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An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back and leg pain caused by inflamed spinal nerves. An epidural steroid injection is typically ordered by your doctor to relieve pain caused by spinal stenosis, spondylolysis (weakness or fracture of facet joints), disc herniation, degenerative disc disease and sciatica. Steroid medications are delivered to the spinal nerve through the epidural space, the area between the protective coverings of the spinal cord and vertebrae.

A facet injection includes both a long-lasting corticosteroid and a local anesthetic. The drugs are delivered to the painful facet joint, either inside the joint capsule (intraarticular) or in the tissue surrounding the joint capsule (periarticular).

An intercostal nerve block is an injection of local anesthetic, with or without an anti-inflammatory agent, just under the rib where the intercostal nerve lies. An intercostal nerve block is typically ordered by your doctor for pain in the rib area that develops following surgery in that area, a rib fracture, Herpes Zoster (Shingles) or an intercostal nerve entrapment or inflammatory condition.

Hyaluronic Acid is a substance that is similar to healthy joint fluid and is injected directly into the cavity around the knee joint to supplement damaged joint fluid and reduce pain, mimicking this natural occurrence.  This helps to relieve the pain that is caused by Osteoarthritis by lubricating and cushioning the knee joint.

The lateral femoral cutaneous nerve is a nerve that receives sensation from the top lateral part of the thighs on each side. When it is dysfunctional because of pressure, injury, or entrapment, pain can be felt in the lateral thighs. There may also be tenderness in the groin because this is one of the locations where the nerve travels. Symptoms may include tingling, numbness, or painful stinging sensations in the front or outer parts of the thighs. The area that is painful may also be very sensitive to the touch.

An occipital nerve block is an injection of local anesthetic and an anti-inflammatory agent around the greater and lesser occipital nerves that are located on the back of the head, just above the neck area. The anti-inflammatory medication reduces the inflammation and swelling of tissue around the occipital nerves. This may, in turn, reduce pain and other symptoms caused by the inflammation or irritation of the nerves and surrounding structures. Typically, headaches over the back of the head, including certain types of tension headaches and migraine headaches, may respond to occipital nerve blocks.

An injection of an anti-inflammatory agent is often given to relieve pain in a joint area. The injection helps to reduce inflammation and swelling. It will help to maintain movement and function at the site.

The goal of pain management is to achieve optimal comfort and function with minimal side effects from analgesic therapy. The pain management plan may include treatment of the cause of the pain (if possible), optimal use of analgesic and adjuvant medication, use of nonpharmacologic interventions, and invasive approaches when appropriate.

Radiofrequency ablation is most commonly performed by doctors specializing in the treatment of pain. The goal is to provide longer lasting pain relief for chronic neck or back pain that hasn’t been adequately relieved by steroid injections, medications or physical therapy.

A radiofrequency ablation (RFA) is a type of injection procedure in which a heat lesion is created on certain nerves with the goal of interrupting the pain signals to the brain, thus eliminating the pain from a given body part. Although this technology has been successfully used to treat spinal pain in the past, Novocur is one of the first pain centers in the nation to be offering this technology to treat chronic knee pain! This Novocur service is payable by most insurance companies.

Neurostimulation Therapy (Spinal Cord Stimulation) is a treatment method that can improve a patient’s quality of life through pain relief. This type of therapy may be especially beneficial for patients who suffer with pain after an unsuccessful back surgery, patients who suffer with Reflex Sympathetic Dystrophy (RSD) or patients who suffer from neuropathy.

Sympathetic nerve block therapy targets the sympathetic nervous system, a series of nerves that spread out from your spine to your body to help control several involuntary body functions like blood flow, digestion and sweating.

Nearly everyone experiences muscle pain from time to time, but myofascial pain syndrome is a chronic form of muscle pain. Myofascial pain centers around sensitive points in your muscles called “trigger points.” These trigger points can be painful when touched and the pain can spread throughout the affected muscle.

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