X-Ray Guided Treatments
These treatments are designed to provide relief to patients,
and are also an effective tool for the confirmation of initial diagnoses.
Cervical and Lumbar
Epidural Injections – The epidural space surrounds the spinal cord and the
nerves coming out of it, and extends from the neck to the base of the
tailbone. An epidural injection
reduces the swelling and inflammation of spinal nerves and surrounding tissues
using a long acting, anti-inflammatory steroid.
Lumbar Transforaminal
Epidural Injection – This procedure is designed to reduce specific nerve
root inflammation. A long acting,
anti-inflammatory steroid is injected into a small sleeve of the epidural space
where the nerve leaves the spine.
Medial Branch
Injection – Medial branch nerves enable a person to feel pain caused by the
facet joints. This procedure temporarily
blocks the pain signals sent from the medial branch nerves using numbing
medicine, and helps determine if permanent blocking of these nerves will
provide long-term pain relief.
Medial Branch
Radio-Frequency Neurotomy – Medial branch nerves do not control any muscles
or sensation in your arms or legs, and there is strong evidence to suggest they
are a common source of pain in facet joints. This procedure “turns off” these small nerve endings by cauterization,
using a non-surgical heat lesion produced by a special
R-F needle.
Sacroiliac and Lumbar
Facet Joint Injections – These procedures treat and pinpoint the source of
pain in the lower back. The lumbar
facet joints are small, paired joints in the lower back. The sacroiliac joint connects the
sacrum at the base of the spine to the ilium of the pelvis. Inflammation,
injury or mechanical stress in these joints, can cause pain in the lower back,
hips, buttocks and legs. A long
acting, anti-inflammatory steroid is used to reduce the inflammation and
swelling of tissue in and around these joints.