Spinal Injections and Minimally Invasive Procedures

 

Spinal injections and minimally invasive procedures are an excellent method to treat acute or chronic pain. Following are the common procedures offered

Epidural Steroid Injection
Epidural Steroid Injection is an injection of a long-lasting steroid medication into the epidural space, which is the area surrounding the spinal cord and the spinal nerves.  Commonly performed for low back pain and sciatica.
Selective Nerve Root Block Injection
 

Transforaminal epidural steroid injection is an injection of a long-lasting steroid medication into the transforaminal space surrounding the spinal nerve. Commonly performed for low back pain, sciatica or radiculopathy.

Median Branch Nerve Block
 

Median branch nerves are small sensory nerves that feed the facet joints in the spine and transmit pain signals from those joints. A median branch nerve block temporarily interrupts the pain signal that is being carried by these nerves.

Facet Joint Block
 

A facet joint injection is an injection to the facet joint. A small amount of lidocaine with or without a steroid medication is injected to decreases inflammation and pain.

 

 

Diagnostic Lumbar Discogram
 

Lumbar discography is an injection technique used to find out if a particular disk is causing the pain.  The disk can be appearing normal, bulging disk or herniated on the MRI.  The test also points out which one of the discs is causing the pain that the patient is experiencing.

Disc Fx
 

DiscFX is a minimally invasive surgical procedure in which a contained disc herniation is treated by partially removing the disc material and also seal the annual tear using radiofrequency thermal energy.  Commonly used to treat a leaky disc that was found on Discography.

Radiofrequency Ablations- RFA
 

Radiofrequency neurotomy or am ablation is a minimally invasive procedure that reduces or eliminates the pain from painful facet or sacroiliac joint by temporarily destroying the medial branch nerves that are carrying pain signals with the use of thermal energy. 

Sympathetic Block 

 

The sympathetic block is an injection of local anesthetic with or without a steroid medication into or around the sympathetic nerves. Commonly performed to alleviate the neuropathic pain caused by conditions like Reflex Sympathetic Dystrophy (RSD or CRPS)

Sacro-Iliac Joint (SI) Block

 

An SI joint injection is an injection to the sacroiliac joint. A small amount of lidocaine with or without a steroid medication is injected to decreases inflammation and pain.

 

Peripheral Joint/Nerve Blocks
 

Sensory nerves are small nerves that feed the various joints in our body and they carry pain signals from those joints. Joint injections and nerve blocks are often used to identify the source of the pain and they are also used to provide for long term pain relief.

Stryker® Disc Dekompressor® Discectomy
 

This is a minimally invasive surgical procedure to treat a contained herniated disc. Partial removal of the building disk or herniation can relieve pressure on the nerve and decrease low back pain.

Trigger Point Injection
 

A trigger point injection is a bedside procedure to relieve the pain from the myofascial trigger points.  Massage therapy also helps to localize the trigger points.  A local anesthetic with or without a steroid medication is injected to provide pain relief.

Spinal Cord Stimulator
 

A Spinal Cord Stimulator trial is a minimally invasive procedure where a thin lead wire is temporarily inserted into the epidural space to send minute electrical signals to select areas of the spinal cord to treat chronic low back pain and pain from failed spinal surgeries.  If the patient gets satisfactory pain relief a permanent device is implanted under the skin.  The patient also gets a remote control to use to get on-demand pain relief.

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