Nerves are a vital part of the body’s function, but they are also a common source of frustrating pain. Fortunately, we offer a variety of targeted treatments to diagnose and treat your nerve pain.
Epidural Steroid Injections:
The epidural space surrounds the spinal cord within the spinal canal. Steroid injections in this space can help decrease inflammation of spinal nerves. These injections are usually given in a series of three for a cumulative effect. They are used for problems such as, herniated discs, sciatica, radiculopathy, narrowing of the spinal canal (spinal stenosis), and discogenic low back pain. They can be given in the neck, upper back, lower back, and the tailbone.
Neurolytic Procedures (radiofrequency lesions):
Neurolytic procedures involve the interruption of pain signals along a nerve from a source of pain. The interruption, known as denervation, is done with a radio-frequency probe that heats the nerve.
Occipital Nerve Injections:
Injury and compression of the occipital nerve within the muscles of the neck can cause headache and neck pain (occipital neuralgia). Occipital nerve injections can be used to treat this pain.
Selective Nerve Root Injections:
These injections are performed to determine if a specific spinal nerve is the source of pain. Local anesthetic and steroid is injected very close to the nerve in question. This type of injection can also be used to reduce inflammation around the nerve root, thus relieving the pain.
Sphenopalantine Nerve Block:
This can be a very useful treatment of certain types of headaches and facial pain. This block is performed using X-ray guidance. A small amount of local anesthetic is injected through the cheek to numb the sphenopalatine ganglion. Pain relief is immediate if this is a structure involved in the pain pathway.
Stellate Ganglion Block:
The sympathetic nervous system is a network of nerves throughout your body. The nerves branch from your spine. They control some body functions, such as closing of blood vessels. A problem with these nerves can affect blood flow and cause pain. Symptoms are often felt in the hands or feet. They may hurt, burn, feel cold, or be tender to the touch. This block is performed under X-ray guidance to determine if there is damage to the sympathetic nerve chain and if it is the source of the patients arm pain. This block may be used to diagnose the cause of pain and may also provide pain relief. A local anesthetic injection is given near the base of the neck on the affected side.
Suprascapular Nerve Block:
A suprascapular nerve block with local anesthetic and steroid may be a useful for the treatment of shoulder pain.
Sympathetic Blocks, Lumbar:
The sympathetic nervous system is a network of nerves throughout your body. The nerves branch from your spine. A problem with these nerves can affect blood flow and cause pain. Symptoms are often felt in the hands or feet. This block may be used to diagnose the cause of pain and and to provide pain relief.
Spinal Cord Stimulation:
Spinal cord stimulation uses an implanted device to deliver low levels of electrical energy directly to nerve fibers, resulting in interruption of pain signals.
Trigeminal nerve blocks:
The trigeminal nerve and its branches supply the face. Blocking these nerves can be used to treat facial pain and headache.