Center for Spine, Joint, & Neuromuscular Rehabilitation offers a comprehensive range of Diagnostic & Therapeutic Procedures for the Diagnosis & Treatment of Pain.
Fluoroscopic-Guided Procedures
Fluoroscopic-Guided Procedures are also known as live x-ray guided procedures. It is the gold standard for spine and joint injections. Fluoroscopic-guided procedures are utilized by interventional physicians to identify and treat painful conditions. The process of utilizing fluoroscopic guidance along with injecting a small amount of contrast dye assists the physician in placement of the needle. The confirmation of needle placement is an important component and aids in the success of treatment. Following proper placement of the needle, a local anesthetic (numbing medication), and a steroid will be injected to treat the suspected joint, disc, or nerve to provide pain relief.
Epidural Steroid Injections
Epidural Steroid Injections are non-surgical spinal procedures that deposit potent anti-inflammatory medication (corticosteroid) at the site to decrease nerve irritation. Common conditions treated are herniated discs, spinal stenosis, radiating leg pain, shoulder pain, arthritis, trauma, and diabetic peripheral neuropathy. Common conditions treated are herniated discs, spinal stenosis, radiating leg pain, shoulder pain, arthritis, trauma, and diabetic peripheral neuropathy.
Facet Injections & Medial Branch Blocks
Facet Injections & Medial Branch Blocks are used in the management and diagnosis of inflamed facet joints due to trauma or arthritis. A common injury that often includes treatment of facet injections is whiplash from an automobile accident that may involve back and/or neck pain. Facet injections and medical branch nerve blocks can reduce pain and are often a diagnostic tool utilized by the physician.
Radiofrequency Ablation
Radiofrequency Ablation utilizes small electrodes to eliminate pain pathways and can provide long term pain relief for patients that have experienced successful pain relief with facet injections and medial branch nerve blocks.
Spinal Cord & Peripheral Neuromodulation
Spinal Cord & Peripheral Neuromodulation utilizes electrical impulses to interrupt the pain signals to the brain. Neuromodulation can be utilized in treating chronic pain of the back, arm, and legs including complex regional pain syndrome, diabetic and peripheral neuropathy, back pain, phantom limb pain, and uncontrolled post surgical pain. Spinal cord and peripheral neuromodulation is utilized when more conservative treatments have failed in addressing the patient’s chronic condition.
Comprehensive Joint Care
Comprehensive Joint Care that includes cutting-edge, minimally invasive treatments including joint injections utilized to treat inflammatory conditions, such as for arthritis of the knee, shoulder pain, bursitis, tendonitis and recurrent injuries. Medications injected can include corticosteroids to decrease inflammation and hyaluronic acid (e.g., Hyalgan, Supartz), which is a viscous solution that lubricates the joints for the symptomatic treatment of arthritis of the knee.
Trigger Point Injections
Trigger Point Injections are used to treat painful areas of soft tissue with medication to reduce inflammation.
Botulinum Toxin Therapy
Botox, Myobloc, & Dysport are some examples of botulinum toxins that can be utilized for the treatment of headaches, dystonia including trauma, stroke, multiple sclerosis, spinal cord injury, and cerebral palsy.
Electromyography (EMG) & Nerve Conduction Studies
Electromyography (EMG) & Nerve Conduction Studies can help identify impaired nerves causing numbness or sensory loss, identify muscle weakness. This type of electrodiagnostic testing can assist the physician in the diagnosis of myopathy, carpal tunnel syndrome, peripheral neuropathy, and radiculopathies.
Bone Densitometry
Bone Densitometry is a non-invasive test that utilizes low quantity x-ray to accurately measure the density of your bones. Bone Density testing is useful in the diagnosis of osteoporosis and is useful in following bone density changes. The bone densitometer can be utilized to monitor effects of age, diet, or treatments on you bone status. Your medical provider may recommend follow-up testing to detect changes over time.
