Pain

Find relief from chronic pain.
Pain

Pain Care Procedures

After an initial assessment and physical exam, we'll design a program specifically for you. Procedures are performed on an outpatient basis, allowing you to keep a regular daily routine.

Procedures may include:

 

Epidural injection

The Epidural injection is the single most useful intervention for chronic neck and back pain. The epidural space allows the medication to enter the spinal area at every level of the spine. Once the medications are injected into the epidural space, they block pain impulses, stabilize irritated nerves, reduce inflammation and swelling.

Transforaminal (also called selective nerve root blocks): The medication enters the epidural space through the hole (foramen) where the nerve comes out.

Intralaminar: The medication is injected between the bones (lamina) into the epidural space.

  • Cervical (neck)
  • Thoracic (mid back)
  • Lumbar (low back)
  • Caudal (tail bone)

Facet joint injections (medial branch blocks)

Injecting numbing medicine into the facet joint, along with an anti-inflammatory medicine to get rid of redness and swelling.

There are two facet joints at each spinal level.

  • Cervical (neck)
  • Thoracic (mid back)
  • Lumbar (low back)

Radiofrequency ablation

If the facet joints are the source of the pain, we may be able to take the pain away by “burning” the nerve that goes to that joint. We use a needle with a special tip that can heat up.

  • Cervical (neck)
  • Thoracic (mid back)
  • Lumbar (low back)

Sympathetic block

  • Stellate Ganglion block (for arm and face pain)
  • Lumbar Sympathetic block (for leg pain)
  • Celiac Plexus block (for stomach pain, especially pancreatic cancer pain)

Peripheral nerve block

  • Occipital nerve block (neck and head pain)
  • Intercostal nerve block (chest and rib pain)
  • Ilioinguinal nerve block (groin pain)
  • Trigeminal nerve blocks (facial pain)
  • Supraorbital/Supratrochlear nerves (forehead pain)

Trigger point injection

Trigger points are small, localized areas of muscle tension that cause pain. Injecting medication in the muscle can give some relaxation and pain relief. This will allow them to more fully participate in physical therapy and other therapies that will give more lasting relief.

Botox injection (for torticollis and migraines)

Torticollis is a dramatic spasm of neck muscles and can be painful. Botox can help relieve the spasm for up to three months at a time. Some migraine headaches have also been responsive to Botox injections.

Spinal cord stimulation

Pain impulses can be blocked by electronic stimulus in the spine, much like a TENS unit can help (although it can give much better pain relief). The wires are placed in the epidural space and then if it gives good relief, the unit is placed under the skin, where it can continue to be helpful for years.

Implantable drug delivery system

If oral medication is not giving adequate relief or if side effects are limiting medication use, we can use an implantable pump to deliver medication directly into the spinal fluid. The medication then works much stronger and does not usually cause the sedation that the oral medication did.

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Contact HealthEast Pain Center

651-232-5354

We'll design a program specifically for you.

Procedures are performed on an outpatient basis, allowing you to keep a regular daily routine.