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Pain Management


Electrical Stimulation:

Neurostimulation is indicated as an aid for management of chronic, intractable pain of the neck, back, and limbs. Neurostimulation delivers precisely controlled, mild electrical impulses to the spinal cord or to a peripheral nerve and is a proven effective alternative to repeated back surgery, medication, or other therapies. Neurostimulation uses a small system that is surgically placed under the skin to send mild electrical impulses to the spinal cord or to a peripheral nerve. The electrical impulses are delivered through a lead that is also surgically placed. These electrical impulses block the pain signal from reaching the brain. Because neurostimulation works in the area where pain signals travel, electrical impulses can be directed to cover specific sites where you are feeling pain. In addition, this therapy is non-destructive. Typically, patients who have success with neurostimulation experience a 50% greater reduction in their pain and improved ability to go about daily activities.

 

Epidural Steroid Injections:

This treatment is performed by injecting corticosteroids into the epidural space of the vertebral column as a means of treating pain caused by irritation of the spinal nerves.

 

Facet Joint Injections:

Facet injections are chemical sensory nerve blocks, which temporarily block low back pain stemming from inflammation, or irritation of the facet joints in the spine.

 

Intrathecal Pump:

A type of advanced pain therapy where an implanted device delivers pain medications directly into the spinal fluid for better pain control. Pumps may be used in a variety of conditions including

post-laminectomy syndrome, cancer pain, nerve pain or osteoporosis.

 

Sacroiliac Joint Injections:

Sacroiliac joints are small joints in the low back and buttocks where the pelvis joins the spine. By injecting local anesthetic into the sacroiliac joint, it will help confirm the joint as a source of pain and the steroid will help to reduce any inflammation that may exist within the joint.

 

Spinal Cord Stimulation:

A type of advanced pain therapy where an implanted device sends electrical impulses to the spinal cord to relieve pain. Spinal Cord Stimulators may be used to treat a variety of painful conditions including post-laminectomy syndrome and neuralgias/neuritis (nerve pain).

 

Sympathetic Blocks:

These blocks are used to disrupt an abnormal pain cycle that can be caused by an overactive sympathetic nervous system. This condition is commonly referred to as complex regional pain syndrome (CRPS). It is also known as reflex sympathetic dystrophy (RSD), causalgia, shoulder hand syndrome, or sympathetic pain syndrome.

 

Transforaminal Epidural Steroid Injections:

The transforaminal injection uses a smaller amount of the steroid and provides a more precise delivery method to deliver the steroids exactly near the involved nerve root.