There are several common procedures available to manage chronic pain. All procedures are performed in the Pain Center. During the procedure, patients may be given an IV (intravenous) for fluids and medication. The injection location is cleaned and a local anesthetic is applied to numb the area. The doctor may use tools such as a fluoroscope for patients with back pain. Injections may contain a local anesthetic or steroids.
Transforaminal Epidural Injection
A transforaminal epidural injection is an injection of a long acting steroid into the opening at the side of the spine where a nerve roots exits. This opening is known as a foramen.
Various joints including knee, hip and shoulder can be damaged by an injury or arthritis over time. An injection may relieve pain associated with inflammation and may serve as an early alternative to joint replacement.
Sacroiliac Joint Injection
Sacroiliac joints are located on either side or the sacrum or tailbone and connect the tailbone to the pelvis. A sacroiliac joint injection is an injection into a sacroiliac joint to help reduce pain and swelling in the tissue surrounding the joint.
Facet Joint Injection
A facet joint injection can help relieve back or neck pain that may be associated with facet joints. Facets are the flat surfaces that touch where the back vertebrae of the spine fit together. They form a joint on each side of the vertebrae. These joints can become inflamed causing pain.
Radiofrequency ablation is commonly offered to patients with neck or back pain from facet joint problems like arthritis or injury. It is a procedure using radio waves or electric current to generate sufficient heat to interrupt nerve conduction on a semi-permanent basis. Radiofrequency ablation specifically interrupts pain signals helping to reduce pain and other related symptoms.