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We have tons of procedures to help with your pain

Clueal-nerve

Cluneal Nerve Blocks

If you’re one of the millions of people in the U.S. who suffer from lower back pain, a cluneal nerve block could help. Cluneal nerve blocks are a minimally-invasive procedure. They can treat back and upper buttock pain that’s caused by cluneal nerve entrapment, damage, or inflammation.

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coccygeal nerve block

Coccygeal Nerve Blocks

A coccygeal nerve block refers to a minimally invasive treatment approach for chronic pain in the lower back, specifically in the rectum and the tailbone, which is also known as the coccyx. Pain in the lower region of the back affects many individuals. People in the U.S. spend about $50 billion a year on treatments for back pain. The National Institute of Neurological Disorders and Stroke even released a report stating that the only other health issue that is reported more often than backaches is headaches.

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Discography

Discography

Discography refers to a diagnostic technique that is performed in order to identify a condition that is causing lower back pain or neck pain. This diagnostic tool is also called a discogram and it was initially used in 1940 by Scandinavian clinicians to locate lesions along the spine that were causing serious pain. During the 1960s, clinicians working in the United States performed clinical research regarding discography that led to the advancement of this technique. Subsequently, discography became an optimal diagnostic method by the early 1970s.

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Epidural Blood Patch

Epidural Blood Patch

An epidural blood patch is a procedure in which a blood sample is taken from a patient and then injected back into the epidural space. This method is performed to treat patients suffering from spinal headaches and it was used for the first time in 1960. Spinal headaches may also be referred to as chronic post dural puncture headaches. This form of headache develops in 10-40% of individuals who receive lumbar punctures to treat certain medical conditions.

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Epidural Steroid Injection

Epidural Steroid Injection

If you suffer from chronic back pain or neck pain, an epidural steroid injection may be a great option for reducing pain and improving your overall quality of life. Many patients see great effects from this procedure, with a fairly short recovery time.

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facet joint disorders

Facet Medial Branch Blocks – Rhizotomy

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Ganglion Blocks

Stellate ganglion blocks are a procedure that utilizes the injection of local anesthetic into the sympathetic nerves that are found within the neck area. The stellate ganglion is a network of nerves that is comprised of the cervical sympathetic trunk fused with the first thoracic ganglion. This network of nerves is also known as the cervicothoracic ganglion and provides the information transfer between the seventh and eighth cervical nerves, the spinal cord, and brain. In other words, the stellate ganglion is responsible for governing blood flow, as well as sensory processing, for the head, neck, chest, and upper limbs.

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Hardware Block

Hardware Blocks

Spinal pain is one of the most common reasons why people seek treatment from their physicians. With the aging population, it is expected that the number of people suffering from spinal pain will increase dramatically throughout the coming years. When a patient’s spinal pain does not improve with conservative treatment options, including non-steroidal anti-inflammatory medication, physical therapy, massage therapy, acupuncture, spinal manipulation, and nerve blocks, among others, a patient’s physician may recommend spinal surgery.

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Intercostal Nerve Block

Intercostal Nerve Blocks

An intercostal nerve block is one of the techniques used to treat pain syndromes, whether acute or chronic, in the vicinity of the chest. In 1907, Heinrich Braun was the first to describe the procedure. Intercostal nerves course underneath the lower margins of the ribs. Intercostal nerve blocks require the injection of a local anesthetic, with or without a steroid, in the area adjacent to intercostal nerves. The procedure is part of an integrative approach to the treatment and management of pain. Intercostal nerve blocks are seldom the only treatment prescribed and are paired with other avenues of treatment such as anti-inflammatory medication, physical therapy (PT), anti-convulsive medication, oral or intravenous opioids (narcotics), occupational therapy (OT), and antidepressants.

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Intra Articular Peripheral Joint Injections

Intra-articular Peripheral Joint Injections

Intra-articular peripheral joint injections provide physicians with an effective modality to help treat conditions, such as chronic joint pain, degenerative musculoskeletal diseases, and rheumatoid arthritis. Injections for chronic joint pain have come a long way since they were first described in the 1930s.

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Lumbar Epidural Steroid Injection

Lumbar Epidural Steroid Injection

Epidural injections for pain relief emerged in 1901. The first epidural injection performed used cocaine to relieve pain that was suspected to emerge from the lumbar nerve roots. Between the 1920s and 1940s, epidural injections contained mostly saline and a local anesthetic agent. The use of corticosteroids in epidural steroid injections began in 1952. The corticosteroid used during this procedure is a synthetic, man-made drug whose function is similar to that of cortisol.

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Minimally Invasive Micro Endoscopic

Minimally Invasive Discectomies

Back pain is a very common condition that affects millions of adults in the United States. It is estimated that approximately 2% of the workforce in the U.S. files for workers’ compensation because of back pain. Oftentimes, back pain can be relieved with conservative treatment options including ice, heat, physical therapy, analgesic medication and non-steroidal anti-inflammatory drugs (NSAIDs). However, patients who experience more severe and chronic back pain are often treated with narcotics and invasive surgery.

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Occiptal Nerve

Occipital Nerve Blocks/Rhizotomy

Chronic headaches are very prevalent. Estimates suggest that up to 5% of the global population is affected by this type of pain. For those who suffer from the worst forms of chronic head pain, an occipital nerve block can help them relieve their pain and get back to their life.

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Peripheral Nerve Stimulators

Peripheral nerve stimulation is an alternative or next-line treatment for patients with severe or chronic headache pain. This treatment is recommended for cases in which conventional medications, such as oral analgesics, have not produced the expected effect. Peripheral nerve stimulation is a drug-free form of therapy in which devices that emit mild electrical impulses that correct high or abnormal level of pain signals are placed in the body near peripheral nerves that carry these signals. This type of technique is known as neuromodulation, which employs minimally-invasive surgery to provide medium- to long-term relief from pain.

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Posterior Facet Block

Posterior Facet Blocks – Rhizotomy

Posterior facet blocks and facet rhizotomies are treatments used to bring relief to patients suffering from chronic back pain. The facet joints are the flexible spaces between the vertebrae that allow the spine to bend and flex. When problems arise in and around these joints, back pain may occur. When this pain becomes chronic and does not respond well to over-the-counter treatments such as non-steroidal anti-inflammatory drugs (NSAIDs), a physician may suggest a posterior facet block or rhizotomy.

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Posterior Superior Iliac Spine Block

Posterior Superior Iliac Spine Blocks – Ablations

Nerve blocks are performed to provide relief from chronic pain. Nerve blocks may be used as a therapeutic tool by providing pain relief or as a diagnostic tool by confirming the nerve carrying pain signals. When this pain occurs in or originates on the back of the pelvis, the type of nerve block that may be used is referred to as a posterior superior iliac spine block. Following a nerve block, ablation may be performed to destroy the sensory nerve and prevent it from sending the pain signals to the brain.

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Sacroiliac Joint Injections

Sacroiliac Joint Injections

The sacroiliac joint is a diarthrodial joint that is located lateral to the spine and connects the hip to the sacrum on both sides of the body. There is a sacroiliac joint located on the right and on the left and these joints bear the weight of a patient’s upper body and extremities. Due to the fact that the joint has to be very stable, movement of the joint is limited. A thin layer of cartilage covers the surface of the ileum and sacrum. Synovial fluid fills the space between these two structures, which is enclosed within a fibrous capsule. Sacroiliac joint inflammation and dysfunction can result in chronic low back or leg pain.

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Selective Nerve Root Blocks South Coast Specialty

Selective Nerve Root Blocks

A selective nerve root block is a minimally invasive procedure that is used to diagnose and treat cervical, thoracic, and lumbar pain, and associated extremity pain. It involves injecting a local anesthetic directly into a specific, targeted nerve root of the spine to help identify the source of a patient’s pain symptoms. Secondarily, it may also be used to provide therapeutic relief of a patient’s symptoms.

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Spinal Chord Stimulator

Spinal Cord Stimulators

If you suffer from chronic pain that hasn’t responded to other treatments, a spinal cord stimulator could help. Spinal cord stimulators are devices that deliver low-level electrical stimulation to block pain signals. They’re considered the “pacemakers for pain.” And, although the stimulator may not provide pain relief in all cases, previous literature has demonstrated that approximately one-half of all patients who use a trial spinal cord stimulator report significant pain relief. Over 70% of patients who used an implanted spinal cord stimulator for neuropathic pain reported pain relief benefits.

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Sympathetic Nerve Block

Sympathetic Nerve Blocks

The sympathetic block procedure entails blocking the transmission of pain signals from sympathetic nerve roots as a means of treating persistent pain. This type of block is typically performed if conventional treatment methods such as over-the-counter pain medication or steroid injections have not been effective at relieving persistent pain. It may also be suggested if serious side effects developed due to conventional methods.

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