Procedures

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The spinal column is the body's main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.

Anatomy of the Spine

This condition is an irritation or compression of one or more nerve roots in the cervical spine. Because these nerves travel to the shoulders, arms and hands, an injury in the cervical spine can cause symptoms in these areas. Cervical radiculopathy may result from a variety of problems with the bones and tissues of the cervical spinal column.

Cervical Radiculopathy

This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks.

Coccydynia

This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.

Degenerative Disc Disease

This condition is a detereoration of the facet joints, which help stabilize the spine and limit excessive motion. The facet joints are lined with cartilage and surrounded by a lubricating capsule that enables the vertebrae to bend and twist.

Facet Joint Syndrome

This chronic condition, which can be difficult to diagnose, results in pain throughout the body and a feeling of exhaustion that can last for months at a time. Fibromyalgia affects more women than men, and most often develops during early and middle adulthood.

Fibromyalgia

A herniated disc is a common injury that can affect any part of the spine. A herniated disc can cause severe pain and other problems in the arms or legs

Herniated Discs

This condition is an inflammation of the trochanteric bursa, a fluid-filled sac that lies between the femur and the iliotibial band, a thick, wide tendon on the outside of the hip joint. This condition can cause pain and swelling on the outer side of the hip.

Hip Bursitis

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.

Lumbar Radiculopathy (Sciatica)

A migraine is an intense, throbbing headache that may be accompanied by nausea or dizziness. A migraine can last from hours to days.

Migraine Headaches

This painful condition results from damage to the peripheral nervous system - the nerves that travel from the spinal cord to the limbs and organs.

Peripheral Neuralgia

Post laminectomy syndrome, also called failed back syndrome, is a continuous and chronic pain that can develop after certain types of back surgery.

Post Laminectomy Syndrome

Arthritis (also called osteoarthritis or degenerative arthritis) involves the swelling and damage of the joint. The condition causes pain and stiffness and limits shoulder joint movement. Causes of degeneration include increased age, everyday use of the joint, repetitive overhead movements, injuries such as fractures or chronic rotator cuff tears, or infection.

Shoulder Arthritis

Spinal stenosis results from new bone and soft tissue growth on the vertebrae, which reduces the space in the spinal canal. When the nerve roots are pinched, a painful burning, tingling and/or numbing sensation is felt from the lower back down to the legs and sometimes all the way to the feet.

Spinal Stenosis

This condition is a degeneration of the spine that can affect the spine at any level, resulting in pain and discomfort that can grow worse over time.

Spondylosis

This chronic condition is caused by a misfiring of the trigeminal nerve. An attack causes brief episodes of extreme, shooting pain.

Trigeminal Neuralgia (TN)

Vertebral discs are the spinal column's shock absorbers. The discs cushion the vertebral bones and allow the spine to twist and bend. Vertebral discs are composed of two main parts, a soft inner nucleus (nucleus pulposis) and a tough, fibrous outer wall (annulus fibrosis).

Where Back Pain Begins

Neck pain is a common problem that can result from poor posture, wear and tear, overuse, or traumatic injury to the cervical spine. Neck pain can last for a few hours or days, or it can be a chronic problem that lasts for weeks or years.

Where Neck Pain Begins

Whiplash, also called cervical acceleration/ deceleration (or CAD) syndrome, is a neck injury commonly caused by car accidents, falls, and contact sports. It results from a quick, jerking motion that forces the neck beyond its normal range of motion.

Whiplash (CAD Syndrome)

Conscious sedation is a type of anesthesia that makes the patient feel very relaxed. It reduces painful sensations and the awareness of pain. It is not intended to put the patient to sleep, and will wear off quickly after a procedure. Conscious sedation is commonly used for simple procedures that can be completed quickly

Anesthesia (Conscious Sedation)

This injection procedure is performed to relieve low back and radiating leg pain. The steroid medication can reduce the swelling and inflammation caused by spinal conditions, such as spinal stenosis, radiculopathy, sciatica and herniated discs.

Caudal Steroid Injection

This procedure is performed to diagnose and reduce abdominal pain caused by conditions such as cancer or pancreatitis. An injection is used to block the nerves serving the abdomen. An intravenous (IV) line may be used to administer medication to relax the patient.

Celiac Plexus Block

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.

Cervical Epidural Steroid Injection

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.

Cervical Facet Radiofrequency Neurotomy

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. It can be used to treat conditions such as herniated discs, spinal stenosis, and radiculopathy.

Cervical Selective Nerve Root Block

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.

Discography

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.

Facet Joint Injections

This non-operative, outpatient procedure is designed to provide relief for patients with arthritis of the hip joint. The technique allows the physician to inject numbing and anti-inflammatory medications with maximum accuracy.

Fluoroscopic Guided Hip Injection

An intrathecal pump relieves chronic pain. It uses small amounts of medicine applied directly to the intrathecal space (the area surrounding the spinal cord) to prevent pain signals from being perceived by the brain. Pump candidates include people for whom conservative treatments have failed and surgery is not likely to help

Intrathecal Pump Implant

This minimally-invasive procedure treats spine fractures caused by osteoporosis. It is designed to provide rapid back pain relief and help straighten the spine.

Kyphoplasty

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.

Lumbar Epidural Steroid Injection (without contrast)

This minimally-invasive procedure, also called radiofrequency (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 Radiofrequency Neurotomy

This procedure is performed to relieve leg pain caused by complex regional pain syndromes, which may develop after an injury to a joint or limb. Usually a series of injections are needed to treat the problem.

Lumbar Sympathetic Block

This injection procedure is performed to relieve low back and radiating leg pain. The steroid medication can reduce the swelling and inflammation caused by spinal conditions such as spinal stenosis, radiculopathy, sciatica and herniated discs

Lumbar Transforaminal Epidural Steroid Injection

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.

Medial Branch Block

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

Sacroiliac Joint Steroid Injection

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

This injection can both diagnose and treat pain coming from the sympathetic nerves. It is a common treatment for shingles and complex regional pain syndromes affecting the head, face, neck, or arms. Usually a series of these injections is needed to treat the problem.

Stellate Ganglion Block

During this procedure, a mixture of anesthesia and anti-inflammatory medication is injected into the space between the acromion and the head of the humerus. This injection can be used to treat a variety of painful conditions, including adhesive capsulitis, rotator cuff tendinosis, and impingement syndrome.  The physician may choose an injection site on the front, side or rear of the shoulder.

Subacromial Injection

This outpatient procedure is used to treat pain and discomfort from arthritis, bursitis or impingement of the suprascapular nerve in the shoulder joint. The suprascapular nerve is a major motor nerve that serves the muscles of the shoulder.

Suprascapular Nerve Block

This outpatient procedure is an injection performed to relieve pain in the upper back.

Thoracic Epidural Steroid Injection

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 Facet Radiofrequency Neurotomy

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small knots can form in muscles or in the fascia, the soft, stretchy connective tissue that surrounds muscles and organs.

Trigger Point Injections

This non-operative, outpatient procedure is designed to provide relief for patients with hip and lower abdominal pain. The technique allows the physician to inject an inflammation-reducing steroid around the ilioinguinal nerve with maximum accuracy.

Ultrasound-Guided Ilioinguinal Nerve Block

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.

Ultrasound-Guided Injection for Knee Pain

This non-operative, outpatient procedure is designed to provide relief for patients with pain in the shoulder from conditions such as osteoarthritis, rheumatoid arthritis and adhesive capsulitis. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.

Ultrasound-Guided Injection for Shoulder Pain

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