Pain Management



Pain management includes varied procedures to control pain, inflammation and swelling, performed by doctors trained specifically to administer this treatment.

Our doctors are trained to treat various pain syndromes including:

Epidural Steroid Injection

Epidural Steroid Injection is an injection of long lasting steroid ("cortisone") in the Epidural space which is the area which surrounds the spinal cord and the nerve roots.

The steroid injected reduces the inflammation and/or swelling of nerves in the Epidural space. This may in turn reduce pain, tingling & numbness and other symptoms caused by nerve inflammation, irritation and swelling.

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PRP or Platelet Rich Plasma

Platelet-rich Plasma therapy, is best used for chronic tendon issues, partial tears in the tendons, and, recently, has been looked at as a treatment for osteoarthritis. The treatment, invented in the 1970s by oral surgeons looking to speed up the healing process, involves extracting blood from a patients arm and putting the blood into a centrifuge. The centrifuge spins the blood for about six minutes, separating the red and white blood cells and the platelet-rich plasma.

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Prolotherapy

Prolotherapy is an innovative technique that relieves pain by directly impacting the underlying condition causing that pain. In contrast to many medical treatments that may provide only temporary benefits, this safe, proven treatment offers lasting relief. Many conditions respond well to Prolotherapy such as facet syndrome( back and neck arthritis) whiplash, joint sprains, degenerative disc disease, osteoarthritis, tennis elbow, sprains, strains , chronic tendonitis and more. Our board certified pain specialist can determine if you are a candidate for this alternative healing procedure.

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Radiofrequency Neurotomy

This injection procedure is where a heat lesion is created on certain nerves with the goal of interrupting the pain signals to the brain, thus eliminating the facet or sacroiliac joint pain. A medial branch neurotomy affects the nerves carrying pain from the facet joints, and a lateral branch neurotomy affects nerves that carry pain from the sacroiliac joints. These medial or lateral branch nerves do not control any muscles or sensation in the arms or legs so there is no danger of negatively affecting those areas. The medial branch nerves do control small muscles in the neck and mid or low back, but loss of these nerves has not proved harmful.

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Spinal Cord Stimulation or Neuromodulation

Treatment of chronic pain using Spinal Cord Stimulation (SCS) is on the forefront of interventional pain management techniques. Spinal cord stimulation uses low voltage stimulation of the spinal nerves to block the feeling of pain. It helps you to better manage your pain and potentially decrease the amount of pain medication. It may be an option if you have long-term (chronic) leg or arm pain, and have not found relief through traditional methods. A small battery-powered generator implanted in the body transmits an electrical current to your spinal cord. The result is a tingling sensation instead of pain. By interrupting pain signals, the procedure has shown success in returning some people to a more active lifestyle.

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Trigger Point Injections

A trigger point injection is a procedure where a medication, usually a local anesthetic, is injected into the painful muscle to provide relief. The pain relief should be experienced not only in the affected muscle, but in the area of referred pain as well.

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Facet Blocks

A facet injection is a minimally invasive procedure that can temporarily relieve neck or back pain caused by inflamed facet joints. The cause of facet joint pain (arthritis, injury, degeneration) is not well understood and can be similar in nature to disc pain. The procedure has two purposes. First, it can be used as a diagnostic test to see if the pain is actually coming from your facet joints. Second, it can be used as a treatment to relieve inflammation and pain caused by various spine conditions. The effects of facet injections tend to be temporary – providing relief for several days or even years. The goal is to reduce pain so that you may resume normal activities and a physical therapy program.

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Sympathetic Blocks

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Major Joint Injections

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