Treatment Options

Treatment plans often include:

  • Spine Injections
  • Peripheral Nerve Blocks
  • Joint/Muscle Injections
  • Botulinum toxin (Botox) Injections for Chronic Migraine or Limb Spasticity
  • Medication Management
  • Pain Neuropsychology
  • Consultation with Spine Surgeons, Neurologists, and Rheumatologists as Needed
  • Physical/Aqua/Occupational Therapy
  • Referral to Chiropractic, Acupuncture, or Complementary Medicine
  • Advanced Pain Intervention

Spine and Nerve Blocks

  • Epidural Steroid Injection (Cervical/Thoracic/Lumbar)
  • Transforaminal Epidural/Selective Nerve Root Blocks
  • Occipital Nerve Blocks
  • Facet Joint Steroid Injections (Cervical/Thoracic/Lumbar)
  • Medial Branch Blocks (Cervical/Thoracic/Lumbar)
  • Sympathetic Blocks (Stellate Ganglion Blocks, Lumbar Sympathetic Blocks, Ganglion Impar Injections)
  • Interscalene Blocks
  • Intercostal Nerve Blocks
  • Ilioinguinal/Iliohypogastric Blocks
  • Piriformis Injections
  • Pudendal Nerve Blocks
  • Epidural Blood Patch

Joint and Muscle Injections

  • Shoulder Injections
  • Knee Injections (Steroid or Viscosupplementation/Gel Injections)
  • Hip Injections
  • Ankle Joint Injections
  • Trigger Finger Injections
  • Elbow Injections
  • Thumb Joint Injections
  • Trigger Point Injections: These injections in muscles are designed to help relieve pain associated with Myofascial Pain Syndrome, a condition in which regional muscle pain is experienced.

Advanced Pain Procedures

  • Spinal Cord Stimulation Trial/Implant: a technology in which a battery and one or more electric wires are implanted in the body. The wires are placed in the epidural space, near to the spinal cord. When activated, these wires carry electric impulses that can block or disrupt ordinary pain impulses via the Gate Control Theory. Patients may feel a tingling sensation when this device is on. Note: this is not the same as a TENS unit.
  • Peripheral Nerve Stimulation Trial/Implant: a technology in which an electric wire is implanted in the body. The wires are placed adjacent to peripheral nerves. When activated, these wires carry electric impulses that can block or disrupt ordinary pain impulses. Patients may feel a reduction in pain along the distribution of the peripheral nerve which can reduce pain along the knee, ankle/foot, shoulder, head/neck or lower back regions.
  • Radiofrequency Ablation/Neurotomy of Medial Branch (cervical/thoracic/lumbar): involves stunning and/or burning of small nerves that supply the facet joints of the spine. This procedure can provide 6-24 months of pain reduction if successful. The nerves that are burned in this procedure are expected to regrow with time and this procedure can be repeated.