Videos



Head, Neck and Spine

Care and Management

Caudal Epidural Steroid Injection

Caudal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.

Cervical Epidural Steroid Injection

Cervical Epidural Steroid Injection

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Cervical Facet Radiofrequency Neurotomy

Cervical Facet Radiofrequency Neurotomy

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Disc Biacuplasty (TransDiscalâ„¢ System)

Disc Biacuplasty (TransDiscalâ„¢ System)

This minimally-invasive procedure, which takes about 30 minutes to perform, uses radiofrequency probes to treat chronic back pain.

Discography (Lumbar)

Discography (Lumbar)

This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let’s watch a discography done in the lumbar spine.

Facet Joint Injections

Facet Joint Injections

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.

Lumbar Epidural Steroid Injection

Lumbar Epidural Steroid Injection

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Lumbar Sympathetic Block

Lumbar Sympathetic Block

This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.

Lumbar Transforaminal Epidural Steroid Injection

Lumbar Transforaminal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

Medial Branch Block

Medial Branch Block

This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.

RACZ Caudal Neurolysis

RACZ Caudal Neurolysis

This injection, generally performed as an outpatient procedure under local anesthesia, relieves low back and leg pain most often caused by scarring from a prior back surgery. The procedure is performed with the patient lying face down with a cushion placed under the stomach.

Radiofrequency Neurotomy of the Lumbar Facets

Radiofrequency Neurotomy of the Lumbar Facets

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your lower back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Sacroiliac Joint Steroid Injection

Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Spinal Cord Stimulator Implant

Spinal Cord Stimulator Implant

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Stellate Ganglion Block

Stellate Ganglion Block

A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.

Thoracic Epidural Steroid Injection

Thoracic Epidural Steroid Injection

This outpatient procedure is an injection performed to relieve pain in the upper back.

Conditions

Anatomy of the Spine

Anatomy of the Spine

The spinal column is the body’s main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.

Cervical Radiculopathy

Cervical Radiculopathy

This condition is an irritation or compression of one or more nerve roots in the cervical spine. Because these nerves travel to the shoulders, arms and hands, an injury in the cervical spine can cause symptoms in these areas. Cervical radiculopathy may result from a variety of problems with the bones and tissues of the cervical spinal column.

Facet Joint Syndrome

Facet Joint Syndrome

This condition is a deterioration of the facet joints, which help stabilize the spine and limit excessive motion. The facet joints are lined with cartilage and are surrounded by a lubricating capsule that enables the vertebrae to bend and twist.

Herniated Discs

Herniated Discs

A herniated disc is a common injury that can affect any part of the spine. A herniated disc can cause severe pain and other problems in the arms or legs.

Lumbar Radiculopathy (Sciatica)

Lumbar Radiculopathy (Sciatica)

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.

Post-Laminectomy Syndrome

Post-Laminectomy Syndrome

This condition, also called “failed back syndrome,” is a type of chronic pain. It can develop in some people after spine surgery.

Spinal Stenosis

Spinal Stenosis

The spinal column contains open spaces that create passageways for the spinal cord and the spinal nerves. Spinal stenosis is a narrowing of (or an intrusion into) these openings. This can cause a compression of the nerves. Spinal stenosis most commonly affects the cervical and lumbar regions of the spine.

Spondylolisthesis

Spondylolisthesis

This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.

Shoulder

Care and Management

Trigger Point Injections

Trigger Point Injections

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.

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Services

Neck Pain

  • Herniated disc
  • Spondylosis (Axial Neck Pain)
  • Failed Surgical Neck Syndrome
  • Biomechanical (Postural) Pain
  • Whiplash

Musculoskeletal Injuries

  • Radiculopathy (Sciatica)
  • Complex Regional Pain Syndrome (RSD)
  • Herpes Zoster Radiculopathy (Shingles)
  • Fibromyalgia

Low Back Pain

  • Spondylosis (Axial Back Pain)
  • Compression Fracture
  • Scoliosis
  • Herniated disc
  • Spinal Stenosis
  • Internal Disc Disruption (Annular Tear)
  • Spondylosis (Axial Back Pain)
  • Facet-Mediated Pain
  • Compression Fractures
  • Scoliosis
  • Sacroiliac Joint Pain
  • Spondylolysis/Spondylolisthesis
  • Failed Surgical Back Syndrome
  • Biomechanical (Postural) Pain

Headaches

  • Cervicogenic Headache
  • Occipital Headache

Work Injuries

  • Prompt diagnosis and treatment
  • Close coordination with case workers
  • Facilitate early return to work

Spinal Interventions

  • IDET
  • Epidural Steroid Injections
  • Racz Catheter Lysis of Adhesions
  • Radiofrequency Facets
  • Sacroiliac Joint Injections
  • Occipital Nerve Blocks
  • Stellate Ganglion Blocks
  • Lumbar Sympathetic Blocks
  • Discography (Lumbar & Cervical)
  • Facet Joint Injections
  • Trigger Point Injections

Psychological Treatment

  • Behavioral Strategies to Help Manage Pain
  • Coping Skills
  • Strategies to Improve Sleep
  • Biofeedback & Relaxation Training
  • Management of Depression

Surgical Treatment

  • Neuromodulation (Spinal Cord Stimulation)

Medication Management

  • Anti-Inflammatory Medications
  • Neuropathic Medications
  • Opioid Medications

EMG/NCV

  • Electrodiagnosis of nerve-related injuries and disorders

Physical Therapy

  • Skilled Manual Therapy
  • Aquatic Therapy
  • Occupational Therapy
  • Massage Therapy
  • Acupuncture