Services

Procedures

Caudal Steroid Injections
Cervical Epidural Steroid Injections
Discography
Facet Joint Block Injections -Cervical, Throracic and Lumbar
Genicular Nerve Block
Intercostal Blocks (Rib Injections)
Intra-Articular Hip, Knee, and Shoulder Injections
Lumbar Epidural Steroid Injections
Lumbar Radiofrequency
Lumbar Sympathetic Block
Medial Branch Block
Occipital Nerve Blocks
Sacroiliac Joint Steroid Injection
Spinal Cord Stimulators
Supartz or Gelsyn-3 Knee Injections
Transforaminal Epidural Steroid Injections
Trigger Point Injections
Trochanteric Bursa Injections
Vertiflex

Most procedures are usually done under x-ray guidance or ultrasound guidance. We usually use a local anesthetic and/or mild sedation during most of the procedures to make our patients as comfortable as possible.​


Caudal Steroid Injections

This injection procedure is performed to relieve low back and radiating leg pain. The steroid medication can reduce the swelling and inflammation caused by spinal conditions, such as spinal stenosis, radiculopathy, sciatica and herniated discs.
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Cervical Epidural Steroid Injections

This injection is administered to relieve pain in the neck, shoulders, and arms caused by pinched nerve(s) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease swelling of the affected nerve(s). Some patients may need only one injection, but it usually takes two or three injections, given two weeks apart, to provide significant pain relief.
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Discography

Discography or discogram, is a diagnostic procedure used to determine if back pain is caused by one or more discs and to help surgeon plan the correct back surgery. The procedure involves pressurizing discs with an injection of sterile liquid to induce pain in the affected discs.
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Facet Joint Block Injections

Each vertebra in the spine is connected by two facet joints, one on each side of the spine. For back or neck pain believed to originate in these joints, a facet joint block can be both diagnostic and therapeutic. This injection can confirm whether the facet joints are indeed the source of pain and can help relieve the pain and inflammation.
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Geniclar Nerve Block
Patients with chronic knee pain that has failed to respond to conservative care may be candidates for a Genicular nerve block. This procedure is based on a theory that blocking the nerve supply to a painful area may alleviate pain and restore function. A Genicular nerve block is a procedure where these nerves are anesthetized (“blocked”) with local anesthetic injected through small needles. This procedure is performed with live x-ray guidance (fluoroscopy) to ensure proper needle placement.
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Intercostal Blocks (Rib Injections)

This injection is done to treat pain caused by shingles, rib fractures or past surgical procedures in the chest area. The injection of a steroid medication will help to decrease inflammation of the nerve (s) that is causing the pain. Some patients may only require one injection for their pain to resolve, however some patients may require two or three injections to experience optimal pain relief.
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Intra-Articular Hip and Knee Injections

This injection is used to treat hip, groin, knee, or shoulder pain that usually results from inflammation that happens from daily “wear and tear”. In some patients the pain is a result of injury to that area or a birth defect. A mixture of local anesthetic and a steroid is injected into the affected area. The anesthetic will numb the area and the steroid may help lower the swelling. This will reduce the pain and improve motion to the joint. Some patients may only require one injection for their pain to resolve.
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Lumbar Epidural Steroid Injections

This injection procedure is performed to relieve low back and radiating leg pain. The steroid medication can reduce the swelling and inflammation caused by spinal conditions, such as spinal stenosis, radiculopathy, sciatica and herniated discs. In some cases it may be necessary to repeat the procedure as many as three times to get the full benefit of the medication. However many patients get significant relief from only one or two injections.
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Lumbar Radiofrequency Neurotomy

This minimally-invasive procedure, also called radiofregency (RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.
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Lumbar Sympathetic Block

This injection can both diagnose and treat pain coming from the sympathetic nerves. It is a common treatment for shingles and complex regional pain syndromes affecting the lower extremities. Usually a series of these injections is needed to treat the problem.
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Medial Branch Block

Each vertebra in the spine is connected by two facet joints- one on each side of the spine. For back or neck pain believed to originate in these joints, a facet joint block can be both diagnostic and therapeutic. This injection can confirm whether the facet joints are indeed the source of pain and can help relieve the pain and inflammation.
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Occipital Nerve Blocks

This block is an injection of steroids or other medications around the occipital nerves which are located on the back of the head just above the neck area. The steroid injected will help reduce the inflammation and swelling of tissue around the occipital nerves. This may help reduce pain and other symptoms caused by inflammation of the nerves. Some patients may only require one injection for their pain to resolve, however some patients may require two or three injections to experience optimal pain relief.
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Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
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Spinal Cord Stimulators

Spinal cord stimulation is used to relieve chronic low back and sciatic pain. Indications for SCS are lumbar radiculopathy, cervical radiculopathy, failed back surgery syndrome, reflex sympathetic dystrophy, diabetic peripheral neuropathy, post-herpetic neuralgia, Peripheral Vascular Disease, and Myocardial ischemia and angina pain. It uses electrical impulses to prevent pain signals from being perceived by the brain. SCS candidates include people for whom conservative treatments have failed and surgery is not an option or not likely to help.
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Supartz or Gelsyn-3 Knee Injections

Supartz or Gelsyn-3 is an injection therapy that relieves pain in people with knee osteoarthritis. The solution is made of a highly purified, sodium hyaluronate or HA. HA is a natural chemical found in your body in joint tissues and synovial fluid that fills your joints. Your body’s own HA acts like a lubricant and shock absorber in synovial fluid of a healthy joint. Osteoarthritis degrades the synovial fluid, and the bones of your knee begin to rub against each other causing erosion, bone spurs and pain. Supartz or Gelsyn-3 is injected directly into the knee joint after it has been treated with a cold numbing spray and a local anesthetic. One or both knee joints can be treated in one visit and the procedure may be repeated as needed. One series of injections can last up to 6-12 months.
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Transforaminal Epidural Steroid Injections

This procedure is performed to relieve low back and radiating leg pain. The steroid medication can reduce the swelling and inflammation caused by spinal conditions, such as spinal stenosis, radiculopathy, sciatica, and herniated discs. In some cases it may be necessary to repeat the procedure. However many patients get significant relief from only one or two injections.
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Trigger Point Injections

This is an injection used to treat painful areas of muscle that contain trigger points or knots of muscle that form when muscles do not relax. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body. The injection of local anesthetic, saline or sometimes steroid is injected into the trigger point. The injection will cause the trigger point to be made inactive and the pain is alleviated. Some patients may only require one injection for their pain to resolve, however some patients may require two or three injections to experience optimal pain relief.
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Trochanteric Bursa Injections

The hip is a ball and socket joint that is formed by the femur and the acetabulum. The greater trochanter is the large bump that is found on the outside of the end of the femur. Between the greater trochanter and the tendon that passes over it is a bursa sac. This bursa sac contains fluids that help lubricate the joint and reduce friction. When this bursa sac becomes inflamed because of too much friction or injury, it is referred to as trochanteric bursitis. The pain associated with trochanteric bursitis can be severe and can limit an individual’s ability to perform simple tasks such as walking and climbing without pain. This procedure involves the injection of a local anesthetic, combined with a steroid into the bursa of the hip joint which will help reduce inflammation and reduce pain. Some patients may only require one injection for their pain to resolve.
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Vertiflex

The Vertiflex procedure is a broadly indicated, clinically proven, minimally invasive solution designed to deliver long-term relief from pain associated with lumbar spinal stenosis (LSS). The Vertiflex Procedure uses a small, interspinous spacer to lift pressure off the nerves in the lower back, helping to minimize or eliminate the symptoms of leg and back pain due to LSS. These symptoms can be pain, weakness, tingling, cramping and/or numbness in the legs and back, which typically worsen during standing or walking. The Vertiflex Procedure is performed in an outpatient setting, with minimal recovery time and is completely reversible. To learn more, click here to go to their website.
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