Center for Spine, Joint & Neuromuscular Rehabilitation’s physicians and treatment care team are known for successful patient outcomes for those looking for pain relief and improved quality of life. Center for Spine, Joint & Neuromuscular Rehabilitation offers a comprehensive range of diagnostic and therapeutic procedures for the diagnosis and treatment of pain.
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.
Facet Injections & Medial Branch Blocks
Facet Injections and 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 can be used to help patients suffering with chronic neck and low back pain. Radiofrequency ablation involves applying heat to a painful nerve. This procedure reduces pain signals from that area and may provide longer term relief for patients that have received benefit from successful facet joint injections or medial branch nerve blocks.
Kyphoplasty is used to treat vertebral compression fractures often caused by osteoporosis, benign and malignant spinal tumors, cancer treatment and everyday activities such as rolling out of bed. Kyphoplasty utilizes a small surgical balloon to create a hollow space in the fractured vertebral body. The space is reinforced with bone cement alleviating pain from the vertebral compression fracture and aids in preventing future fractures.
Spinal Cord & Peripheral Neuromodulation
Spinal Cord and 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.
Intrathecal Drug Pump
Intrathecal drug pump is an implanted pump that releases pain-relieving medication through a catheter directly into the intrathecal space surrounding the spinal cord where pain signals travel, interrupting pain signals before they reach the brain. The ability to offer precise drug delivery enables patients to experience pain relief with a fraction of an oral medication dose, which can help to minimize sometimes intolerable side effects that may be seen with oral pain medication.
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, Synvisc, Orthovisc, Euflexxa), which is a viscous solution that lubricates the joints for the symptomatic treatment of arthritis of the knee.
Musculoskeletal ultrasound (MSK US) is a powerful tool used for the diagnosis and treatment of acute and chronic injuries and disease processes involving muscles, ligaments, tendons, nerves, and joints. Diagnostic MSK US offers the diagnosis of conditions that may remain undetected when evaluated with conventional magnetic resonance imaging (MRI) or computed tomography (CT). MSK US allows the physician to visualize the body part in motion to identify, ligament sprains, joint instability, and various impingements.
Trigger Point Injections
Trigger points are knots or ropy like bands of muscle that form when muscles fail to relax. The trigger point can trap or irritate surrounding nerves and contribute to pain in other areas of the body. A trigger point injection involves inserting a small needle into the trigger point with a local anesthetic such as lidocaine with or without a corticosteroid. Injection into the trigger point inactivates the trigger point and provides relief.
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) and 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 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.