Chronic Pain

Interventional pain management is a new and exciting sub-specialty in interventional radiology. Our specially trained board-certified physicians provide treatment options that deliver therapy to the source of your pain with pinpoint accuracy. These therapies use diagnostic imaging to target inflammation within the body’s joints, nerves and spine for more effective, lasting relief. This is a revolutionary way to deliver precise treatment and help you move forward.

Interventional Radiology Treatments for Chronic Pain

Epidural Steroid Injections

Injecting anti-inflammatory medicine into the spine can help relieve pain related to flamed spinal nerves. This is commonly indicated for neck, arm, leg and back pain. These injections can also be referred to as an ESI injection, spinal injection, back pain injection, or steroid injection.

Epidural steroid injections are classified according to the injection site along the spine as well as the path of the needle. We provide interlaminar injections and transforaminal injections.

• Interlaminar – The path of the needle is between two laminae, the flat bones that help form each vertebra.
• Transforaminal – The path of the needle is through the foramina, openings where nerve roots exit the spine.

Facet Injections

Facet joints are located between each vertebra. General aging or injuries can cause pain in these joints. Facet injections deliver anti-inflammatory medications directly to the joints to achieve pain relief. Facet joints can be a contributing to neck, upper back and lower back pain.

Medial Nerve Blocks

A medial branch block delivers local anesthetic and potentially a steroid to the medial branch. This is typically appropriate for patients experiencing back pain from arthritis or lower back injury.

Rhizotomy Medial Nerve Ablation

Rhizotomy removes sensation from a nerve causing chronic pain. The procedure burns the nerve fibers using radiofrequency. This destroys the nerve carrying pain signals to provide relief.

Botox^® Injections for Migraine

Although it is better known as a cosmetic treatment option, Botox originated as a therapeutic procedure. Botox injections for migraine can help prevent headaches and migraines and is appropriate for adults who experience 15+ migraine days each month.

Small/Medium/Large Bursa Injection

Bursa injections soothe inflammation and improve joint pain. These are delivered to the bursae, fluid-filled sacs that protect joints and allow for tendon, muscle and bone movement to occur in harmony. Common injection sites include hip, shoulder, elbow, hamstring and knee bursae

Calcaneal Spur Injection

A calcaneal spur is a growth that develops on the heel bone. This is typically caused by ongoing stress leading to calcium deposits. Corticosteroid injections help treat related plantar heel pain.

Costochondral Junction Injection

The costochondral joints are located between the ribs and their costal cartilage. Ultrasound-guided costochondral joint injections relieve pain related to costochondritis, also known as Tietze’s syndrome.

Ankle/Knee/Hip/Shoulder/Wrist/Hand/Foot/Elbow Injections

Steroid injections help reduce inflammation from injury, overuse or arthritis.

Si Joint Injection

A sacroiliac joint injection delivers local anesthetic and potentially a steroid to the joint to improve pain in the lower back, buttock, or hip. This injection can both diagnose pain (by identifying whether it improves and is related to the SI joint) and treat it.

Plantar Fascia Injection

The plantar fascia connects your heel bone to your toes and supports your overall foot structure. Plantar fasciitis occurs when this band of tissue becomes irritated or scarred. Plantar fascia injections help relieve related heel pain.

Trigger Point Injection

Trigger point injections help treat myofascial pain in the neck, shoulder, arms, legs and lower back. Trigger points can be formed by a single severe injury or smaller ongoing traumas that stress the muscle fibers. Botox or steroid injections can help release muscle knots and relieve related pain.

Nerve Blocks

Nerve block injections help improve headaches and many types of pain across the body. These injections are tailored to the nerve responsible for the pain and can be delivered across the body depending on the patient’s needs.

Celiac Plexus Block

This injection is delivered to the celiac plexus, a group of nerves located in the upper abdomen. These injections can relieve abdominal pain stemming from pancreatic cancer or pancreatitis.

Sympathetic Plexus Block

The sympathetic nervous system is a series of nerves that help control involuntary functions like blood flow and digestion. Pain related to sympathetic nerves can be improved with a nerve injection.

Piriformis Injection

The piriformis muscle is located in the buttocks and rotates the leg outwards. Because it is located close to the sciatic nerve, the muscle can put pressure on the nerve and cause radiating pain from the buttock down the leg. A muscle injection helps relax the muscle and relieve this pain.

Request your appointment to speak with one of our physicians about your chronic pain and learn about your minimally invasive options.