Interventional Treatment Options

Percutaneous Spinal Procedures
Transforaminal ESI/Select Nerve Root Blocks
Sacroiliac & Zygopophysial Injections
Radiofrequency Denervation/ Neurotomy
Intradiscal Electrothermal Annuloplasty

Sympathetic Block

A Sympathetic Block is an injection of a local anesthetic into the sympathetic nerve tissue in the lumbar region of the back. The injection aims to block the Sympathetic nerves and reduce pain in the lower extremity and potentially improve mobility.

Sympathetic Blocks are commonly used to treat:
Reflex Sympathetic Dystrophy
Sympathetic Maintained Pain
Complex Regional Pain Syndrome

Spinal Cord Stimulator Trials

A spinal cord stimulator exerts pulsed electrical signals to the spinal cord. Small electrodes are implanted in the epidural space and an electrical pulse generator is implanted in the abdominal area. A remote control is utilized to set the level of the pulsed electrical signals.

Spinal Cord Stimulators are used to treat:
Failed back surgery syndrome
Complex regional pain syndrome
Refractory pain

Selective Peripheral Nerve Blocks
Carpal Tunnel/ Ulnar Nerve Blocks

Botulinum Toxin Injections

Botulinum neurotoxin is a nerve blocker used to relax muscles and reduce excess muscle contractions. It comes from the bacterium Clostridum botulinum and binds to nerves to prevent the release of acetylcholine. In doing so, it blocks the neurotransmitter and prevents/reduces muscle spasms and contractions.

Botulinum Toxin Injections are commonly used to treat:
Muscle Spasms
Muscle Contractions

Trigger Point Injections

Trigger Point Injections are small doses of local anesthetics administered to painful muscles and knots of muscles to provide immediate relief. Treatment periods usually only take a few minutes and have rapid results. The small dose of anesthetic relaxes the muscle and causes it to fall inactive, relaxing the stressed area.

Trigger Point Injections are used to treat:
Arm, Leg, Lower Back, and Neck Pain
Tension Headaches
Myofacial Pain Syndrome

Cortisone injections

Cortisone Injections are also known as a steroid injection. It is a strong anti-inflammatory and can be given by mouth, creams, or by injections. These injections are commonly given in the joints including knees, shoulders, fingers, and wrists, and also to block the superficial nerves of the head, i.e., occipital nerve and the intercostal nerves between the ribs. They are also injected into the soft tissues of the tendons and bursa to reduce inflammatory reactions and are commonly mixed with a local anesthesia. Cortisone injections should not be confused with antibiotic steroids which are the steroids that are used to increase muscle mass and strength and are known as the steroids that are abused by athletics.

Hyaluronic Acid Injections
Injections such as Supartz, Synvisc, or Euflexxa are a gel-like substance that lubricates, protects, and cushions the knee joint which may increase function, increase range of motion, and decrease pain.

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