Treatments & Procedures

We offer a comprehensive range of evidence-based treatments designed to address pain at its source, not just the symptoms.

Interventional Procedures

Epidural Steroid Injection

Fluoroscopy-guided injection to reduce inflammation and pain in the spinal region.

15–30 minutes

An epidural steroid injection delivers anti-inflammatory medication directly to the epidural space surrounding the spinal cord and nerve roots. This targeted approach reduces inflammation at the source of pain, providing relief that oral medications cannot match.

How It Works

Using fluoroscopic (X-ray) guidance for precision, a thin needle is advanced to the epidural space. A contrast dye confirms correct placement before the steroid and anesthetic mixture is injected. The entire procedure is performed in our procedure suite under sterile conditions.

Benefits

  • Targeted pain relief at the source
  • Reduced need for oral medications
  • Minimally invasive outpatient procedure
  • Can be repeated if effective
  • Enables participation in physical therapy

What to Expect

The procedure takes approximately 15–30 minutes. You may feel pressure during the injection. Most patients can return home within an hour. Pain relief typically begins within 2–7 days as the steroid takes effect.

Recovery

Most patients resume normal activities within 24–48 hours. Avoid strenuous activity for 24 hours after the procedure.

Treats

Herniated DiscSciaticaSpinal StenosisChronic Back PainNeck Pain

Nerve Block Therapy

Targeted injection to block pain signals from specific nerves.

15–30 minutes

Nerve blocks involve injecting medication around specific nerves or nerve groups to interrupt pain signals. They can be diagnostic (helping identify the pain source) or therapeutic (providing lasting relief). We offer various types including occipital, stellate ganglion, and facet joint nerve blocks.

How It Works

Using ultrasound or fluoroscopic guidance, a fine needle is positioned near the target nerve. A local anesthetic, sometimes combined with a steroid, is injected to block pain transmission. The precision imaging ensures accurate medication delivery.

Benefits

  • Immediate diagnostic information
  • Rapid pain relief
  • Minimal downtime
  • Can be repeated as needed
  • Helps confirm pain source for further treatment

What to Expect

The procedure typically takes 15–30 minutes. You will be positioned to allow access to the target area. The injection site will be numbed with local anesthetic before the block is performed. You may experience temporary numbness in the treated area.

Recovery

Most patients can return to light activities the same day. Avoid driving for several hours after the procedure.

Treats

MigrainesCRPSNeuropathySciaticaPost-Surgical PainNeck Pain

Trigger Point Injections

Targeted injections into muscle knots to relieve myofascial pain.

10–20 minutes

Trigger point injections target painful knots of muscle (myofascial trigger points) that form when muscles do not relax. These knots can sometimes be felt under the skin and may cause referred pain in other parts of the body. The injection contains a local anesthetic that inactivates the trigger point and provides relief.

How It Works

Your physician locates the trigger point by palpation. A thin needle is inserted directly into the knot, and a local anesthetic (sometimes combined with a corticosteroid) is injected. The needle may be redirected to inactivate the entire trigger point. The procedure is performed in the office without imaging guidance.

Benefits

  • Quick in-office procedure
  • Immediate pain relief
  • Breaks the pain cycle
  • Minimal recovery time
  • Can treat multiple points per session

What to Expect

Each injection takes only a few minutes. You may feel a brief twitch or cramp as the trigger point is inactivated — this is a good sign. Mild soreness at the injection site is normal and resolves within 1–2 days.

Recovery

Resume normal activities immediately. Apply ice to the area if sore.

Treats

FibromyalgiaMigrainesChronic Back PainNeck PainSports Injuries

Joint Injections

Corticosteroid or hyaluronic acid injections directly into painful joints.

10–15 minutes

Joint injections deliver medication directly into the joint space to reduce inflammation and lubricate the joint. Corticosteroid injections provide anti-inflammatory relief, while hyaluronic acid (viscosupplementation) injections help restore cushioning in arthritic joints. Both options can provide significant improvement in pain and mobility.

How It Works

Using ultrasound guidance for precision, a thin needle is inserted into the joint space. The medication is then injected directly where it's needed most. Ultrasound guidance ensures accurate placement and improves outcomes.

Benefits

  • Targeted delivery to the joint
  • Rapid inflammation reduction
  • Improved mobility
  • Outpatient procedure
  • Can delay or prevent surgery

What to Expect

The injection takes 10–15 minutes. You may feel pressure during the injection. Ice the area afterward if needed. Corticosteroid effects begin within a few days; hyaluronic acid effects develop over several weeks.

Recovery

Rest the joint for 24 hours. Avoid strenuous activity for 48 hours.

Treats

Arthritis PainSports Injuries

Regenerative

Regenerative Medicine (PRP Therapy)

Platelet-rich plasma therapy to stimulate natural healing.

45–60 minutes

Platelet-rich plasma (PRP) therapy uses your own blood's healing components to repair damaged tissue. By concentrating growth factors and injecting them at the site of injury, PRP accelerates the body's natural repair mechanisms, offering a biological alternative to surgery.

How It Works

A small sample of your blood is drawn and placed in a centrifuge to separate the platelet-rich plasma from other blood components. This concentrated plasma, containing 5–10 times the normal platelet count, is then injected directly into the injured tissue under imaging guidance.

Benefits

  • Uses your body's own healing factors
  • Minimal risk of allergic reaction
  • Promotes long-term tissue repair
  • Alternative to surgery for some conditions
  • Quick outpatient procedure

What to Expect

The entire process takes about 45–60 minutes, including the blood draw, preparation, and injection. You may experience mild soreness at the injection site for a few days. Full therapeutic effects typically develop over 4–6 weeks as tissue repair progresses.

Recovery

Limit strenuous activity for 1–2 weeks. Most patients notice progressive improvement over 4–6 weeks.

Treats

Arthritis PainSports InjuriesChronic Back Pain

Neuromodulation

Spinal Cord Stimulation

An implanted device that delivers mild electrical pulses to interrupt pain signals.

Trial: 5–7 days; Implant: 1–2 hours

Spinal cord stimulation (SCS) is an advanced therapy for chronic pain that hasn't responded to other treatments. A small device implanted near the spine delivers gentle electrical pulses that modify pain signals before they reach the brain, replacing the sensation of pain with a mild tingling.

How It Works

Treatment begins with a trial period where temporary leads are placed near the spinal cord. If the trial provides significant relief (typically 50% or more pain reduction), a permanent device is surgically implanted. Modern SCS systems offer rechargeable batteries, MRI compatibility, and smartphone-controlled settings.

Benefits

  • Significant pain reduction for refractory cases
  • Reversible — device can be removed
  • Trial period before permanent implant
  • Reduces reliance on pain medications
  • Improves quality of life and function

What to Expect

The trial phase lasts 5–7 days with temporary leads. If successful, permanent implantation is a 1–2 hour outpatient surgery. You will have follow-up visits to optimize the stimulation settings for maximum relief.

Recovery

Limit bending, lifting, and twisting for 6–8 weeks after permanent implantation. Most patients return to normal activities within 4–6 weeks.

Treats

CRPSChronic Back PainNeuropathyPost-Surgical PainSciatica

Management

Medication Management

Ongoing optimization of pain medications for safety and efficacy.

15–30 minutes

Effective pain management often requires careful medication optimization. Our physicians develop personalized medication plans that may include non-opioid analgesics, anti-inflammatories, nerve pain medications, muscle relaxants, and topical treatments. We prioritize non-opioid alternatives and regularly monitor for safety.

How It Works

During your visit, your physician reviews your current medications, pain levels, and any side effects. Based on this assessment, medications may be adjusted, added, or changed. Regular follow-ups ensure your medication plan remains effective and safe. We coordinate with your other providers for comprehensive care.

Benefits

  • Personalized medication plan
  • Focus on non-opioid alternatives
  • Regular safety monitoring
  • Coordination with other providers
  • Telehealth follow-ups available

What to Expect

Initial medication management appointments last 30 minutes. Follow-up visits are typically 15–20 minutes and can often be conducted via telehealth. Bring a current list of all medications and supplements to each visit.

Recovery

No recovery needed — this is a consultation-based service.

Treats

Chronic Back PainArthritis PainFibromyalgiaNeuropathyMigrainesCRPS
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