Procedures and Therapy
Corticosteroid medication injected directly into the involved joint or into the epidural space to reduce inflammation and the resulting pain. Treatments will be completed in as few as one injection, but may require additional.
Cervical epidural steroid injection
Lumbar epidural steroid injection
Thoracic epidural steroid injection
Facet join injections (lumbar and cervical)
Radiofrequency neuroablation or neurotomy is intended to decrease or stop pain originating from the facet joints of your neck and spine. The radiofrequency neuroablation procedure is usually performed after you have demonstrated pain relief from a “test” injection such as a facet joint or medial branch block injection. During the procedure, an electrode is inserted in the area near the irritated nerve in the facet joint. The electrode heats up a small area of nerve tissue, decreasing pain signals from that specific area. A radiofrequency neurotomy can be performed on the neck, back, coccyx or sacrum areas and can provide pain relief for about one year. The degree and length of relief will vary with each patient.
Treatments that disrupt the transmission of pain messages to the brain. These may be therapeutic or used to predict the outcome of surgery.
Celiac plexus block – Neurolysis
Lateral and medial genicular nerve block (knee)
Lumbar sympathetic block
Medical branch block (lumbar and cervical)
Occipital nerve block
Stellate ganglion block
PRP injections (or platelet rich plasma therapy) is a new treatment method that relieves pain by promoting long lasting healing of musculoskeletal conditions. This rapidly emerging technique is showing exciting potential with osteoarthritis of the knee, shoulder, hip and spine, rotator cuff tears, chronic plantar fasciitis, anterior cruciate ligament (ACL) injuries, pelvic pain and instability, back and neck injuries, tennis elbow, ankle sprains, tendonitis, and ligament sprains.
ADVANCED THERAPEUTIC IMPLANTS
Spinal Cord Stimulators are very effective for patient's that have chronic pain unresponsive to injections and/or surgery. A temporary spinal cord stimulator can be placed during a minor procedure in our office to determine if a permanent stimulator would be effective for your pain.
Oral medications, topical creams or patches prescribed for a range of benefits from anti-inflammation to pain relief. A variety of drugs, including steroids, non-steroidal anti-inflammatory medicines (longer-term treatment), and opiate derivatives (short-term care) may be used.
A discogram, also known as disc stimulation, is a brief outpatient diagnostic procedure that is performed in order to identify painful discs in the spine. This procedure is purely diagnostic in that it will only help your physician to determine if one of the discs in your spine is responsible for your typical pain symptoms. Discography will do nothing to improve pain, and in fact patients are advised to expect a temporary increase in pain for one or more days after this procedure.
Bioidentical Hormone Replacement Therapy
BioTE is a safe, effective treatment option for symptoms resulting from loss of hormone production from aging or disease.
BioTE Medical Hormone Pellet Therapy has shown in studies to help with many ailments including:
Irritability, mood swings
Low sex drive
Memory loss, mental fog, confusion
Joint aches and pain
Night sweats, hot flashes