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Injections for Pain Relief

Types

Injections: Epidural, Nerve Block, and More

Choose the Right Physician

No one likes needles -- or getting shots. However, injections help relieve pain and inflammation and can end up working miracles temporarily. Pain management doctors use injections to control your pain. Your pain specialist inject medication directly into pained area. Injections are used to relieve low back pain, knee pain, hip pain, and more.

Epidural Steroid Injection (Cervical)

Cervical Epidural Steroid Injection is known as a non-surgical treatment for neck pain and upper back pain management. This injection is intended to relive pain in neck, shoulders and arms.

Your treating physcian after determining the cause of your pain will adminster the cervical edpidural injection in order to reduce any swelling and pain around the nerve, disc and dura in order to improve functionality and reduce pain.

If you have pain in the neck with pain radiating down your arm, you may have a herniated disc that is pinching and irritating a nerve root. 

Epidural Steroid Injection (Lumbar) Lumbar Epidural Steroid Injections can temporarily relieve many forms of low back pain and leg pain (sciatica) with the help of rehabilitation and physical therapy.
Facet Joint Injection (lumbar) Facet Joints can become painful due to arthritis of the spine, a back injury or mechanical stress to the back.

A lumbar facet joint block is an injection into one or more of the small joints located along the side of each vertebrae on both sides of the spine in the lower part of the back.

Multiple injections may be performed, depending upon how many joints are involved. Patients who are experiencing lower back pain may benefit from a facet joint block in order to relieve pain.

Medial Branch Block (Cervical) A Cervical Medial Branch Block is an outpatient procedure for diagnosing and treating neck, shoulder, and upper back pain.
  • Cervical spondylosis affecting the spinal disks in your neck
  • Cervical facet arthopathy: caused by a slip and fall, or trauma like a motor vehicle accident can result in a facet joint irritation.
  • Cervical degenerative disc disease
  • Neck pain
  • Shoulder pain
  • Facial pain
Medial Branch Block (Thoracic) Thoracic Medial Branch Blocks are a minimally invasive non-surgical treatment for arthritis-related neck and back pain. This pain management technique reduces painful swelling and irritation in the facet joints of the spine. 

The injection is administered in the middle region of the back at vertebrae referred to as T1 – T12. Sometimes, due to a variety of acute and chronic conditions, the facet joints can become inflamed.

Symptoms can include pain and achiness in the low back, radiating across the lower back and slightly down the back of the buttocks and upper thighs.
Occipital Nerve Block (Cervical) Cervical Occipital Nerve Block manages:
  • Pain in the back of the head or side of the head. Symptoms can include: sensations of pain usually respon well to this pain management treatment.
  • Migranes

  • Spondylosis of the cervical facet joints
  • Inflamation of nerves
Protein Rich Plasma Injection (Knee)

Protein Rich Plasma Injection (PRP) is an injection procedure commonly used to treat pain and injury in the back, neck, shoulder, hip, spine, ankle, etc ...

  • Osteoarthritis of the Knee, Shoulder, Hip and Spine
  • Rotator Cuff Tears
  • Chronic Plantar Fasciitis
  • ACL Injuries
  • Pelvic Pain and Instability
  • Back and Neck Injuries
  • Tennis Elbow
  • Ankle Sprains
  • Tendinitis
  • Ligament Sprains
Facet Radiofrequency Ablation (Cervical) Cervical Radiofrequency Ablation is most commonly offered to patients with neck or back pain from facet joint problems . Radiofrequency ablation is used to interrupt nerves that go directly to the individual facet joints.

Radiofrequency ablation is also used in patients with RSD (reflex sympathetic dystrophy), a chronic pain condition that can affect an arm or a leg.

Radiofrequency ablation can also be used for some unusual conditions, including pain from degenerative disks, occipital neuralgia and certain types of abdominal pain.

Most patients who are candidates for Cervical Radiofrequency Ablation have tried other, treatments such as anti-inflammatory medication, chiropractic or physical therapy.
Radiofrequency Ablation Radiofrequency ablation (or RFA) is a procedure used to reduce pain. RFA can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis.
Sacroiliac Joint Injections Sacroiliac joint injections are used either to diagnose or treat low back and/or leg pain associated with sacroiliac joint dysfunction.
Steroid Injections (Carpal Tunnel Syndrome) Carpal tunnel steroid injection can be used in conjunction with other conservative measures such as splinting, physical therapy, rest, and regular exercise.
Steroid Injections (Shoulder)

Cortisone injections make up a very important part of the treatment of shoulder injuries. In combination with an active rehabilitation program they may significantly reduced the need for surgery in shoulder impingement syndrome.

Cortisone acts on both acute and chronic phases of inflammation to reduce both tissue swelling and subsequent scar formation.

Cortisone injections are useful in the treatment of various musculoskeletal conditions, particularly those of acute inflammation (such as acute bursitis), and degenerative joint and tendon conditions.

In the shoulder they are particularly useful in the management of:

  • Rotator cuff disease (degenerative tendonosis, impingement, partial tears and subacromial bursitis)
  • Adhesive capsulitis (or ‘frozen shoulder’)
  • Glenohumeral osteoarthritis
  • Acromioclavicular joint disease (osteoarthritis or osteolysis)

Cortisone injections should only be performed after a proper diagnosis based on an accurate history, and examination. This should include an x-ray, an ultrasound or an MRI scan, depending on the doctors findings. They will generally be used after failure of a 4-6 week trial of relative rest, anti-inflammatory modalities and medications and an exercise based physiotherapy program.

Supartz Injections (Knee) Supartz is an injection of hyaluronic acid that lubricates and cushions the knee.
Trigger Point Injection (Cervcial) Trigger Point Injection (TPI) is a technique used in the treatment of ... such as fibromyalgia, myofascial pain syndrome, neck pain, and low back
Trigger Point Injection (Lumbar) Trigger Point Injections are used to relieve extremely painful areas of muscle
Trigger Point Injection (Knee) Trigger Point Injections are used to relieve knee pain, low back pain, hip pain ....