Facet joint injections/medial branch blocks
Each vertebra in the spine is connected to the vertebra above and below it by facet joints, which are located on both sides of the rear of the spine. A facet joint block can be both diagnostic and therapeutic for back or neck pain. A facet joint block injection can confirm whether the facet joints are indeed the source of pain and can help relieve the pain and inflammation.
- Cervical
- Thoracic
- Lumbar
Epidural steroid injections
- Cervical: This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
- Thoracic: This outpatient procedure is an injection performed to relieve pain in the upper back.
- Lumbar: This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
- Caudal
- Transforaminal
Trigger point injections: This diagnostic procedure is performed to determine if a specific facet joint is the source of a patient’s pain. During the procedure, an injection is administered to block the nerves serving the painful facet joints.
Intraarticular injections
- Knee
- Hip – Stem Cells, PRP, Diagnostic
Peripheral nerve blocks
Spinal cord stimulation
Tendons, ligaments, bursa injections
- Carpal tunnel
- Tennis elbow
- Golfer's elbow
- Etc. – PRP, stem sells
Atlanto-occipital/Atlanto-axial injections
Sympathetic blockades
- Stellate
- Celiac
- Superior hypogastric
- Impar plexuses
Discography: Discography, also called discogram, is a diagnostic procedure used to determine if back pain is caused by one or more discs. The procedure involves pressurizing discs with an injection of sterile liquid to induce pain in the affected discs. Discography helps the specialist plan a course of treatment.
- Cervical
- Thoracic
- Lumbar
Annuloplasty, intradiscal thermal procedures, nucleoplasty, discectomy
Radiofrequency ablations
- Cervical: This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.
- Thoracic: This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.
- Lumbar medial branch
- DRG and SI joint
Vetebro/Kyphoplasty: This minimally-invasive procedure treats spine fractures caused by osteoporosis. It is designed to provide rapid back pain relief and help straighten the spine.
Endoscopic discectomy/spine surgeries
Platelet Rich Plasma (PRP) Injection Treatment: This non-surgical procedure treats rotator cuff injury with an injection of the patient’s own blood platelets. The concentrated platelets promote the natural healing of damaged ligaments, cartilage and tendons.
- Platelet Rich Plasma (PRP) Injection Treatment Overview: This non-surgical therapy is an injection of a concentrated mixture of the patient’s own blood. PRP injections have been shown to relieve acute and chronic pain and accelerate healing of injured tissues and joints.
Sacroiliac Joint Steroid Injection: This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
