Epidural steroid injection
Lumbar sympathetic blocks
Medial branch block
Stellate ganglion injection
Trigger point injection
an alternative method of treating pain by placing fine, sterile needles
in certain points on the body.
indicated for patients who have had back surgery. Using a c-arm, the
physician guides the scope to the affected area and breaks up scar tissue,
which is surrounding the nerve. This may alleviate back and leg pain.
Epidural steroid injection:
injection of long lasting steroid (“cortisone”) in the area,
which surrounds the spinal cord and the nerves coming out of it. This
area is known as the epidural space. The steroid reduces swelling in
the epidural space and often relieves pain.
chemical sensory nerve blocks that temporarily block the pain caused
by facet joint problems. They can be used as a diagnostic test to determine
if the patient will benefit from a facet rhizotomy.
Lumbar sympathetic blocks:
injection of local anesthetic near the “sympathetic nerve tissue”—the
nerves that are a part of the lumbar sympathetic nervous system. The
injection blocks the sympathetic nerves which may in turn reduce pain,
swelling and sweating changes and may improve mobility.
Medial branch block:
is a diagnostic nerve block used to identify which nerves are causing
specific back pain. If the patient experiences any pain relief, they
are a candidate for radiofrequency.
manual re-alignment of joints and the spinal column.
if indicated, the physician will use radiofrequency to deaden the nerve
causing the back pain. Pain relief may last 6 months or more.
injection of local anesthetics and steroids into the sacroiliac joint
for sacroiliac arthritis pain relief.
Stellate ganglion injection:
injection of local anesthetic near the “sympathetic nerve tissue”— the
nerves that are a part of the sympathetic nervous system. The nerves
are located on either side of the voice box in the neck. This may reduce
pain, swelling and sweating changes in the upper extremity.
Trigger point injection:
injection of medication into the tender areas of muscle to help relieve
pain and spasm.