Image-guided injections, nerve blocks and targeted diagnostics.

Lumbar Epidural Injections treat pain in the lower back or sciatica. The procedure reduces inflammation and allows for improved mobility and of the lower back and legs, so the patient can progress with their rehabilitation.

Cervical epidural steroid injections are aimed at treating neck pain derived from inflammation to cervical nerve roots. This can cause radicular pain down the arm and into the hand. CESI’s can provide short-term relief to help the patient with a rehabilitation or exercise regimen to progress further.

Lumbar medial branch blocks are used to determine the source of the patient’s lower back pain. If the patient experiences significant relief after the injection, then the procedure has successfully determined the source of the pain, and the patient can proceed with their rehabilitation regimen/additional procedures to achieve long term relief.

We perform this procedure. A full page on it is on the way — in the meantime, ask us about it on a consult and we will walk you through what it involves.

SI joint injections are aimed at treating lower back pain or sciatica. Sacroiliac joint dysfunction can be diagnosed after an SI injection if the patient reports immediate significant pain relief.

Biacuplasty is aimed at treating chronic disc-related pain. The procedure is a type of radiofrequency ablation (RFA) that uses two thin electrode probes which are inserted into the disc. While producing the electrodes, the probes and tissue are actively cooled, and provide for less discomfort.

The celiac plexus is a nerve group surrounding the aorta. The block will stop the nerves from carrying pain information to your brain, and give you relief. This procedure is commonly performed on patients who experience abdominal pain linked to or derived from cancer.

Discograms evaluate back pain by injecting a small amount of die into the soft center of the disc. An x-ray or CT scan can identify cracks and some spots of wear and tear.

Aimed at treating pain in and round the pelvic or groin area, a ganglion of impar injection is a sympathetic block to determine if the pain is derived from the injection site or is sympathetically medicated. This procedure is typically performed twice for confirmation.

Another type of RFA , genicular nerve ablations are used to treat osteoarthritis in the knee. The procedure is minimally invasive and can provide adequate relief for patients.

The hypogastric plexus is a bundle of nerves at towards the bottom of your spinal cord. Blocking these nerves is typically aimed at preventing pain derived from the lower digestive or reproductive systems, or sometimes cancer. Some patients will report immediate relief after the procedure, and long-term relief after a few days.

A steroid joint injection is a common injection performed directly into the area the patient is reporting pain. The length of relief is different for each patient, but long-term relief is more likely with a working physical therapy or exercise regimen.

An INB is used for treating chest pain caused by a surgical incision or shingles (herpes zoster infection). When the steroid is injected into the intercoastal nerves, located under each rib, the inflammation of the tissue is reduced, providing relief. It is advised patients do not do heavy lifting or significant physical activity in the 24 hours after the injection.

Sympathetic blocks to the lumbar spine help relieve sciatica and/or chronic pain that radiates down the leg and into the foot.

Migraines or chronic headaches are usually related to occipital nerve irritation. The occipital nerves are injected through the back of the head or neck, and patients can experience relief almost immediately.

Pain traveling through sympathetic nerves in or around the neck can be treated with a stellate ganglion block. This injection is used for patients who experience causalgia, shingles, reflex sympathetic dystrophy or decreased blood flow to the heart.