Epidural Steroid Injections
Lumbar herniated discs and other spinal conditions can cause inflammation and pressure on the spinal nerve roots, resulting in pain, numbness, or a tingling sensation along those nerves. This inflammation around the spinal nerves may be reduced through the use of lumbar epidural steroid injections.
In order to increase the flexion in the lumbar spine to give the needle more room, the patient will lie down with a cushion underneath the stomach during this procedure.
We will then numb the skin above the injection site with a local anesthetic, using x-rays to guide the needle into the epidural space. Proper placement of the needle will be confirmed through the injection of a contrast dye.
The steroid medication is injected, possibly with a local anesthetic and/or a saline to provide pain relief and flush out any inflammatory agents. Once the mixture is injected, the steroid will act to reduce the inflammation around the spinal nerve roots.
We will then remove the needle, placing a small bandage on the injection site. After a brief monitoring time, we will then discharge the patient.
To schedule an appointment to discuss if epidural steroid injections are right for you, call us today.
Trigger Point Injections
Trigger Point Injections are used to treat pain in muscle areas that contain trigger points – knots that form when the muscles fail to relax. The knots can often be felt under the skin, with the trigger points irritating nerves causing pain in another part of the body (aka referred pain).
During the procedure, a small needle is inserted into the trigger point, injecting a local anesthetic or saline, and possibly even a corticosteroid. This inactivates the trigger point, alleviating the pain. A short course of treatment usually results in sustained relief, with several site possibly receiving injections during the same visit. A dry-needle technique (using no medication) can be used in the event that the patient is allergic to a certain drug.
When injected into a muscle in small amounts, botulinum A (Botox) can block nerve signals to the muscle, reducing or stopping spasms in the muscle. Botox has been used since the early 1990s to relieve spasms around the eyes and in the neck, arms, legs, hands, and feet. Botulinum toxin injections have also helped cerebral palsy patients gain relief from muscle contraction.
Botox has shown a lot of promise in treating chronic pain throughout the body. If you would like more information about how Botox injections could help alleviate your pain, call to schedule an appointment in which you can discuss the solution available to you.
Injections For Neck & Back Pain
If you are suffering from chronic neck pain, there are several options available to you. We can use pain medications or muscle relaxers depending on the nature of your pain, and there are even steroid options that may provide longer lasting solutions. Our medical professionals will work closely with you to get a full understanding of your pain, then discuss the options available to you, including the pros and cons of each. Call to schedule an appointment to discuss your chronic neck pain.
Like neck pain, back pain can have a significant impact on your everyday life, though it could be much more serious, affecting your ability to walk, lift, and do other activities. Through pain injections or muscle relaxers, you could get relief from this pain, and in more severe cases, steroids may be used to offer more long-term results. If you have trouble with significant, chronic back pain, call to schedule an appointment.
If you suffer from migraines and have not responded to other medications, injections can provide intense medication for quick acting pain relief. This medication can be administered intramuscularly, intravenously, or through an IV.
Migraine injections may be accompanied by other medications to help reduce nausea that can be brought on through severe migraines.
Patients who receive intravenous or migraine injections will be monitored for a short time to make sure there are no adverse reactions. Patients should not drive after these migraine injections due to possible side effects, so transportation should be arranged.
If you suffer from migraine headaches, call us to schedule an appointment to discuss the possible solutions available to you.
Muscle Spasms range from the annoying to the painful. They are also associated with numerous diagnoses, including Cerebral Palsy. At The Institute of Pain Management, we have several possible injection options available which may result in either short or long term relief. Our medical specialists will take the time to evaluate you and get a full understanding of your muscle spasm activity, so we can then discuss the possible solutions available to you.
We can safely administer the proper injections in a safe environment where we can monitor the patient and ensure there are no adverse effects. In some cases, muscles relaxers may be sufficient in relieving the spasm activity, though for other cases, Trigger Point Injections or Botox may also be used to alleviate the spasms for long term results. If you suffer from muscle spasms, call us to schedule an appointment to discuss your issues and the possible solutions.
Implantable Pumps for Inthrathecal Opiate & Baclofen
The Subarachnoid or Intrathecal space is the space around your spinal cord, filled with a Cerebrospinal fluid (CSF) that flows through the area to bathe and protect your brain and spinal cord. Working more efficiently than traditional oral medication, intrathecal drug pump delivers the medicine directly into the CSF. Because of this, you will need around 1/300 the amount of medication (morphine or baclofen) than you would need if you took the drug orally.
The intrathecal pain pump is a round metal hockey puck sized device that is surgically implanted beneath your skin in the abdomen area. A small catheter, which is connected to the pump, will be surgically place in the intrathecal space of the spine. The medication is held in a reservoir space inside the pump.
The pump will be programmed to release medication slowly over a period of time, and can even be programmed to release different amounts of medication during different times of day to accommodate your specific needs. The pump has internal memory, allowing your doctor to review the information with the programmer. When the reservoir is empty, it will be refilled by a nurse or doctor by inserting a needle through the skin and into the reservoir fill port.
Intrathecal Pumps Can Alleviate Pain Associated With:
• Failed Back Surgery Syndrome
• Cancer Pain
• Reflex Sympathetic Dystrophy
• Chronic Pancreatitis
Intrathecal Pumps Can Also Help With Spasticity:
• Cerebral Palsy
• Multiple Sclerosis
• Brain Injury
• Spinal Cord Injury
If you feel an intrathecal pump could help you, call us to schedule an appointment.
Spinal Cord Stimulation Implant
If you are suffering from severe chronic pain and have not had success with other treatments, the Spinal Cord Stimulation may be right solution for you. Also known as neurostimulation, spinal cord stimulation interferes with the pain messages traveling to the brain by directing mild electrical pulses to disrupt those messages. If you are interested in learning more about this process and discussing if it is right for you, call us to schedule an appointment.
Spinal cord stimulation begins with the implanting of a small device near the spine. This implanted generator, which is similar to the cardiac pacemaker, generates the pulses that disrupt the pain messages from reaching the brain. Some people refer to this device as a pacemaker for pain.
Learn more about this procedure and what it entails; schedule an appointment to discuss your issues today.
If you have suffered from compression fractures in your spine, the lack of support to the spine can cause serious pain. Vertebroplasty can help stabilize these fractures and alleviate the nerve pain you are suffering.
This outpatient procedure works by injecting bone cement into back bones (vertebrae) to stabilize the compression fractures, whether caused by osteoporosis, other diagnoses, or other injuries. Once the cement hardens, the fractures will stabilize and provide enhanced and improved support to the spine.
When properly administered, vertebroplasty can help reduce the pain you suffer and improve your ability to perform normal activities. Our experienced medical professionals will explain the entire procedure with you and help you make an informed decision about whether this is the right solution for your problems. Call us to schedule an appointment to discuss your pain.
A variation of vertebroplasty, Kyphoplasty attempts to restore the height and angle of kyphosis of certain types of fractured vertebrae. After stabilized through injected bone cement, this procedure will typically include a small balloon inflated in the vertebral body, creating a void within the bone prior to the insertion of the cement. Once this void has been created, the procedure is very similar to vertebroplasty, with the bone cement usually delivered into the void created.
This procedure is similar to vertebroplasty, both in terms of the actual procedure and in its short-term and long-term efficacy. Our medical professionals will work closely with you to understand your specific issues, helping you to make an informed decision before undergoing treatment. Call us to schedule an appointment to discuss whether this procedure is right for the treatment of your pain.