Surgical Procedures

Joint injection:

 Joint injections are techniques that can be used to relieve symptoms of pain that are secondary to the irritation and inflammation of the joints and surrounding tissues. This technique usually involves the injection of a powerful anti-inflammatory medication, such as a steroid, into the affected area. While this therapy can relieve symptoms on its own, it can also be integrated into a physical therapy and rehabilitation program.

 

Joint Injection (JI)

Location: Shoulder, Elbow, Wrist, Fingers, Knee and ankle.

Purpose: Reduce inflammation, pain and improve function/rehabilitation

Facility: Exam room procedures

Special equipment: Ultrasound Guidance 

Trigger Point Injection (TPI)

Location: Spine muscles (Cervical, thoracic, lumbar)

Purpose: Reduce spasm, inflammation and pain. Improve function and rehabilitation.

Facility: Exam room procedures

Special equipment: None

 

Sacroiliac joint injection:

This joint connects the pelvic bone and the sacrum of the spine. The injection is simple and safe. If it only provides short term relief, radiofrequency is an option.

 

Sacroillica Joint Injection (SIJ)

Location: Sacroillica Joint RT or LT (SIJ-RT or SIJ-LT)

Purpose: Reduce low back pain originating from the Sacroillica joint, by reducing inflammation.

Facility: Procedure Room

Special equipment: Fluroscopy, Local anesthesia.

 

Epidural Steroid injection:

The epidural steroid injection is a technique that has been used since 1952 to relieve the symptoms of spinal nerve-related pain. This is used as one of the conservative, non-surgical interventions for various conditions that lead to pain from the inflammation and irritation of the spinal nerves. While the goal of epidural steroid injections is primarily pain relief, it can also be used as part of a comprehensive physical therapy and rehabilitation program. This technique has been shown to be as effective as other, more invasive, modalities and should be considered.

The injection of epidural steroids is usually accompanied by local anesthetics, which afford relief from pain that usually lasts anywhere from one week to a whole year. This makes it very useful in dealing with severe, acute attacks of pain. If you find the therapy effective, then you may receive up to three or four in a one-year period.

 

Lumbar Epidural Injection (LS-ESI)

Location: Lumbar Spine (Disc and Nerves)

Purpose: Reduce inflammation, pain. Improve Healing and function.

Facility: Procedure Room

Special equipment: Fluroscopy, local anesthesia.

 

Cervical Epidural Injection (CS-ESI)

Location: Cervical Spine (Disc and Nerves)

Purpose: Reduce inflammation, pain. Improve Healing and function.

Facility: Procedure Room

Special equipment: Fluroscopy, local anesthesia.

 

Thoracic Epidural Injection (TS-ESI)

Location: Thoracic Spine (Disc and Nerves)

Purpose: Reduce inflammation, pain. Improve Healing and function.

Facility: Procedure Room

Special equipment: Fluroscopy, local anesthesia.

 

Facet injections:

A facet joint injection is a precise diagnostic tool that also provides excellent therapeutic results. Using X-ray guidance, physicians are able to see and accurately target the affected joint(s). Facet joints are the small joints located between each vertebra that provide the spine with both stability and flexibility. Facet syndrome occurs when one or more of these joints become inflamed or irritated. Arthritis occurs when the cartilage lining the joint surface shrinks and wears thin, causing stress on the bone (bone spurs), inflammation, and enlargement of the joint.

Facet joint injections combine a local anesthetic and a corticosteroid anti-inflammatory medication. This mixture relieves both pain and inflammation coming from the involved joint. Even if the injection provides short term relief, it supports the diagnosis that the facet joint is indeed the “pain generator” and the cause of your back pain. Because they are performed using local anesthetic, facet joint injections offer the advantage of providing immediate feedback in confirming the source of your pain.

 

Lumbar Spine Facet Block Injection (LS-FBI)

Location: Lumbar facet joints specific levels depending on patient area of pain.

For example: Lumbar Facet L4-L5 bilaterally or RT or LT

Usually at least two levels (example: L4-L5 and L5-SI)

Each level done separately on a different day.

Purpose: Diagnosis of source of pain. If pain goes away it means the pain is coming from that facet level. Beside Diagnosis it also helps with pain patient.

Facility: Procedure Room

Special equipment: Fluroscopy, local anesthesia.

The second level is done in two weeks.

Each level may be repeated twice.

We use example: LS-FBI L4-L5

 

Cervical Spine Facet Block Injection (LS-FBI)

Location: Lumbar facet joints specific levels depending on patient area of pain.

For example: Lumbar Facet C4-C5 bilaterally or RT or LT

Usually at least two levels (example: C4-C5 and C5-C6)

Each level done separately on a different day.

Purpose: Diagnosis of source of pain. If paingoes away it means the pain is coming from that facet level. Beside Diagnosis it also helps with pain patient.

Facility: Procedure Room

Special equipment: Fluroscopy, local anesthesia.

The second level is done in two weeks.

Each level may be repeated twice.

We use example: CS-FBI C4-C5

 

Cervical Spine Facet Block Injection (LS-FBI)

Location: Lumbar facet joints specific levels depending on patient area of pain.

For example: Lumbar Facet T4-T5 bilaterally or RT or LT

Usually at least two levels (example: T4-T5 and T6-T7)

Each level done separately on a different day.

Purpose: Diagnosis of source of pain. If paingoes away it means the pain is coming from that facet level. Beside Diagnosis it also helps with pain patient.

Facility: Procedure Room

Special equipment: Fluroscopy, local anesthesia.

The second level is done in two weeks.

Each level may be repeated twice.

We use example: TS-FBI C4-C5