What is Interventional Pain Management?

Interventional pain management is a method of treatment which utilizes minimally invasive pain blocking techniques to help disrupt the pain cycle that makes day-to-day activities less difficult, and effectively restores quality of life for patients and help them return to normal activity. At our Comprehensive Neuroscience Center, we evaluate each patient to understand their underlying problem and create an individualized treatment plan that may involve surgery, nerve blocks, or implantable drug delivery systems as part of the treatment process. We offer a variety of interventional procedures and injections to help reduce or eliminate pain symptoms and reduce reliance or need for opioids. We also offer patients the convenience of on-site imaging and fluoroscopy-equipped rooms to conveniently perform these procedures.

Conditions We Treat

• Back Pain and Lower Back Pain Management
• Carpal Tunnel Syndrome
• Complex Regional Pain Syndrome (CRPS)
• Compression Fracture Management
• Diabetic Neuropathic Pain Management
• Headache and Migraine Pain Management
• Herniated Disk Pain
• Joint Pain
• Knee Pain
• Neck Pain Management
• Post-herpetic Pain
• Sciatica Injury Relief
• Spinal Stenosis Pain Management

Types of Treatments

• Nerve Blocks: Nerve blocks are used to interrupt these signals to provide pain relief. The type of nerve block will depend on your treatment plan, as some are minimally invasive and may last for hours or days. Other nerve blocks require surgical procedures, and may be long-term or permanent.
• Infusions: Infusions involve the delivery of pain relief drugs directly into the body. These are generally for longer-term use.
• Injections: Common types of injections are: Epidural Steroid Injections, Facet Joint Injections and Trigger Point Injections. Each target different pain areas in the body.
• Radiofrequency Ablation: This treatment is usually used to treat lower back and neck pain which uses a radio wave to produce an electrical current, which is then used to heat an area of nerve tissue to decrease the pain signals from that area.
• Spinal Cord Stimulation: This technique applies gentle electrical currents to the source of the pain. Electrical leads are inserted close to the spinal column, while a tiny generator is inserted into the abdomen or buttock. The generator emits electrical signals to the spinal column to block the ability for the brain to perceive pain.
• Peripheral Nerve Field Stimulation: Electrical leads are placed as close to the source of pain as possible and follows the same general process as Spinal Cord Stimulation.

Procedures We Perform

• Transforaminal Epidural Steroid Injections at Cervical, Thoracic, Lumbar and Sacral levels
• Interlaminar Epidural Steroid Injections at Cervical, Thoracic and Lumbar levels
• Selective Nerve Root Blocks at Cervical, Thoracic, Lumbar and Sacral levels
• Caudal Epidural Steroid Injection
• Epidural Blood Patch
• Intraarticular Facet Joint Injections at Cervical, Thoracic and Lumbar levels
• Intercostal Nerve Blocks
• Cervical, Thoracic and Lumbar Discography
• Medial Branch Blocks at Cervical, Thoracic and Lumbar levels
• Radiofrequency Lesioning (Dorsal Rhizotomy) of Medial Branches to Facet and Sacroiliac Joints
• Genicular Nerve Blocks and Radiofrequency Lesioning of Genicular Nerves
• Implantable Spinal (Dorsal Column) Stimulators – Trials
• Peripheral and Field Stimulation
• Dorsal Root Ganglion (DRG) Stimulation – Trials
• Intrathecal Pain Pump Refill and Reprogramming
• Sympathetic Nerve Blocks at all levels (Stellate Ganglion/Ganglion Impar/Lumbar/Celiac Plexus)
• Peripheral Nerve Blocks (Ulnar, Carpal Tunnel, etc.)
• Sphenopalatine Ganglion Blocks
• Trigger Point Injections
• Bursa Injections
• Botox/Myobloc/Dysport Neurotoxin Injections
• Joint Injections (Hip, Knee, Shoulder, TMJ, CMC, MTP) and Joint Arthrography
• Hyalgan/Synvisc/Euflexxa Visco-supplementation Injections
• Sacroiliac Joint Injections

Neurosurgical Conditions Treated:

• Migraine Headache/ Botox
• Trigger Point Injections
• Discogram
• Radiofrequency Ablation
• Spinal
• Hip
• Knee & Intercostal Injections
• Stellate Ganglion Block
• Meralgia Injections
• Parasthetica