Procedures

Targeted Pump Drug Delivery Introduction

What is Spinal Cord Stimulation (SCS)?

Lumbar Epidural Steroid Injection

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.

Cervical Epidural Steroid Injection

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 and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

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.

Facet Joint Injections

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.

Joint Injection: Hip

This outpatient injection procedure relieves hip, leg or buttock pain caused by arthritis or other damage to the hip joint.

Cervical Facet Radiofrequency Neurotomy

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Radiofrequency Neurotomy of the Lumbar Facets

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your lower back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Kyphoplasty (Balloon Vertebroplasty)

This minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine’s natural shape. Some patients experience rapid pain relief after the procedure.

Ultrasound-Guided Injection for Knee Pain

This non-operative, outpatient procedure is designed to provide relief for patients with arthritis of the knee. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.

Trigger Point Injections

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.

Medial Branch Block

This diagnostic procedure is performed to identify a painful facet joint. The facet joints are the joints between the vertebrae in the spine. They allow the spine to bend, flex and twist.

Fluoroscopic Guided Piriformis Injection

This injection procedure is performed to diagnose and relieve the pain of piriformis syndrome, an irritation of the sciatic nerve caused by a contraction of the piriformis muscle in the buttocks.

Stellate Ganglion Block

A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.

Celiac Plexus Block (Percutaneous Approach)

This procedure temporarily disrupts the nerves of the celiac plexus. These nerves branch away from your spine. They connect to the organs in your abdomen. Pain signals caused by conditions such as pancreatitis or pancreatic cancer travel through these nerves on the way to your brain. A celiac plexus block can relieve your pain.

Genicular Nerve Block (G Block)

This outpatient procedure is an injection of anesthetic to the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Anesthetizing these nerves can disrupt the pain signals caused by degeneration of the knee. A genicular nerve block can provide temporary pain relief. It may help determine if a patient is a candidate for nerve ablation, which can provide long-term pain relief.

Genicular Nerve Ablation (RF Neurotomy)

During this outpatient procedure, the physician uses a radiofrequency device to heat up and disrupt the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Disrupting these pathways can provide long term relief from knee pain.

Spinal Cord Stimulator Implant (Trial Procedure)

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Spinal Cord Stimulator Implant

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Lumbar Transforaminal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

Electromyography (EMG)

This outpatient diagnostic test is used to evaluate the health of muscles and the nerves, called motor neurons, which control the muscles. EMG is a valuable diagnostic device for determining the cause of muscle weakness and for identifying neurologic disorders.