetic next to the spine to directly block sympathetic nerves.
  • Occipital nerve blocks
    • An occipital nerve block is an injection of a steroid or other medication around the occipital nerves located on the back of your head just above your neck. The injection helps relieve your pain by reducing the inflammation and swelling around your occipital nerves.
  • SI joint injections
    • The sacroiliac (SI) joint connects your spine to your hip bone. A steroid injection is performed to relieve pain in the SI joint.
  • Hip joint injections
    • Your hip joints connect your legs to your pelvis. Time-release cortisone is injected into your hip joint to reduce inflammation and relieve pain.
  • Trigger point injections
    • Trigger points are knots of muscle that form when muscles do not relax. A small needle is inserted into a trigger point that is causing you pain. A local anesthetic, that sometimes includes a corticosteroid, is injected into the trigger point to relieve pain.

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