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Epidural Steroid Injection

An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI may be performed to relieve pain caused by spinal stenosis, spondylolysis, or disc herniation. Medicines are delivered to the spinal nerve through the epidural space, the area between the protective covering of the spinal cord and vertebrae. The effects of ESI tend to be temporary. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities and a physical therapy program.

Trigger Point Injection

A trigger point injection is an outpatient procedure designed to reduce or relieve the back pain caused by trigger points. These small knots can form in muscles or in the fascia tissue leading to myofascial pain.

Selective Nerve Root Blocks

When a nerve root becomes compressed and inflamed, it can produce back and/or leg pain. Occasionally, an imaging study (e.g. MRI) may not clearly show which nerve is causing the pain and an SNRB injection is performed to assist in isolating the source of pain. In addition to its diagnostic function, this type of injection for pain management can also be used as a treatment for a far lateral disc herniation (a disc that ruptures outside the spinal canal).

Facet Joint Injections

A facet injection includes both a long-lasting corticosteroid (e.g., triamcinolone or methylprednisolone) and an anesthetic numbing agent (e.g., lidocaine or bupivacaine). The drugs are delivered to the painful facet joint, either inside the joint capsule or in the tissue surrounding the joint capsule. Each vertebra has four facet joints, one pair that connects to the vertebra above (superior facets) and one pair that connects to the vertebra below (inferior facets)

Spinal Cord Stimulation

A spinal cord stimulator (SCS), also known as a dorsal column stimulator, is a device surgically placed under your skin to send a mild electric current to your spinal cord (Fig. 1). A small wire carries the current from a pulse generator to the nerve fibers of the spinal cord. When turned on, the stimulation feels like a mild tingling in the area where pain is felt. Your pain is reduced because the electrical current interrupts the pain signal from reaching your brain.

Radiofrequency Neurotomy 

A radiofrequency neurotomy is a type of injection procedure used to treat facet joint pain or sacroiliac joint pain caused by arthritis or other degenerative changes, or from an injury.

Kyphoplasty

The goals of a kyphoplasty surgical procedure are designed to stop the pain caused by a spinal fracture (type of fracture in the spine that is typically caused by osteoporosis is generally referred to as a compression fracture), to stabilize the bone, and to restore some or all of the lost vertebral body height due to the compression fracture.

Botox Injection (Trigger Points)

Injection of botulinum toxin A (botox) into trigger points to help relieve pain or muscle spasm. 

 Intrathecal Pump

The fluid filled space around your spinal cord is called the subarachnoid or intrathecal space. Cerebrospinal fluid (CSF) flows through this area, bathing and protecting your brain and spinal cord. An intrathecal drug pump works much more efficiently than oral medication because it delivers medicine directly into the CSF, bypassing the path that oral medication takes through your body. In fact, you generally need about 1/300 the amount of medication (morphine or baclofen) with a pump than when taken orally.

Regenerative injection therapy (RIT)

Regenerative injection therapy (RIT) is a treatment for chronic pain caused by unhealed injuries around:
  • Cartilage 
  • Joints 
  • Ligaments 
  • Muscles 
  • Tendons

Minimally Invasive procedures 

In minimally invasive surgery, surgeons use a variety of techniques to operate with less injury to the body than with open surgery. In general, it is safer than open surgery and allows you to recover faster and heal with less pain and scarring. Minimally invasive surgery is usually done on an outpatient basis.

Benefits of minimally invasive procedures include: 
  • Quicker Recovery – Since a minimally invasive procedure requires smaller incisions than conventional surgery (usually about the diameter of a dime), your body may heal much faster.
  • Shorter Hospital Stays – Minimally invasive procedures help get you out of the hospital and back to your life sooner than conventional surgery.
  • Less scarring – Most incisions are so small that it's hard to even notice them after the incisions have healed.
  • Less pain – Because these procedures are less invasive than conventional surgery, there is typically less pain involved.