Interventional Pain Management Procedures
Types of Pain Treated
Arthritis Pain
Facial Pain
Fibromyalgia
Headaches
Low Back Pain
Pelvic & Abdominal Pain
Disc Pain
Neuralgia
Post-Surgical Pain
Sports Injuries
Types of Pain Procedures
Radiofrequency Ablation (RFA)
Used to reduce pain using an electrical current produced by a radio wave to heat up a small area of nerve tissue, in order to decrease pain signals from that specific area.
Transforaminal Epidural Steroid Injection (ESI)
An injection of long acting steroid into the opening of the side of the spine where a nerve roots exits. This opening is known as a foramen. There is a small sleeve of the epidural space that extends out over the nerve root for a short distance.
Interlaminar ESI
Relatively painless needle based procedure typically used to help reduce inflammation and irritation around specific nerves in the neck, mid- back or lower back.
Caudal ESI
Includes injecting both a long-lasting steroid and an anesthetic into the epidural space where the irritated nerve roots are located. The steroid reduces inflammation and irritation, while the anesthetic interrupts the pain-spasm cycle.
Cervical ESI
Injections administered to relieve pain in the beck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine
Major Joint Injection
An injection of local anesthetic and steroid deposited into the joint space or capsule; the goal is to provide pain relief by reducing inflammation due to arthritis of the involved joint.
Spinal Cord Stimulator (SCS) Trial:
A temporary device is inserted into the spine within the epidural space using a hollow needle.
The device will send a small amount electricity directly to the spine to help relieve severe pain.
After evaluation, the trial is considered successful if overall pain has reduced by 50% or more.
SCS Permanent Placement:
Only after a successful SCS Trial, a permanent device will then be implanted into the spine. This device consists of small wires (which are inserted between the vertebrae and the spinal cord) and a small battery pack (similar to a pacemaker’s, which is located just under the skin.) The device allows patients to send low electrical impulses by using a remote control (located outside of the body) whenever pain is felt.
