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We know that chronic pain is real and you deserve the best treatment when dealing with it. We will work with you to develop a personalized treatment plan utilizing minimally- invasive methods.

A caudal steroid injection is an injection administered to relieve pain in your back, groin, or rectal area. There is a small opening at the base of your spine called the Caudal (sacral) hiatus that permits easy access to the epidural space within the spine. Injecting into the epidural space using the Caudal hiatus is very safe, comfortable and effective compared to other types of epidural injections. A caudal steroid injection can help reduce lower back and leg pain caused by sciatica, herniated discs, bone spurs or other back problems. A steroid medication can help reduce the inflammation and help alleviate the pain.

A cervical epidural steroid injection is an injection administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine. A cervical epidural steroid injection can help reduce conditions such as herniated discs, spinal stenosis, or arthritis that can compress and pinch nerves, causing inflammation and pain.

Cervical radiofrequency is used to treat nerve pain in the neck and/or shoulder.  This technique is useful for those patients who experience short term relief following local anesthetic blocks of the nerves supplying the cervical facet joints.  The procedure “turns off” the specific nerve that carries information about pain.  The treatment can provide pain relief for about a year, but can last much longer for some people.

Discography (also called a discogram) is a diagnostic procedure used to determine if one or more discs are the cause of back pain. The procedure involves pressurizing discs by injecting them with a sterile liquid to induce pain in the affected discs.

A facet joint injection is a simple, safe, and effective minimally invasive treatment for spinal pain that involves the injection of a steroid medication similar to cortisone into the facet joints in the spine. X-Ray guidance (fluoroscopy) is used to identify the facet joints and to guide needle placement. The injection is performed under local anesthesia and, on occasion, with intravenous sedation.

Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They are an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief. Many times, an injection can provide sufficient pain relief to allow a patient to progress with a rehabilitative stretching and exercise program.

Lumbar radiofrequency neurotomy is a procedure that uses heat generated by radio waves to target specific nerves and temporarily turn off their ability to send pain signals. The procedure is also known as radiofrequency ablation. Needles inserted through your skin near the painful area deliver the radio waves to the targeted nerves.

A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Normally these nerves control basic functions like regulating blood flow. In certain conditions, these sympathetic nerves can carry pain information from the peripheral tissues back to the spinal cord

A lumbar transforaminal epidural steroid injection is a commonly used treatment method for radicular pain and lower back pain that is minimally invasive. Steroid injections are administered to specific regions along the spinal cord. A transforaminal injection is an injection of long acting steroid into the opening at the side of the spine where a nerve roots exits.

A sacroiliac joint injection is an injection of local anesthetic and a steroid medication into the sacroiliac joint. The Sacroiliac Joint (SIJ) is a high-friction non-moving joint between the sacrum (part of the spine) and the ilium bone (part of the pelvis). This injection can be helpful for the diagnosis and treatment of some people’s back pain to check whether an injection of local anaesthetic and cortisone into the joint can relieve pain.

A spinal cord stimulator is an implanted device that sends low levels of electricity directly into the spinal cord to relieve pain. The device, similar to a pacemaker, is surgically implanted under the skin. Spinal Cord Stimulation (sometimes called Dorsal Column Stimulation or Neuromodulation) is a technique in which the complex mechanisms by which pain signals are transmitted through the spinal cord are altered. Spinal cord stimulators allow patients to send the electrical impulses using a remote control when they feel pain.

A stellate ganglion block is an injection of local anesthetic into the front of the neck typically used for pain located in the head, neck, chest or arm. The nerves are located on either side of the voice box. This may in turn reduce pain, swelling, color and sweating changes in the upper extremity, and may improve mobility. Stellate ganglion blocks are also used to see if blood flow can be improved in circulation problems typically from Raynaud’s disease or CREST syndrome (limited scleroderma)

Stem cell therapy helps manage or remove chronic pain and the conditions that cause the pain. Its goal is to restore your body to its normal physiological function. Stem cells therapy has been frequently applied to the treatment of pain as an alternative or promising approach for the treatment of severe osteoarthritis, neuropathic pain and intractable musculoskeletal pain which does not respond to conventional medicine.

Osteoarthritis, also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. Symptoms may include joint pain, tenderness, stiffness, locking, and sometimes an effusion. Not only can stem cells potentially help relieve pain caused by knee osteoarthritis, they may also be able to slow, or even reverse the degeneration of cartilage.

Facet syndrome is a common diagnosis for back, mid-back and neck pain. The facet is a joint that lies between each of the vertebra in the back. These joints are in constant motion and the joint surfaces are lined with cartilage allowing them to glide easily over each other. The joint can be become damaged from an injury, or due to a degenerative condition, such as arthritis. When the joint cartilage deteriorates, friction between the bones leads to the tenderness, swelling, stiffness, and pain. Stem cells for back pain as well as stem cells for soft tissue have been a highly effective minimally-invasive treatment.

Degenerative disc disease refers to symptoms of back or neck pain caused by wear-and-tear on a spinal disc. In some cases, degenerative disc disease also causes weakness, numbness, and hot, shooting pains in the arms or legs. Stem cells can regenerate the formation of fibrous connective tissue making them ideal for helping to repair soft tissue damage caused by degenerative disc disease. Stem cell therapy also may slow continued degeneration.