Diagnostic & Therapeutic Interventional Procedures are used by medical doctors and specialists as an effective, non-invasive techniques to relieve pain using image-guided injections to precisely target the source of pain. These injections quickly and safely deliver pain-relieving medication to a key area of your body without the hassle and potential complications of surgery. As part of the treatment process, iSpine Pain Physicians offers the option of sedation to help minimize procedural discomfort.
The following Diagnostic & Therapeutic Interventions are offered at iSpine Pain Physicians:
- Peripheral Nerve Injections / Blocks
- Ilioinguinal / iliohypogastric / genitofemoral
- Intercostal nerve blocks
- Median nerve at the carpal tunnel
- Occipital nerve blocks
- Facet Joint Injections
- Piriformis Muscle Injections
- Sacroiliac Joint Injections
- Trigger Point Injections
- Scar / neuroma Injections
- Stellate Ganglion & Sympathetic Blocks
- Tendon and Ligament Injections
Expectations at iSpine Pain Physicians
At iSpine Pain Physicians, all injections are image-guided and may be performed with or without IV sedation for appropriately-selected patients. Our physicians are certified in Anesthesiology and Pain Medicine, so you know you are being treated by doctors with an expertise in chronic pain care. iSpine Pain Physicians is here to help manage your complete pain care, including behavior health guidance and referrals such as physical therapy, imaging, and surgical consults if necessary.
Epidural Steroid Injections
The epidural space is comprised of fat and blood vessels, and it surrounds the dural sac. In turn, the dural sac encircles the spinal cord and nerve roots. An epidural steroid injection is a type of therapeutic injection that places corticosteroid and a local anesthetic into the epidural space around the spinal cord and nerve roots. This injection helps to minimize inflammation and thereby provides pain relief for patients experiencing chronic pain related to spinal stenosis and/or a disc herniation with associated neck, back and extremity pain.
An epidural steroid injection can be performed on the cervical (neck), thoracic (mid-upper back) and lumbar (low back) spine.
Epidural steroid injections are commonly given to patients who have been diagnosed with spinal stenosis and/or a disc herniation. Benefits may include: relief from pain by reducing the inflammation at the source of the pain using a minimally-invasive approach which may be an effective alternative to spinal surgery. In addition to providing immediate relief, the medicine’s anti-inflammatory nature will allow patients undergoing physical or chiropractic therapy to have an easier time stretching and exercising. In turn, their back may heal and strengthen faster.
What to Expect
An epidural steroid injection can take up to 10 days to start working, however it depends on each individual patient. Some patients experience pain relief for a few weeks, others a few months, and some patients up to a year or longer. It is important to note, that sometimes a repeat injection may be needed as you progress through your treatment plan towards relief of your painful condition.
Bursa are small, fluid-filled sacs between the hard and soft tissues that help lubricate to avoid friction and subsequent damage. If these sacs become inflamed—a condition known as bursitis—they can cause significant pain during everyday motions. Common locations for bursitis include the hip, shoulder and the knee but can involve many sites throughout the body. Luckily, bursa injections may be an option for this type of pain.
The fluid that is injected into an inflamed bursa is typically a steroid medication. It works to reduce inflammation, limiting the friction between the adjacent muscles and bones.
What to Expect
These injections are typically performed in our clinic with or without image guidance. They typically take just a few days after the injection to see results and may last from weeks to months.
Common bursa injections would be the hip (greater trochanter), ischial, knee, and shoulder. Usually, we do not place restrictions on patients after having these injections and often they may be used to relieve pain in order to help facilitate compliance with physicial therapy and/or chiropractic care of the affected area.
Nerve Injections/Nerve Root Blocks
A group of nerves, called a plexus or ganglion, that causes pain to a specific organ or body region can be blocked with a nerve-numbing substance called a nerve block. Therapeutic nerve blocks are used to treat painful conditions, diagnostic nerve blocks are used to determine sources of pain, prognostic nerve blocks predict the outcomes of a given treatment, and preemptive nerve blocks can help prevent subsequent pain from specific procedures.
Nerve blocks can be used to manage chronic pain, pain after surgery, or in cases where the nerves are irritated, inflamed or damaged. They offer immediate relief and help reduce irritation to the nerves, allowing them time to heal.
If you experience joint pain, there are several different injections for a number of these areas. A specialist can inject a mixture of corticosteroids and anesthetic numbing agents into your spine, tailbone, hips, shoulders, elbows, hands, knees, ankles and feet.
In the joints, pain is often caused by friction as bones move against other bones, tendons and ligaments. The main goal of joint injections is to reduce this friction either by minimizing inflammation or increasing lubrication. They can help patients with chronic pain, people with diseases like arthritis or those recovering from acute injuries.
What to Expect
Your specialist will use prior imaging such as MRI, CT or X-ray to determine the ideal injection site before administering the solution. While you might feel pressure or mild discomfort, you don’t have to fear a painful experience. You should be able to walk around immediately following the injection, and you might even return to work the same day. If you notice any soreness around the injection site, try icing the area and consider using an over-the-counter analgesic. For steroid injections, you should wait a few days before judging the effectiveness of the procedure.