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Procedures

What is Pain Management?

Interventional pain management is defined as the discipline of medicine devoted to the diagnosis and treatment of pain-related disorders, principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Interventional pain management techniques are minimally invasive procedures, including percutaneous precision needle placement, with placement of drugs in targeted areas or ablation of targeted nerves; and some surgical techniques such as laser or endoscopic discectomy, intrathecal infusion pumps and spinal cord stimulators, for the diagnosis and management of chronic, persistent, or intractable pain.

Information courtesy of Spine Universe.  To read their full article, visit their website.

 

Our Areas of Expertise


Pain Management and Nerve Blocks

Often a group of nerves, called a plexus or ganglion, that causes pain to a specific organ or body region can be blocked with the injection of medication into a specific area of the body. The injection of this nerve-numbing substance is called a nerve block.  There are several types of nerve blocks that serve different purposes – click below to learn more.

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Cervical, Thoracic, Lumbar Interlaminal Epidural Steroid Injection

An epidural injection delivers steroids into the epidural space around spinal nerve roots to relieve pain – back pain, leg pain, or other pain—caused by irritated spinal nerves. The steroid used in the epidural steroid injection reduces the inflammation of those nerves, which is often the source of the pain.

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Cervical, Lumbar, Thoracic Facet Joints Nerve Block

Medial branch nerves are small nerves that feed out from the facet joints in the spine, and therefore carry pain signals from those joints. A medial branch nerve block temporarily interrupts the pain signal being carried by the medial branch nerves that supply a specific facet joint.

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Celiac Plexus Block

A celiac plexus block is an injection of local anesthetic into or around the celiac plexus of nerves that surrounds the aorta, the main artery in the abdomen.

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Celiac Plexus Neurolysis

A celiac plexus neurolysis is commonly performed for abdominal pain and especially effective for pancreatic cancer pain.  The celiac plexus is a bundle of nerves located in front of the diaphragm and behind the stomach near the celiac artery and the abdominal aorta.

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Discography

Discography is a very specific tool that may help your health care provider determine if the abnormal disc is causing your pain.

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Endoscopic Diskectomy

Endoscopic Diskectomy is a surgery for a herniated disk. Most people who have a herniated disc do not need surgery because their symptoms tend to improve over time.

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Intercostal Nerve Block

An intercostal nerve block is an injection of a steroid or other medication around the intercostal nerves that are located under each rib.

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Joint Steroid Injection

A joint steroid injection is an injection of localized anesthetic to block the pain signal from that nerve.  We focus on joint steroid injections in the hip, shoulder, hand and foot joints.

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Kyphoplasty & Vertebroplasty

Kyphoplasty and vertebroplasty are surgical procedures designed to stop the pain caused by a spinal fracture, to stabilize the bone, and to restore some or all of the lost vertebral body height due to compression fracture.

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Lumbar Sympathetic Block

A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves.  A lumbar sympathetic block is performed to block the sympathetic nerves that go to the leg on the same side as the injection.

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MILD Procedure

The MILD procedure is meant to treat Lumbar spinal stenosis (LSS). LSS is a narrowing of the lower spinal canal which may cause pain, numbness, or tingling in your lower back, legs or buttocks, limiting your ability to stand or walk.

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Occipital Nerve Block

An occipital nerve block is an injection of a steroid or other medication around the greater and lesser occipital nerves that are located on the back of the head just above the neck area. The steroid injected reduces the inflammation and swelling of tissue around the occipital nerves.

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Peripheral Nerve & Field Stimulation

Approved by the FDA in 1989, spinal cord stimulation (SCS) has become a standard treatment for patients with chronic pain in their back and or limbs who have not found pain relief from other treatments.

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Radiofrequency Neurolysis or Ablation of the Facet Joints

Radiofrequency ablation (or 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.

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Sacroiliac Joint Block

The sacroiliacjoint is a large joint in your lower back and buttocks region. When the joint becomes painful, it can cause pain in its immediate region or it can refer pain into your groin, abdomen, hip, buttock or leg.

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Spinal Cord Stimulation

Neurostimulation (also called spinal cord stimulation, or SCS) is a proven therapy that has been recommended by doctors to manage chronic pain and improve quality of life.

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Spinal Delivery System

Pain relief through spinal drug delivery systems, also called intrathecal drug delivery systems, involves implanting a small pump that delivers medication directly to the spinal cord, where pain signals travel.

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Stellate Ganglion Block

A stellate ganglion block is an injection of local anesthetic in the sympathetic nerve tissue of the neck. These nerves are a part of the sympathetic nervous system.

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Treatment for Cancer Pain

Cancer pain is often treated with oral medication and pain-relieving techniques such as relaxation and exercise. Sometimes, these options don’t relieve the pain or they cause side effects like nausea, confusion, and constipation. You don’t have to live this way.

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Botox for Chronic Migraine

A migraine is a type of headache that may begin as a dull ache and then turn into a constant, throbbing pain felt on one side of the head. When you have a migraine you may be sensitive to light and sound and experience nausea and/or vomiting.

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Phone: (847) 625-9500

Email: info@paindiagnosistreatment.com