Pain Management – Interventional Therapeutic Injections

When you are suffering from debilitating pain and your painful symptoms persist despite conservative measures, interventional pain management such as therapeutic injections may be recommended.  The goals of these injections are to reduce and relieve pain and/or manage disabling symptoms while improving a patient’s overall quality of life.  These injections also help the physician pinpoint the pain generator and target a therapeutic solution. Learn more about this interventional pain management technique below.

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Therapeutic Injections

  • Lumbar Facet Joint Injection:  The lumbar facet joint or medial branch injection can pinpoint the root cause diagnosis of back pain and provide significant relief from pain and inflammation.
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  • Lumbar Epidural Steroid Injection: Steroid and lidocaine anesthetic can be injected under fluoroscopy x-ray with you under conscious sedation. If your pain diminishes dramatically after the injection, your doctor will know that level is where your pain is originating.

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  • Lumbar Sympathetic Nerve Block:  A physician who has suspected a possible abnormality on an x-ray or MRI may try a nerve block to confirm your source of pain and the affected area of your spine. The physician usually uses a numbing medicine or anesthetic like lidocaine.
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  • Cervical Facet Joint Injection:   This injection is used to diagnose pain that’s occurring in the neck, upper back, and shoulders as well as some headache pain. It is an outpatient procedure.

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  • Cervical Epidural Steroid Injection:  This is an epidural steroid injection delivered into the cervical epidural space around spinal cord where it can exit nerve roots to relieve inflammation and pain. The injection can reduce and pain and swelling in the neck, shoulders, and arms.
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  • Cervical Sympathetic Nerve Block:  This procedure is used to discover whether or not your sympathetic nerves are the cause of pain happening in your shoulders, neck, or arms. If you are experiencing pain in your hands, shoulders, or arms, your doctor may recommend a stellate ganglion block test.

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  • Caudal Epidural Steroid Injection:  A caudal epidural steroid injection involves injecting a steroid and anesthetic like lidocaine through the spine, into the epidural space, where inflamed and irritated spinal nerves are located.  The injection is used to treat neck and back pain.Sacroiliac Joint Injection:   Also called a sacroiliac joint block, SI joint injection is primarily used to diagnose and provide therapeutic pain relief from low back pain and sometimes sciatica symptoms.
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  • Trigger Point Injection:   This is an injection into common trigger points of spasms and inflammation in your muscles. Common trigger point locations include the trapezius and rhomboid muscles in your back.

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Diagnostic Injections

  • Discography:  Discography is a diagnostic injection technique. A doctor uses this injection to determine what discs in the patient’s spine are the cause of their pain.
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