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Pain Management Procedures


Trigger Point Injections

Trigger point injections offer relief for pain felt in soft tissue. When muscles are used, they regularly contract and relax. Trigger points develop when a muscle fails to relax. They are painful, taut muscle areas and can sometimes be present as knots under the skin. Left untreated, trigger points can cause irritation of surrounding muscles and nerves as well as pain in other areas, known as referred pain. More information >

Botox Injections

Although many know Botox for its cosmetic enhancements, it can play a role in pain management. Botox, or botulinum toxin, injections have been used to treat back pain, headaches, and neck pain. It can be used in treating painful conditions such as cervical dystonia, chronic myofascial pain, chronic low back pain, spasticity, whiplash injury, TMJ dysfunction, and chronic headaches including migraines. It is important that one seeks treatment from a licensed professional who has experience with this treatment. More information >

Joint Injections

This procedure is primarily used to treat pain in the joints such as knees, shoulders and hips. Joint injections are commonly used to treat arthritis pain and other ailments such as frozen shoulder and tendinitis. Joint injections are effective tools in the treatment of the pain symptoms and can be used in conjunction with other medications. More information >

Epidural Steroid Injections

An epidural steroid injection is an injection of a long-lasting steroid into the epidural space (or space inside the spinal canal but outside the dural membrane which covers the nerve roots) to relieve pain and/or diagnose an acute or chronic pain condition.
More information >  

Facet Injections

Facet joint injections can be performed at any point along the spine. The facet joint injections are used to block or decrease pain caused by problems in the spine. Facet joints are located at the posterior (back) of the spine. The joints are similar to hinges and connect the vertebrae together. More information >

Selective Nerve Root Blocks

Nerve roots are located at the left and right sides of each vertebra where the nerves exit the spinal canal. These nerves serve as the pathway between the spinal cord and the body’s muscles. They carry information about various sensations, including pain. In a selective nerve root block, the nerve is injected at the level where the nerve exits the vertebral foramen. More information >

Radiofrequency Rhizotomy

Radiofrequency rhizotomy is a procedure that sends radio waves (heat) through a needle to damage small sensory nerve endings to interrupt pain. The procedure is only recommended for those patients who have not received relief using other conservative pain treatment. Radiofrequency is considered quite effective. More information >

Sympathetic Blocks

Sympathetic nerve blocks are used to block or decrease pain in the extremities caused by injury or disease of the sympathetic nervous system. The sympathetic nervous system is a network of nerves that extend the length of the spine and lie over the front surface of the spinal cord. This injection may be performed at various levels along the spine. More information >


Discography is a certain kind of spinal imaging that can be used to further diagnose spinal disorders. This procedure is used to diagnose the source of pain within the spine. More information >

Percutaneous Disc Decompression

Percutaneous disc decompression is a technique used to relieve disc herniation, thereby treating pain issues associated with disc herniation. The removal of tissue from the nucleus of a disc results in a reduction of pressure inside the disc. This reduction of pressure results in the relief of pressure the disc exerted on the spinal cord and nerve roots. 
There are various forms of disc decompression. More information >

Lysis of Adhesions Lumbar Spine

The epidural lysis of adhesions is a procedure that was developed to help decrease chronic low back pain due to adhesions and scar tissue formation. A common cause of chronic low back pain is excessive scarring in the epidural space. The epidural space is a thin area between the inside of the vertebral column and the protective layer around the spinal cord.
More information >


Vertebroplasty is a procedure that helps relieve pain associated with compression fractures of the vertebral body. Vertebral bodies are the thick blocks of bone located at the front of each spinal vertebra. Osteoporosis is a disease that attacks the body’s bones and commonly results in weakening of the spine, making it brittle. Osteoporosis is a primary cause of compression fractures. More information >


Kyphoplasty helps relieve pain associated with compression fractures of the vertebral body. Vertebral bodies are the thick blocks of bone located at the front of each spinal vertebra. Osteoporosis is a disease that attacks the body’s bones and commonly results in weakening of the spine, making it brittle. Osteoporosis is a primary cause of compression fractures. 
More information >

Spinal Cord Stimulation Trial

A spinal cord or peripheral nerve stimulator is an implantable medical device used in pain management services. If your acute or chronic pain condition is not responding to other forms of treatment, your interventional pain management physician may prescribe a spinal cord or peripheral nerve stimulator. More information >

Intrathecal Pain Pump

Intrathecal drug delivery (otherwise known as a pain pump) is a method of giving medication directly to the spinal cord. Using this pain management approach to treatment, effective pain relief may be achieved through much smaller doses than is needed with oral medication, thus reducing the frequency of side effects associated with certain medications. More information >

Osteopathic Manipulation

Osteopathic Manipulation is a treatment usually performed by an osteopathic physician (DO). These are licensed physicians who have specialized their training towards the nervous system and musculoskeletal system. These manipulations are where the physician uses hand-to-body contact to move muscles and joints. More information >

Caudal Injection

“Caudal” means tail in Latin, which the medical world uses very frequently in its terminology.  The caudal injection is the safest approach in the options of injections. The caudal injection can effectively treat pain associated with radiating symptoms; for example, low back pain that runs down the leg. More information >


The goal of prolotherapy is to strengthen incompetent ligaments and tendons in the body. The science behind prolotherapy is that the body is introduced to an irritant to which the body creates an attack against. For example, our bodies create a defense by causing inflammation or a surge of cells and fluid to injured areas. More information >

Platelet Rich Plasma (PRP)

Platelets are found in the blood. They are essential for clotting (the process which allows one to stop bleeding) and essential in wound healing. There can be benefits when the platelet rich plasma is injection to areas in need of healing. Platelet rich plasma therapy can be used to treat multiple conditions involving bone, tendons, ligaments, and discs. More information >

Stem Cell Therapy

Pain can be anywhere in the body and pain affects many people. Certain back pains can be caused by the degeneration of the disc between each vertebra in the spine. Research into stem cell therapy for the treatment of low back pain revolves around trying to have stem cells reproduce or regenerate these discs. More information >