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General Body

Care and Management

Pain Management (Overview)

Pain Management (Overview)

If you suffer from pain, you know how hard it can be to live with. Pain management is a branch of medical care that specializes in pain control. It can help you enjoy a better quality of life.

Head, Neck and Spine

Care and Management

Caudal Epidural Steroid Injection

Caudal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.

Celiac Plexus Block (Percutaneous Approach)

Celiac Plexus Block (Percutaneous Approach)

This procedure temporarily disrupts the nerves of the celiac plexus. These nerves branch away from your spine. They connect to the organs in your abdomen. Pain signals caused by conditions such as pancreatitis or pancreatic cancer travel through these nerves on the way to your brain. A celiac plexus block can relieve your pain.

Cervical Facet Radiofrequency Neurotomy

Cervical Facet Radiofrequency Neurotomy

This procedure uses heat from radio waves to treat painful facet joints in your neck. It eases pain that isn’t helped by medications or physical therapy.

Cervical Transforaminal Epidural Steroid Injection

Cervical Transforaminal Epidural Steroid Injection

This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Discography (Lumbar)

Discography (Lumbar)

This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let’s watch a discography done in the lumbar spine.

Epidural Steroid Injection (ESI) in the Cervical Spine

Epidural Steroid Injection (ESI) in the Cervical Spine

This injection treats the pain of an inflamed nerve in your cervical spine. It relieves nerve swelling. If you have a herniated disc, spinal stenosis or some other problem that’s pressing on a nerve, it may help you.

Facet Joint Injections

Facet Joint Injections

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.

Intrathecal Pump Implant

Intrathecal Pump Implant

This is a device put inside your body to relieve long-lasting pain. It sends medicine into an area around your spinal cord. We call this the “intrathecal space.” The medicine blocks pain signals. It can work even when other treatments don’t.

Lumbar Epidural Steroid Injection

Lumbar Epidural Steroid Injection

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Lumbar Sympathetic Block

Lumbar Sympathetic Block

This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.

Lumbar Transforaminal Epidural Steroid Injection

Lumbar Transforaminal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

Medial Branch Block

Medial Branch Block

This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.

Percutaneous Disc Decompression (Stryker® Disc Dekompressor® Discectomy)

Percutaneous Disc Decompression (Stryker® Disc Dekompressor® Discectomy)

This is a procedure to treat a herniated disc. That’s a bulging disc in your spine. Getting rid of the bulge can relieve pressure on your nerves. It can relieve pain in your lower back and your legs.

Percutaneous Disc Nucleoplasty

Percutaneous Disc Nucleoplasty

This minimally-invasive procedure uses a small needle and advanced radiofrequency technology to reduce a herniated disc, quickly relieving pain in most patients. The procedure may be performed on an outpatient basis using a gentle, relaxing medicine and local anesthetic.

RACZ Caudal Neurolysis

RACZ Caudal Neurolysis

This injection, generally performed as an outpatient procedure under local anesthesia, relieves low back and leg pain most often caused by scarring from a prior back surgery. The procedure is performed with the patient lying face down with a cushion placed under the stomach.

Radiofrequency Neurotomy of the Thoracic Facets

Radiofrequency Neurotomy of the Thoracic Facets

This procedure uses heat from radio waves to treat painful facet joints in your upper back. It eases pain that isn’t helped by medications or physical therapy.

Sacroiliac Joint Steroid Injection

Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Spinal Cord Stimulator Implant

Spinal Cord Stimulator Implant

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Stellate Ganglion Block

Stellate Ganglion Block

A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.

Thoracic Epidural Steroid Injection

Thoracic Epidural Steroid Injection

This outpatient procedure is an injection performed to relieve pain in the upper back.

Thoracic Transforaminal Epidural Steroid Injection

Thoracic Transforaminal Epidural Steroid Injection

This injection procedure relieves pain in the upper back, ribs, and abdomen caused by a pinched nerve (or nerves) in the thoracic spine.

Conditions

Anatomy of the Spine

Anatomy of the Spine

The spinal column is the body’s main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.

Herniated Disc

Herniated Disc

Between the vertebrae of your spine are soft discs. They let your spine twist and bend. They absorb shocks. But if damaged, the disc’s soft center can push through the disc wall. That’s a herniated disc. This bulge presses against nerves in your spine.

Spinal Stenosis

Spinal Stenosis

Your spinal nerves travel through your spinal canal and exit through openings we call “foramen.” If any of these spaces are too narrow, your nerves become compressed. We say you have “spinal stenosis.” It’s a problem that most often happens in the neck and lower back.

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