Treatments

Epidural Steroid Injection

An epidural steroid injection delivers steroids around the nerve roots to relieve back pain, leg pain, or other pain caused by irritated spinal nerves. The steroid reduces inflammation of the nerves, which is often the source of pain. The steroid is delivered to the epidural space, which is a fat-filled area between the bone and the protective sac of the spinal nerves. Patients with pain in the neck, arm, low back, or leg (sciatica) may benefit from an epidural steroid injection.

Joint Injections

Low-dose steroid injections are provided for orthopedic pain, joint inflammatory, ligaments, nerves, tendons and overuse. A local steroid injection may be given to reduce inflammation and pain in a joint. Steroid injections can be used for joint problems and rheumatoid arthritis. The main purpose of the steroid injection is to decrease pain and increase movement and use of the affected area. Joint injections are offered in the knee, shoulder, elbow, wrist, sacroilliac, and more.

Radiofrequency Neuroablation

RFA is a minimally invasive procedure with which an electrical current produced by radio waves is used to heat up a small area of nerve tissue, thus decreasing pain signals from traveling through that specific nerve to the brain. Pain is significantly diminished when the pain signals can’t make it to the brain. Most patients who have radiofrequency ablation find that their pain is reduced by 70-80%. Radiofrequency ablation can block pain messages coming from anywhere in your body by stopping the nerve signals at your spine. As a result, radiofrequency ablation alleviates pain arising from many different causes, including pain due to Arthritis, Neuropathy, Complex Regional Pain Syndrome in the lower back, and Sacroiliac Joint Dysfunction.

What happens during a Radiofrequency Neuroablation?
First, a local anesthetic will be used to numb your skin. All injections are preformed under guidance of x-ray or fluoroscopy to ensure safety and efficiency of the procedures. When the RFA is first placed, muscle twitching may provoke some of your pain to confirm placement. Once the needle is properly placed, the nerve will be numbed. Radiofrequency energy will then be used to diffuse pain signal of the branch. This is often repeated at more than one level of the spine.

How long can you expect relief?
Pain relief lasts any where from 6 to 24 months. Nerves regenerate after an RFA, but how long this takes varies. Your pain may or may not return when the nerves regenerate. If it does, another RFA can be done.

Medial Branch Block

A medial branch block is an outpatient procedure for diagnosing and treating upper and middle back pain. With a medial branch block, a local anesthetic (numbing medicine) is injected near the medial branch nerve. This stops the transmission of pain signals from the facet joint. If this reduces your pain and helps you move your spine like normal, it may tell the doctor which facet joint is causing the pain.

What happens after?
You will be monitored for up to 30 minutes after the injection. When you are ready to leave, the staff will give you discharge instructions. You will also be given a pain diary. It is important to fill this out because it helps your doctor know how the injection is working. f you experience marked pain relief from the diagnostic medial branch block, a repeat medial branch both will likely be done on the same joints to further confirm your diagnosis and that the facet joint is indeed the root cause of your pain.Should both diagnostic injections be successful, your provider will likely recommend a radio frequency ablation of the same joints as a long term pain relief solution.

Orthovisc

Orthovisc is a FDA approved treatment made from ultra-pure hyaluronan, a naturally occurring lubricant found in healthy knee joints. Orthovisc is a non-avian sourced hyaluronic acid injection therapy which has up to six months of clinically proven efficacy with 3 or 4 injections. This medication is used to treat knee pain in patients with joint inflammation. It acts as a lubricant in the joint which helps the knee move smoothly, ultimately lessening pain.

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Biologics

CryoText is a biologic product used to replace damaged tissues. We work with a regenerative lab that studies with Cryotext plus for patients who qualify