Our Services
An Epidural Steroid Injection (ESI) is a minimally invasive procedure used to relieve pain caused by inflammation of spinal nerves, commonly due to conditions like herniated discs, spinal stenosis, or sciatica. It involves injecting a corticosteroid (anti-inflammatory medication) and sometimes a local anesthetic into the epidural space around the spinal cord. The goal is to reduce inflammation, ease pain, and improve mobility.
EPIDURAL STEROID INJECTION (ESI)
Radiofrequency Ablation (RFA) is a minimally invasive procedure used to reduce chronic pain by disrupting nerve function. It works by using heat generated from radio waves to target specific nerves, effectively stopping them from sending pain signals to the brain. RFA is commonly used for conditions like arthritis of the spine or chronic neck and back pain. The procedure is typically done under local anesthesia with imaging guidance, and relief can last from several months to over a year.
RADIOFREQUENCY ABLATION (RFA)
A Medial Branch Block (MBB) is a diagnostic and sometimes therapeutic procedure used to identify the source of spinal pain, particularly from facet joints. It involves injecting a local anesthetic near the medial branch nerves that supply the facet joints in the spine. If the injection significantly reduces pain, it confirms that those joints are the pain source. MBBs are often a precursor to treatments like Radiofrequency Ablation (RFA) if effective. The relief from an MBB is usually temporary, lasting a few hours to a day.
MEDIAL BRANCH BLOCK (MBB)
A Spinal Cord Stimulator (SCS) is an implanted medical device used to manage chronic pain by delivering mild electrical pulses to the spinal cord. These pulses interfere with pain signals before they reach the brain, helping to reduce the sensation of pain. The system includes a small pulse generator implanted under the skin and electrodes placed near the spinal cord. SCS is typically considered when other pain treatments have failed, and patients first undergo a trial period to see if it provides sufficient relief before permanent implantation. It is commonly used for conditions like failed back surgery syndrome, complex regional pain syndrome, and neuropathic pain.
SPINAL CORD STIMULATOR (SCS)
An Intrathecal Pain Pump Trial is a temporary procedure used to assess whether delivering pain medication directly into the spinal fluid (intrathecal space) effectively manages a patient's chronic pain. During the trial, a small dose of medication—typically a strong pain reliever like morphine—is administered via a spinal catheter to evaluate pain relief and side effects. If the trial is successful, the patient may be considered for implantation of a permanent intrathecal pain pump. This approach is often used for patients with severe pain that hasn’t responded to other treatments, including cancer pain or chronic non-cancer pain.