Procedures

Botox is injected around pain fibers that are involved in headaches. Botox enters the nerve endings around where it is injected and blocks the release of chemicals involved in pain transmission. This prevents activation of pain networks in the brain. Please play video for a more detailed understanding for what to expect during the procedure.

DRG SCS is a revolutionary new procedure that is set to change the whole way we approach treating CRPS. It’s called the DRG Stimulation, and it has already proven itself in clinical trials to offer superior pain relief over traditional SCS. Devices to stimulate the dorsal root ganglion (DRG) became available in the mid-2010s forContinue reading →

A test performed by Physiatrists to evaluate the function of the peripheral nervous system, to provide information about the presence, location, degree and prognosis of nerve and muscle disease. It is used to diagnose many common problems such as carpal tunnel syndrome, neck and lower back compressed nerves and diabetic neuropathy. You have been scheduledContinue reading →

An epidural injection (Transforaminal, Interlaminar and Caudal approaches) is an injection of medication into the space around the spinal cord, also known as the epidural space, to provide temporary or prolonged relief from pain or inflammation. The epidural space is the outermost part of the spinal canal. Please pay close attention to the following information/instructions:Continue reading →

A facet joint block or injection is a minimally invasive procedure in which your physician injects a small amount of local anesthetic and/or medication to numb a facet joint and provide pain relief. Fluoroscopy, a form of real-time x-ray, is used to guide the placement of the needle into the facet joint. Facet joints, whichContinue reading →

Joint (intra-articular) and bursa injections are used to evaluate and manage joint pain. Joint (Intra-articular) injections are an injection in the joint itself. A bursa injection is an injection of a fluid-filled sac that produces a gliding surface to reduce friction between moving muscles or tendons. The injections may be diagnostic to see whether aContinue reading →

A medial branch block is an injection of a strong local anesthetic on the medial branch nerves that supply the facet joints. The facet joints, also known as the zygapophysial joints, are part of the bony framework of the spine. They are small bony projections from one vertebra meeting with similar bony projections from theContinue reading →

Peripheral nerve blocks are a type of regional anesthesia. The anesthetic is injected near a specific nerve or bundle of nerves to block sensations of pain from a specific area of the body. Nerve blocks usually last longer than local anesthesia. Pre-Op Instructions Post-Op Instructions

Although blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets.) The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors which are very important in the healing of injuries. PRP is plasma with manyContinue reading →

Radiofrequency ablation (or RFA) is a procedure used to reduce pain. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area. Please pay close attention to the following information/instructions: If you are currently on antibiotics or being treatedContinue reading →

A sacroiliac joint injection is designed to diagnose and treat pain and inflammation from sacroiliac joint dysfunction. Either too much or too little movement in one of the sacroiliac joints, which are located at the bottom of the spine on each side of the sacrum, can cause lower back pain and/or leg pain. Please playContinue reading →

The selective nerve root block procedure is an injection of a small amount of steroid and numbing medication around a very specific nerve root/spinal nerve that exits out of the spinal cord. … This injection allows the doctor to determine exactly what nerve root or roots are being affected. Please play video for a moreContinue reading →

In spinal cord stimulation (SCS), mild electric currents applied to the spinal cord through small medical devices modulate pain signals and at some settings replace the pain sensation with a mild tingling known as paraesthesia. Spinal cord stimulation involves placing a series of electrical contacts in the epidural space in the spine near the regionContinue reading →

A sympathetic nerve block is one that is performed to determine if there is damage to the sympathetic nerve chain. This is a network of nerves extending the length of the spine. These nerves control some of the involuntary functions of the body, such as opening and narrowing blood vessels. Please play video for aContinue reading →

A trigger point injection is an outpatient procedure designed to reduce or relieve the back pain caused by trigger points, which are small knots that form in muscles or in the fascia tissue leading to pain caused by muscle irritation (myofascial pain). Please play video for a more detailed understanding for what to expect duringContinue reading →

Viscosupplementation is a procedure for patients with osteoarthritis (OA) of the knee. A natural lubrication fluid called synovial fluid resides in each joint, including the knee. Hyaluronic acid, which functions to lubricate, or grease, your joints during movement, exists naturally in the synovial fluid. As you get older, the chemicals in hyaluronic acid begin breakingContinue reading →