Interventional Procedures


      Still getting a series of 3 epidurals?  I hope not.  Come by and learn which procedures are appropriate for your condition and safe for you in the long run.  There are situations where a series of three epidurals are appropriate but that is not common.  Just because a certain number of steroid injections may be covered by your insurance company in a year, does not mean it is healthy for you to do three in a month.  Epidurals are appropriate for spinal pain generating from stenosis or nerve impingement but there are other etiologies of back pain that will respond to other injections or treatments.  The following are various interventional procedures that may help you depending on your pain's etiology:

                   

                  Spinal Injections                                                                                                                                                                            

  • Spinal therapeutic epidural steroid injections      
  •  Lumbar epidural selective nerve root steroid injections
  • Spinal facet joint steroid injections
  • Spinal (pain nerve) medial branch blocks
  • Spinal (pain nerve) medial branch radiofrequency ablation
  • Cervical, lumbar, or ganglion impar sympathetic blocks
  • Coccyx therapeutic  injection


Narcotic Addiction Treatment

   Do pain pills control your life?  Have they destroyed your relationships?  Narcotic addiction is a true disease and proper treatment can lead to you feeling normal again and having the life you had before your addiction was activated.  Addiction counseling is an essential part of treatment but for those with a stronger addiction genetic make-up, it is not enough and medication is needed.  While methadone clinics may reduce IV drug use, they do not turn off the addiction in the brain.  We have turned towards a novel medication called suboxone which works differently and more effectively than other narcotics at controlling cravings and reducing dose escalations.


Call and ask if the suboxone treatment program is an option for you!  


Spasticity Treatment

​     If you have suffered a stroke or spinal cord injury and are experiencing muscle tightening and spasms that are interfering with your ability to move and be independent, then you may benefit from spasticity treatment.  Although spasticity is typically a natural protective mechanism of the body after a central nervous system injury, it can become unbalanced and overpower weakened muscles.  The result is that you do not reach your maximal functional recovery which may mean you have to rely more on others with your daily activities of life.  Below are some treatment options that you may benefit from:

  • Physical therapy/Occupational therapy
  • Spasticity bracing
  • Anti-spasmodic medications
  • Botox injections


Pain Management


​     Is your medication working for you?   There may be a medication you respond better to because of your unique genetic make-up.  Most people believe they may just be tolerant to their medication but some are actually deficient in a critical enzyme that activates the medication.   Another possible reason is that you genetically respond better to different chemical structures.  These variance among the population can be determined the hard way through trial and error or by the advances in genetic testing.  That is right, a simple saliva sample.  This test can help you find opioid and non-opioid pain medications that you respond better to and help avoid ones that will give you more side effects.   Call and see if you qualify for testing through the research program; this may mean no cost to you.   Tricare, HMOs and Medicaid do not cover the testing at this time.


What we offer you!


Non-Spinal Injections

  • Sacroiliac joint therapeutic injection
  • Major joint and minor joint therapeutic injections
  • Muscle trigger point injections
  • Botox injections for chronic migraine
  • Greater and lesser occipital nerve therapeutic blocks
  • Knee (pain nerve) geniculate nerve radiofrequency ablation