Trigger Point Injection
Trigger point injection (TPI) are used to treat intense pain in the muscles containing trigger points. Trigger points are tight bands or knots that are formed when the muscle fails to relax after the contraction. A trigger point may also cause referred pain (pain in another part of the body) by irritating the adjacent nerves.
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Medial Branch Block
Medical branch block is an injection of a local anesthetic near the medial branch nerves to temporarily block the pain signal carried from the facet joints of the spine to the brain. It is used to assist your physician in diagnosing the cause of your back pain.
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Radiofrequency of Ablation
Radiofrequency ablation (RFA) also called rhizotomy or neurotomy is a novel non-surgical technique of treating pain. This technique employs radiofrequency waves to produce heat and the heat produced damage the nerves transmitting pain signal to the brain. This procedure is performed to treat painful facet joints in the spine that usually cause chronic low back pain and neck pain.
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Spinal injections are used to inject medications into the painful/injured area of the spine. Spinal injections can be used to diagnose (diagnostic) the cause of pain as well as treat (therapeutic) it. There are different types of spinal injections, often referred to as spinal blocks. Medications are injected into different segments of your spinal column such as the epidural space, intervertebral space, nerve roots or facet joints, depending on your condition.
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Peripheral Nerve Blocks
The peripheral nervous system carries signals of movement and senses, such as hot, cold and pain, from different parts of your body to the spinal cord and brain. Injecting an anesthetic at a peripheral nerve can block the transfer of pain signals from the region it supplies to the brain. This is called a peripheral nerve block. A celiac plexus block is a peripheral nerve injection administered at the celiac plexus, a bundle of nerves that surrounds the aorta, to block pain impulses originating from organs in the abdomen.
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Nerves use electrical impulses to coordinate muscle movement in our bodies. Diseases affecting the muscles and nerves can result in abnormal electrical activity.
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Spinal Cord Stimulator
Spinal cord stimulation is used for the management of chronic pain in arms and legs that has not responded to conventional modalities of treatment. Specific segments of the spinal cord are stimulated through electrical signals, generated by a spinal cord stimulator, which may be associated with a slight prickling or tingling sensation.
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Sacroiliac and Peripheral Joint Injections
Sacroiliac Joint Injection
The sacroiliac joint connects the lowest part of the spine, the sacrum, to the adjoining bones of the pelvis, the iliac bones, which are present on either side of the sacrum. In an adult there is minimal movement at these joints.
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Lumbar Sympathetic Block
Sympathetic nerves, located in the lower spine, control basic functions such as regulating blood flow. They also carry pain signals from tissues to the spinal cord. Lumbar sympathetic block is an injection containing a local anesthetic and steroid, which is injected into or around the sympathetic nerves to block the transmission of pain impulses from the legs or lower back, thereby relieving pain.
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Occipital Nerve Root Blocks
A greater occipital nerve block involves injecting medication around the greater occipital nerve to relieve pain. The greater occipital nerve travels through the muscles at the back of the head and into the scalp providing sensation to the back and top of the scalp.
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Selective Nerve Blocks
A selective nerve block is the injection of an anesthetic and steroid medication around the spinal nerve root to diagnose or treat pain. It is indicated to relieve pain, weakness, numbness and tingling sensation in your neck, back and extremities due to nerve injuries such as a pinched nerve and spinal stenosis (narrowing).
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Epidural Steroid Injection – Caudal/Interlaminar/Transforaminal
Steroids are chemicals that are naturally present in our body. Synthetic steroids are generally used in the treatment of inflammatory conditions such as spinal disc injury and degenerative diseases among others. Epidural refers to the space outside the covering of the spinal cord and inside the spinal canal.
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