Procedures

Anesthesia (Conscious Sedation)

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.

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Caudal Steroid Injection

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.

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Celiac Plexus Block

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.

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

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Cervical Facet Radiofrequency Neurotomy

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.

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Cervical Selective Nerve Root Block

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.

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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.

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Facet Joint Injections

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.

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Fluoroscopic Guided Hip Injection

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.

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Intrathecal Pump Implant

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.

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Lumbar Radiofrequency Neurotomy

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.

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Lumbar Sympathetic Block

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.

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Lumbar Transforaminal Epidural Steroid Injection

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.

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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.

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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.

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Stellate Ganglion Block

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.

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Subacromial Injection

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.

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Suprascapular Nerve Block

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.

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Thoracic Facet Radiofrequency Neurotomy

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.

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Trigger Point Injections

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.

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Ultrasound-Guided Ilioinguinal Nerve Block

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.

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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.

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Ultrasound-Guided Injection for Shoulder 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.

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