Interventional Pain

Interventional Pain

We use a variety of interventional procedures to treat pain. Guidance form X-ray or ultrasound imaging helps us deliver the therapy to the exact source of your pain. This works whether we are using steroid injections or heat-based remedies. These procedures are typically done as an outpatient and are performed generally in the radiology department. We strive to give you the most pain relief possible.

List of Procedures (including but not limited to):

Epidural Steroid Injections: Injections to treat irritated spinal nerve roots that cause pain in your neck, shoulders, arms, upper and lower back, buttocks, or legs.

Foraminal Injections: can help relieve pain in your lower back, legs and feet caused by sciatica, herniated discs or other back problems.

Facet Joint Injections: This procedure involves injecting medicine into the small joints of the spine. Pain that originates in these joints often manifests itself in the head, neck, and back.

Medial Branch Blocks:  injections, which we perform using X-ray guidance, that help us diagnose and treat pain that comes from the small joints of the spine (facet joints). 

Medial Branch Ablation: Patients with a positive response from the medial branch block are offered radiofrequency ablation for a more sustained response.

Caudal Injections:  injections that are given in the coccyx (tailbone or caudal) region to treat chronic lower back pain and chronic pain in the legs. This procedure is for patients who have had prior back surgeries.

SI injections: This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. 

Genicular Blocks: Patients with chronic knee pain that has failed to respond to conservative care

Genicular Ablation: Patients with a positive response from the genicular block are offered radiofrequency ablation for a more sustained response.

Joint Injections: Hip, knee, shoulders; any major or minor joint.

Occipital Nerve Block: help us treat headaches, including migraines.

Intercostal Nerve Block:  to block the nerves located under the ribs. This block can be used for pain in the upper back, flank, or chest wall.

Stellate ganglion Block: Upper extremity, head, neck, and shoulder pain secondary to pain from shingles and reflex sympathetic dystrophy (RSD) and is a NEW treatment for post-traumatic stress disorder (PTSD).

Kyphoplasty: is useful if your pain stems from a spine fracture (such as vertebral compression fractures). 

Paintec-Linq (SI joint fusion): involves the insertion of a small bone allograft implant in the SI joint and is designed to stabilize and fuse the SI joint. 

Intrathecal Pain pumps: An implanted medical device to deliver medication directly into spinal fluid to provide relief from chronic pain

Spinal Cord Stimulators: Spinal cord stimulation is one treatment for chronic pain. A small medical device sends signals to your spinal cord.

Nalu: Peripheral nerve stimulation implantable device to decrease pain from specific nerves. Example: perineal nerve pain

Intracept: patients with chronic low back pain who don't have a spinal instability or scoliosis, but they do have changes present on an MRI, called modic changes. These patients generally have experienced chronic low back pain for more than six months

OsteoCool: is intended for palliative treatment in spinal procedures by ablation of metastatic malignant lesions in a vertebral body and for ablation of benign bone tumors such as osteoid osteoma.