Our experienced team of board-certified interventional pain management specialists offers a wide range of treatments to address a full spectrum of painful conditions and disorders for our patients. We combine deep clinical knowledge in pain management with innovative non-surgical and minimally invasive techniques to provide the most advanced, comfortable, and effective care possible for our patients.
Using advanced image-guided procedures, regenerative medicine and more, our team has brought countless patients relief from debilitating pain. We work with each patient to develop a personalized care plan that will address their unique needs, always with a primary focus on restoring function and improving their quality of life.
Facet joint disease: Also referred to as arthritis of the spine, this occurs when facet joints in the spine which connect one vertebrae to the next, degenerate and cause painful symptoms. This can be treated with targeted facet joint injections. Medial branch blocks are also used to temporarily block the pain signals being sent by the medial nerves (small nerves that wrap into the facet joint). If the patient finds that the block is successful in temporarily eliminating their pain, these medial nerve endings can be treated using radiofrequency ablation, a quick in-office procedure that can provide longer-lasting relief.
Herniated disc/pinched nerve: Discomfort in your lower back or neck can be caused by a fragment of the soft inner portion (nucleus) of your spinal disc pushing out through a tear or rupture in the harder outer portion (annulus) of the disc. Treatments can include epidural steroid injections and physical therapy.
Spinal stenosis: The narrowing of the spinal canal can place added pressure on your spinal nerves. This will often cause leg pain, back pain, and weakness. This can be treated with a combination of epidural steroid injections, minimally invasive ligament debulking and through the use of an interspinous spacer device that is inserted between the vertebrae to decompress the nerves and provide relief. All of these procedures are performed in a minimally invasive fashion.
Sacroiliac Joint Syndrome: This is a dysfunction of the joint connecting the sacrum (bottom bone of the spine) to the ilium (top of the hip). It may cause pain in the buttocks, which can wrap around to the groin and the front of the thigh, or to the back of the leg down to the knee. Diagnosis and treatment can involve a combination of SI joint injections, radiofrequency ablation, minimally invasive SI joint fusions and physical therapy.
Piriformis Syndrome: This occurs in the muscle that goes from the sacrum (bottom of the spine) to the hip. When sprained or strained, you could have pain coming from the muscle as opposed to a pinched nerve. Also known as “pseudo-sciatica,” because the sciatic nerve often runs through the strained piriformis muscle, it can be treated through injection therapy and physical therapy.
Annular disc tear: When the outer layer of a spinal disc tears, this can create localized pain and muscle weakness. Through epidural steroid injection therapy, we can provide relief to areas of discomfort.
Compression fractures: Often occurring in the mid back, and sometimes in the low back, compression fractures may be caused by osteoporosis, and can be treated using either kyphoplasty or vertebroplasty. In both procedures, a special cement is injected into the damaged vertebrae to restore its height, relieve pain and restore function. Both procedures are performed in a minimally invasive fashion and typically do not require a hospital stay. An innovative SpineJack treatment can be used in some cases to restore the spinal anatomy and prevent adjacent level vertebral fractures.
Nerve-related low back and leg pain: Dorsal column stimulators are implantable devices that are used to treat low back and leg pain that is nerve-related. This may include patients who have post-laminectomy syndrome; those individuals who have persistent nerve pain following a spine procedure. The device, which delivers electric stimulation to the nerves, is implanted after testing for a number of days to ensure that the stimulation produces lasting pain relief.
Whiplash injury: This injury commonly occurs in the neck after physical trauma, such as a motor vehicle accident or sports injury. Whiplash symptoms can be treated and relieved using non-invasive procedures including trigger point injections and facet joint blocks to decrease inflammation in the spine.
Cervicogenic headache: This is pain that develops in your neck, although you will feel the pain in your head. The nerves from the neck that go up into the head can cause migraine or headache syndromes. This can be caused by an underlying condition, like a neck injury. Also known as occipital neuralgia, this can be treated with an ultrasound-guided nerve block that specifically targets the occipital nerves in the neck and scalp.
Spinal headache: Spinal fluid can leak through a hole in the tough membrane surrounding the spinal cord, causing severe headache pain. This can occur after a spinal tap or spinal anesthesia. Spinal headaches can be treated using an epidural blood patch, which seals the hole in the membrane surrounding the spinal cord and restores normal pressure in the spinal fluid.
Fibromyalgia: We take a multimodal approach to managing fibromyalgia, including medication management, physical therapy and psychological support for our patients.
Nerve Pain: Nerve pain of various types can be effectively treated using neuromodulation techniques. Neuromodulation directly targets the nervous system with electrical pulses. Several types of implantable devices can be used which alter (modulate) the body’s efforts to send pain signals by sending signals directly to the nerves and changing the way the nerves respond to pain. These devices are implanted using minimally invasive techniques, making neuromodulation a highly effective and safe method of relieving chronic pain. We offer several types of neuromodulation, including spinal cord stimulators, dorsal root ganglion stimulators and peripheral nerve stimulators.
Diabetic neuropathy: One of the most common causes of nerve pain, diabetic neuropathy typically produces pain in the feet and can be treated in several ways. Spinal cord stimulators and dorsal root ganglion stimulators can be used to treat the pain associated with this condition. Our experienced providers will work with you to determine the treatment approach that is right for you.
Shingles Pain: Shingles pain often occurs around the ribs or the face. It can be treated with nerve blocks over the intercostal or facial nerves, or the nerve route in question. Targeted stimulation, including dorsal root ganglion and peripheral nerve stimulation, can also be used to treat shingles nerve pain.
