Treatments

Fluoroscopic Guided Spinal Treatments

The Spine Specialists perform many different types of spinal treatments using a fluoroscope to guide their placement. A fluoroscope is a special imaging machine that uses x-rays to obtain real-time moving images of the internal structures of a patient to allow for precise placement of the treatments. Treatments are performed for many conditions and include (need treatments).

Provocative Discography

There are many causes of low back pain including disc disease. Provocative discography is an imaging-guided procedure in which a contrast agent is injected into the disc. Functional evaluation of the disc includes pain provocation and careful assessment of the patient’s response to the pain. This procedure is used for patients whose pain symptoms cannot be explained by MRI or CT imaging and have not responded to conservative measures.

Radiofrequency Neurotomy

Radiofrequency neurotomy is a non-surgical procedure that reduces back and neck pain using heat generated by radio waves. This localized heating damages specific nerves and temporarily interferes with their ability to transmit pain signals caused by your facet joints. The radio waves are delivered to the targeted nerves via needles inserted through the skin above the spine. Imaging scans are used during radiofrequency neurotomy to help us position the needles precisely.

Selective Nerve Steroid Injections

When pain passes into the extremities it is often caused by irritation of one or more nerve roots. Selective nerve steroid injections, also known as a selective nerve root block (SNRB), are used to block one or more spinal nerves to decrease pain. This is done by injecting anesthetic and anti-inflammatory steroids into the space around the nerve. This will help us determine which particular nerve is related to your symptoms. This treatment is used to evaluate patients with radicular pain, stenosis and other conditions that may result in nerve root compression.

Spinal Cord Stimulator Implantation

Spinal cord stimulation uses low voltage stimulation of the spinal nerves to block the feeling of pain. It helps you to better manage your pain and potentially decrease the amount of pain medication you require. It is an option for long-term (chronic) leg or arm pain sufferers who have not found relief through traditional methods. A small battery-powered generator implanted in the body transmits an electrical current to the spinal cord. The result is a tingling sensation instead of pain. The procedure has shown success in returning some people to a more active lifestyle.

Sympathetic Ganglion Neuroblockade (Lumbar, Cellac, Stellate)

Sympathetic ganglia are part of the sympathetic nervous system delivering information to the body about stress and impending danger, and are responsible for the familiar fight-or-flight response. Sympathetic blocks are used primarily to treat disorders including Reflex Sympathetic Dystrophy (RSD), Causalgia, Sympathetically Maintained Pain (SMP) and other conditions of the sympathetic nervous system.