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Cutting-edge

Treatments

Restorative Pain Solutions is the leading provider of cutting-edge interventional procedures for the pain management of multiple conditions, including but not limited to, neck pain, back pain, joint pain, and nerve pain. Interventional pain procedures are performed on site in our state-of-the-art procedure room as part of an individualized treatment plan that is purpose-built to reduce pain and restore function.

Some of the interventional pain procedures we specialize in performing include:

 

EPIDURAL STEROID INJECTION

An Epidural Steroid Injection is an injection that is performed to treat pain due to irritation of a spinal nerve. The injection delivers numbing medicine and anti-inflammatory medicine into the epidural space of the spine, around the affected nerves, with the goal of reducing inflammation and pain. These injections are typically performed after conservative (non-surgical) treatments have have been tried and failed. The administration of such injections can also allow time for healing to occur in the damaged area. If the symptoms are no longer present, further injections are not indicated. These injections are performed under fluoroscopic guidance (x-ray) to ensure safe delivery of medication to the intended site.

MEDIAL BRANCH BLOCK/FACET INJECTION

A Medial Branch Block or Facet Injection is an injection that is performed to treat pain due to irritation of the spinal facet joints. If the spinal facet joints are a suspected source of your pain, a diagnostic or “test” injection is performed to determine if the spinal facet joints are a significant source of your pain. This is called a Medial Branch Block, an injection where the medial branches are numbed to “block” the nerve transmission from the targeted facet joints. If the Medial Branch Block provides significant but transient relief, you may be a candidate for Radiofrequency Ablation which provides long term relief of facet joint pain. These injections are performed under fluoroscopic guidance (x-ray) to ensure safe delivery of medication to the intended site.

RADIOFREQUENCY ABLATION

Radiofrequency Ablation is an injection that is performed to treat pain due to irritation of the spinal facet joints. Radiofrequency Ablation delivers radio waves (heat) through a needle to disrupt the small sensory nerve endings of your medial branch nerves and interrupt pain signals from the facet joints. This procedure is considered quite effective and typically provides pain relief between 6-24 months after the procedure. The nerve endings do regenerate; therefore the return of familiar pain may occur. Fortunately, the procedure may be repeated if necessary and appropriate. These injections are performed under fluoroscopic guidance (x-ray) to ensure safe placement of the needles to the intended site.

SACROILIAC JOINT INJECTION

A Sacroiliac Joint injection is an injection that is performed to diagnose and treat low back and buttock pain caused by injury or disease to the sacroiliac joint (SI joint). If the SI joints are damaged by injury or disease, these joints can cause pain in the lower back, buttocks and sometimes legs. This is due to the inflammation and swelling within the joint space. The injection delivers numbing medicine and anti-inflammatory medicine into the SI Joint. These injections are typically performed  after conservative (non-surgical) treatments have have been tried and failed. The administration of such injections can also allow time for healing to occur in the damaged area. If the symptoms are no longer present, further injections are not indicated. If the SI Joint Injection provides significant but transient relief, you may be a candidate for Radiofrequency Ablation which may provide long term relief of SI Joint pain. These injections are performed under fluoroscopic guidance (x-ray) to ensure safe delivery of medication to the intended site.

SYMPATHETIC BLOCK

A Sympathetic Block, or injection, is a diagnostic & potentially therapeutic injection of numbing medicine administered in order to block or decrease nerve pain located in the head, neck, chest, arm, or leg- known as sympathetic mediated pain. This type of injection is administered to a group of nerves located in the neck or lower back that are part of the sympathetic nervous system. If an illness or an injury affects the sympathetic nervous system, it may not function optimally and cause pain. This type of injection can often help diagnose, and possibly treat sympathetic mediated pain. One of the conditions considered for this type of procedure is Complex Regional Pain Syndrome (CRPS) also called Reflex Sympathetic Dystrophy (RSD). These injections are performed under fluoroscopic guidance (x-ray) to ensure safe delivery of medication to the intended site.

REGENERATIVE MEDICINE THERAPY

Platelet Rich Plasma (PRP) Therapy has been clinically proven to treat pain and stimulate healing in the body. This procedure delivers  a high dose of platelets, concentrated from your own blood, into areas affected by pain. These platelets have growth factors that may help in the healing process of chronic injuries. Growth factors are chemicals that signal the body to initiate a healing response. By injecting PRP into areas of an injury, the hope is to stimulate and optimize your body’s ability to heal the chronic condition. This is a safe and natural way for your body to accelerate the healing process, rather than blocking or masking your pain.

Stem Cell Therapy treatments are unique because they help the body jump start the healing process. Stem cells are the body’s master cells. They are undifferentiated cells that have the ability to transform into a variety of different cells and replace dying cells, and the potential of rebuilding damaged tissue, muscles, tendons or ligaments.

SPINAL CORD STIMULATION

Spinal Cord Stimulation (SCS) is an implantable technology that is used for the treatment of chronic, intractable pain. Spinal Cord Stimulation (SCS) works by delivering electrical impulses, and provides relief by altering the pain signals before they reach the brain. Instead of feeling the pain, you feel a tingling sensation. You are able to adjust the strength and area of stimulation using a remote control. When Spinal Cord Stimulation (SCS) is successful, it provides significant, long term relief, reduces the need for pain medications, and improves function. To determine if Spinal Cord Stimulation (SCS) therapy and permanent implantation is indicated, a Spinal Cord Stimulation (SCS) trial will be performed first. The trial is temporary, lasting up to a week, allowing for the determination if Spinal Cord Stimulation (SCS) is an appropriate treatment option. Spinal Cord Stimulation (SCS) is performed under fluoroscopic guidance (x-ray) to ensure safe and accurate placement.

OCCIPITAL NERVE BLOCK

An Occipital Nerve Block is an injection of numbing medication and steroid around the greater and lesser occipital nerves that are located on the back of the head just above the neck area.  The steroid injected reduces the inflammation and swelling of tissue around the occipital nerves. This may in turn reduce pain, and other symptoms caused by inflammation or irritation of the nerves and surrounding structures. Typically, headaches over the back of the head, including certain types of tension headaches and migraine headaches, may respond to occipital nerve blocks.

BURSA INJECTION

A Bursa Injection is used to deliver medications to inflamed, painful bursas, for the treatment of bursitis. These injections are used to reduce inflammation & swelling, and may in turn reduce pain.

TRIGGER POINT INJECTIONS

A Trigger Point Injections (TPI) is an injection that is given directly into an active trigger point for the management of pain. Trigger points are discrete, focal, hyper-irritable spots located in a taut band of skeletal muscle. Trigger points produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. The goal is to reduce the inflammation and associated pain to allow for increased range of motion and participation in physical activity.

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