Non Surgical Treatments
Interventional Pain Management
Pain management often takes a multidisciplinary approach to minimize or eliminate pain without using surgical techniques. The goals include increasing physical activity, eliminating unsafe medication use, and learning lifestyle behaviors that work toward wellness.
Epidural Steroid Injection is the most commonly performed procedure used to relieve pain. This injection delivers a powerful anti-inflammatory steroid into the area of the pain generator. The technique involves using x-ray fluoroscopy to guide the needle directly into the area where the pain generator is located. The majority of patients who receive this type of injection will experience a beneficial effect, lasting for a number of weeks or months allowing for continual participation in their activities or rehab program. These injections can be repeated if episodic flare-ups occur.
Facet Joint Injections involve the injection of steroid medication into the affected spinal facet joint to reduce inflammation and pain. Injections into these joints or blocks of the nerves that feed the facet joints can often be very helpful to relieve pain. This injection also requires the use of x-ray fluoroscopy.
Sacroiliac Joint Injections are used for the treatment of sacroilitis or sacroiliac dysfunction. This is a problem in the joint where the sacrum (tailbone) and the pelvis meet. An irritation in this joint can cause low back and leg pain. This procedure is also performed with the use of x-ray fluoroscopy to allow for the proper placement of the steroid injection.
Trigger Point Injections are muscle blocks. Muscles chronically tense or in spasm become tender and painful. The pain triggers more spasm that can develop into a vicious cycle. Injections into the muscle can help to break the cycle and allow for pain relief.
Sympathetic Nerve Blocks are used to treat conditions involving the sympathetic nerve malfunctions. These nerves regulate blood flow, sweating, and glandular function.
Spinal Cord Stimulation can be an effective alternative or adjunct treatment to other therapies that have failed to manage pain on their own. An implantable system delivers electrical pulses via a lead to nerves in the dorsal aspect of the spinal cord. Pain signals are inhibited before they reach the brain and replaced with a tingling sensation that covers the specific area where the pain was felt.