Therapeutic Procedures

Therapeutic procedures with fluoroscopy guidance:

 

1. Epidural Steroid Injections – Cervical, Thoracic and Lumbar

   Epidural injections are given in the epidural space surrounding your spinal column. Injections can be given in the lumbar region (the lower back) to minimize lower back and leg pain, in the thoracic region (the mid-back) to reduce mid-back and chest pain or in the cervical region (the neck area) to reduce certain types of neck and upper extremity pain.

   Epidural injections can be targeted to identify the source of the pain. This is called a selective nerve block, steroid block or selective epidural. In this instance, the block numbs the roots of specific nerves for a short period of time. If you feel relief, it may indicate the source of pain. If you don’t, it may mean that the pain is originating from a different location in your spine.
    

2. Head and Neck Blocks
    
3. Peripheral Nerve Blocks
    
4. Sacroiliac Joint Injections
   Sacroiliac joint injections are used for diagnosing and treating low back pain associated with sacroiliac joint dysfunction.
    
5. Hypogastric and Celiac Plexus Blocks
   Hypogastric plexus block is used to treat pelvic pain. A celiac plexus block is performed most commonly for the treatment of upper abdominal pain, which can be due to cancer or chronic pancreatitis.
    
6. Stellate Ganglion Blocks
   Stellate ganglion blocks may be performed for individuals who have circulation problems or nerve injuries including Reflex Sympathetic dystrophy, causalgia, herpes zoster (Shingles), and phantom limb pain. This procedure may reduce pain and increase the circulation and blood supply to the affected limb.
    
7. Paravertebral Lumbar Sympathetic Blocks
   A lumbar sympathetic block is an injection of local anesthetic around a group of nerves in your lower back. It may be done if you have reflex sympathetic dystrophy (RSD), a disease involving a disturbance of circulation to the skin, or neuropathic pain, pain caused by a disorder of the nervous system.
    
8. Neurolytic Blocks
   This treatment uses absolute alcohol (or phenol) to relieve the pain of cancer.
    
9. Botox Injections

   Botox injections are frequently used for patients suffering from cervical dystonia or “wry neck”. Cervical dystonia is characterized by abnormal movements or postures of the neck and head.
    

   Botox injections work by blocking the nerve impulses which control muscle movement to reduce the severity of abnormal head position and neck pain.
    

10. PRP injections - Use of Platelet-Rich Plasma (PRP) involves taking a portion of the patient's own blood to promote healing and can be applied to various musculoskeletal problems.  When injected into damaged tissue, growth factors are released which increase the creation of reparative cells.  Clinical studies have demonstrated that PRP injections may improve elbow, wrist, shoulder, hip, knee and ankle maladies improving function and decreasing pain.