Our physicians combine minimally invasive procedures with safe and responsible medication management and physical therapy to help with pain control.
Interventional procedures decrease pain by targeting the source directly so that you can improve your physical function and gain the benefits of physical therapy, minimizing your use and dependance on oral medications for pain control.
+ Our procedures are done in a sterile environment with high resolution x-ray or ultrasound guidance to ensure safe and accurate placement.
+ Our physicians are dual board certified in Anesthesiology and Pain Management
+ Patients have the option to receive anesthesia/sedation for treatments for comfort and ease
+ Each physician has spent 1 extra year after residency in training in advanced interventional procedures at nationally ranked hospitals across the United States so that you can be confident in your treatment.
+ Together, our physicians have over 3 decades of combined experience treating patients suffering with pain.
Conditions we treat
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Cervical pain refers to discomfort or pain in your the upper part of your spine, located in your neck. The cervical spine is made up of seven different vertebrae that support the weight of your head, allowing for a wide range of head movements. It also houses and protects your spinal cord and nerve roots, making it a crucial part of your body.
Cervical pain can be caused by a range of factors, including muscle strains, injury, degenerative diseases, nerve compressions, and more.
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Thoracic pain refers to discomfort or pain in your the middle part of your spine, connecting to your rib cage. The thoracic spine is made up of twelve different vertebrae that provide stability and protection for your vital organs.
Thoracic pain can stem from a range of factors including, but not limited to, muscle strains, joint disfunction, disc problems, injuries, posture, and more.
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Lumbar pain refers to discomfort or pain in your the lower part of your spine. The lumbar spine is made up of five different vertebrae. This area bears a significant portion of your body weight, which is crucial for flexibility and movement. Additionally, it is where your nerves brand out to supply the legs and feet.
Lumbar pain can be caused by muscle strains, disc problems, arthritis, spinal stenosis, injury, and more.
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Spinal Stenosis is caused by an abnormal narrowing of the spinal canal that results in pressure on the nerve roots which can result in numbness, pain and weakness in the arms or legs. Symptoms typically improve with sitting and leaning forward like on a grocery cart and worsen with standing and walking.
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Sciatica is described as pain that originates from the lower back that travels down the leg usually caused by disc herniation or pressure on the nerve.
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Spondylosis is osteoarthritis of the spine that develops with age.
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Persistent Spinal Pain Syndrome describes chronic pain that originates from the spine. This term is evolving to provide more accurate and less stigmatizing diagnosis than previous terms.
PSPS is often categorized in 2 types:
Type 1 refers to chronic pain that occurs prior to spinal surgery
Type 2 specifically addresses persistent pain following spinal surgery, formerly referred to as Failed Back Surgery Syndrome
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Headaches are categorized by pain or discomfort in the head, scalp, or neck. This can manifest in several different ways, including":
Headaches
Migraines
Neuralgia
Cervicogenic Headaches
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Joint pain refers to discomfort, aching, or soreness in the areas where two or more bones meet. Since joints allow for movement and flexibility, joint pain can be physically limiting. It can range from mild to severe, acute to chronic, and is caused by a range of different things, including, but not limited to, arthritis, injury, spondylitis, and more.
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Complex Regional Pain Syndrome is a painful debilitating condition that is typically caused by an injury to the hands or feet. Symptoms include numbness, tingling, swelling of the hands/feet, color changes to the hands/feet (dark blue, red), sensitivity to light touch, diminished range of motion.
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Diabetic Neuropathy is caused by nerve damage that occurs due to high blood sugar levels that can result in pain, numbness, tingling in the feet.
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Spinal Compression Fractures are breaks in the vertebrae of your spine. This can be caused by osteoporosis, trauma, injury, and in some cases tumors.
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Learn about our Regenerative Medicine offerings
| Learn about our Regenerative Medicine offerings
Procedure options we offer:
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Click here to watch an informational video about this procedure.
This procedure helps patients who are suffering from degenerative disc disease of the spine causing radiating pain into the extremities. The patients will often complain of pain in the neck, lower back or chest that radiates into the arms, legs or chest wall respectively. The needle is carefully placed where the nerve is being impinged and steroid is injected to help relieve the radiating symptoms.
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Click here to watch an informational video about this procedure.
This procedure treats axial low back and neck pain with NO Steroids. It targets the facet joints of your spine which are the main load bearing joints that allow you to bend, twist and rotate your neck and your lower back. There are often overlooked pain generators in most pain practices. We target the pain in these joints by ablating the nerve (medial branch nerve) that supplies sensation to this joint. Patients can get more than 6 months to sometimes over a year of pain relief in the spine from this procedure. Patients can get 6-12 months or even longer pain relief in the spine from this procedure.
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Click here to watch an informational video about this procedure.
A trigger point injection is used to treat pain originating from tense muscle tissue. The insertion of a needle into the painful muscle accompanied with local anesthetic and possible steroid helps relieve inflammation.
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Click here to watch an informational video about this procedure.
This procedure targets pain that can be caused near the gluteal/buttocks region from inflamed or arthritic joint. Fluoroscopic guidance is used to place steroid medication in the joint to relieve pain safely and accurately.
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Click here to watch an informational video about this procedure.
A lumbar sympathetic nerve block is a special procedure that can help reduce pain originating from conditions such as complex regional pain syndrome, ischemic vascular disease, Raynaud’s Syndrome etc. In the lower extremities/ feet. A needle is inserted using advanced image guidance in the location of the sympathetic nerves proximal to the spine. A successful block will reduce pain, inflammation sensitivity to touch temperature and improved blood flow.
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This procedure targets hip and knee joint pain for those who are not candidates for knee or hip surgery or already have had knee or hip surgery and are not further surgical candidates. The needle is placed in an area around the knee or hip joint close to nerves that are responsible for causing painful signals. The nerve is then ablated (removed) to stop painful signals.
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Click here to watch an informational video about this procedure.
This procedure targets pain caused by complex regional pain syndrome of the hands and feet. Patient’s typically present with pain from a work-related accident or traumatic injury that results in swelling of the hands, feet with color changes (hands/feet are dark blue/red), temperature sensitivity, swelling, with extreme sensitivity to touch or light pressure. The needle gets placed in special area of the spine where sympathetic nerves are blocked to alleviate symptoms from this painful condition. Patient’s pain typically gets reduced with normalization of foot/hand color with decreased temperature/touch/pressure sensitivity.
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The purpose of major joint injections is to reduce inflammation in the joint space with the goal of improving range of motion and overall functionality. Advanced image guidance is utilized to ensure accurate and safe placement. Examples of major joints include shoulder hip and knee joints.
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This can help patients who have pain in the ribs and chest wall caused by a variety of conditions such as rib fractures, cancer into the bone or a result of infection from virus such as shingles. Steroid is placed by a needle using image guidance by the intercostal nerve (nerve to the rib) to alleviate pain.
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Click here to watch an informational video about this procedure.
This procedure is used to treat chronic pain and improve function with placement of special spinal catheters with electric contact points in the epidural space of your spine. The catheter emits pulsatile electric signals to the spinal cord blocking the bodies perception of pain. This can be used to treat a variety of conditions including failed back syndrome (patients who have had spinal surgeries with continued pain despite medication, surgical and injection treatments) in addition to painful peripheral neuropathy from diabetes or other conditions.
This procedure offers long term relief and is reversible. Also, there is an opportunity to trial this treatment before committing to an implant.
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Click here to watch an informational video about this procedure.
This procedure is used to relieve debilitating pain from acute (new-non healed) fractures of the thoracic and lumbar spine due to trauma or other pathology. A special needle will be placed in your spine with advanced fluoroscopic guidance using a very small incision to deposit bone cement into your spine to instantaneously fix your fracture resulting in almost near instantaneous pain relief for most patients.
This procedure is percutaneous (not surgical and done in OUTPATIENT setting .
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Click here to watch an informational video about this procedure.
Also known as viscosupplementation, the goal of this injection is to provide lubrication in osteoarthritic knee joints. Patients who have osteoarthritis of the knee lose the natural lubrication present between two articular surfaces inside of the joint space. The placement of HLA allow some restoration of lubrication in the joint space allowing for improved mobility and decreased inflammation and pain.
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Regenerative medicine is an exciting new treatment that utilizes the powerful effects of stem cells and platelet rich plasma from your own body. This groundbreaking therapy stimulates and accelerates your body’s natural ability to repair, rebuild, and regenerate its soft tissues.
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Botox is an FDA approved treatment for chronic migraine headaches. This is an excellent treatment option for patients who have failed conventional migraine medication therapies. Botox or botulinum toxin is derived from bacteria that has special properties in reducing muscle contraction. Botox is selectively placed in muscle fibers in the neck and head using a small needle that prevent transmission of pain reducing frequency/duration and intensity of migraine headaches
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Cervicogenic headache is an underdiagnosed common cause of headache pain. Cervicogenic headache is a very specific type of headache that originates from painful areas of the cervical spine. The facet joints of the cervical spine which are responsible for rotational movements of the spine are often involved in cervicogenic headaches. This is commonly seen in patients who are often victims of whiplash injury from car accidents. They typically present with severe headache pain accompanied with neck pain. Cervical facet pain can be treated with radiofrequency ablation which creates a lesion in the nerve using heat. This can result in several months of pain relief in neck and headache pain.
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The goal of this procedure is to block the pain originating from irritated occipital nerves. Occipital nerve pain typically originates in the back of the head and can give a sensation of radiating into the eyes in a band like fashion.