Interventional Pain
Management Procedures

Interventional pain management can be discussed for any patient who is experiencing chronic pain that has not improved with rest, prescription pain medication, physical therapy, or other efforts. Conditions that, in some individuals, can require interventional pain management include:

• Lower back pain – If you have a lower back condition that has been slow to heal or that is causing pain that cannot be handled with medications in pill form, interventional pain management techniques can help
• Migraines and other chronic headaches – Many people who have not responded to medication can find relief with interventional techniques
• Neck pain – The neck is an area where many people experience bone or disc issues that can cause chronic pain
• Muscle or bone pain – Conditions like complex regional pain syndrome and others can often be successfully treated when interventional techniques are used

We have a range of interventional pain management treatments that can be used individually or in addition to other pain management options. These include:

• Discography– This is a diagnostic technique that is used to discover the source of back pain. A sterile liquid is injected into discs in your spine. If these induce pain, it is a sign that the disc being tested is the source of back pain.  Click for more treatment information.
• Epidural steroids– The epidural space is the outer area around your spinal cord. Injecting steroids into this area can speed healing and offer pain relief.  Click for more treatment information.
• Facet joint injections– The facet joints around the bones in your spine are often the origin of back pain. When local anesthesia is injected into the facet joints, it can block pain at the source.  Click for more treatment information.
• Intradiscal treatments– The discs in your spine provide shock absorption for your spinal column. If you have discs that are irritated, bulging or herniated, this can lead to significant pain. Intradiscal treatments that include electrothermal therapy can provide relief.  Click for more treatment information.
• Joint injections– Injections into the joint can be performed to provide immediate pain relief. This is used as a treatment and also a diagnostic tool.  Click for more treatment information.
• Radiofrequency ablation– These procedures use electrical currents to interrupt the pain signals sent between nerves and the brain. The result is the treatment of pain while retaining movement and non-pain sensations.  Click for more treatment information.

• Sacroiliac (SI) joint injections– Injections into the sacroiliac joint are performed under X-ray guidance. These injections deliver numbing medication that can provide relief from pain. Click for more treatment information.
• Vertiflex Interspinous Stabilization– When spinal stenosis develops, it can put pressure on nearby nerves which can lead to pain, stiffness, and symptoms that include numbness, weakness, or tingling in the legs. A spine stabilization device can help decompress the nerve, providing relief. Click for more treatment information.

• Intrathecal drug delivery system– Intrathecal drug delivery systems are pumps implanted to a part of the spine to deliver pain or anti-spasm medications. Click for more treatment information
• Spinal cord stimulators– Spinal cord stimulators involve inserting a medical device near the spinal cord that sends out small electrical impulses into the epidural space in the spine. These impulses interrupt pain signals, keeping them from being sent to the brain.  Click for more treatment information
• Endoscopic Rhizotomy– Endoscopic rhizotomy is an outpatient surgical procedure that provides visualized ablation and transection of nerves that can cause disabling facet joint pain in the spine. Click for more treatment information