There are interventional procedures for the diagnosis and treatment of painful conditions.

Some of these procedures can be performed in the office, including trigger point injections for muscle pain and other types of injections for inflamed conditions such as bursitis, tendinitis or nerve entrapment/irritation. These are just a few examples of procedures that can be performed in the office some of which include the use of ultrasound for maximum accuracy and effectiveness. 

Many of these procedures are performed in our specialized center with our nursing and radiology technician teams.

All procedures are done in a sterile setting to avoid infection and contamination.

These procedures often involve the use of a combination of a numbing medicine (e.g. lidocaine) and a strong anti-inflammatory medicine called a corticosteroid (often called a steroid or “cortisone”).

Some procedures involve the use of special needles that deliver a radiofrequency current (instead of medications) in an attempt to stop the pain signals from the painful joint by melting the nerves transmitting pain away from a painful joint.

Many of these procedures are performed in our surgery center with our nursing and radiology technician teams.

At the time of the procedure we offer to patients what is called “conscious sedation”. This involves the use of a relaxing medicine and a pain medicine that is given thru an IV. Patients are not “put to sleep” for the procedure but the “conscious sedation” makes patients very comfortable and relaxed.

There are diagnostic and therapeutic procedures.

Diagnostic procedures are done to further diagnose what is causing the pain. One example is a “nerve block” which involves picking which nerve may be causing the pain and then “blocking” it with numbing medicine only. If the pain goes away while the nerve is numb then it is probably causing the pain and then other treatments can be performed to treat that condition.

Therapeutic procedures are performed to treat the pain. An example includes using special needles to place steroid medication at the interface of an inflamed nerve and a ruptured disc to decrease inflammation and hopefully reduce or resolve the pain.

One method for reducing back pain is using interventional pain management, which largely includes x-ray (fluoroscopic) guided injections. This allows our specialist to more accurately direct the medication to the source of your pain.

These procedures include:


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