Central States Pain Clinic

Spinal Injections

Injections

Lumbar (lower back) Epidural Steroid Injection

This injection is performed to relieve pain in the low back, hips, buttocks and/or legs. Conditions such as herniated discs and spinal stenosis (narrowing of the spinal canal or nerve openings) can compress nerves, causing inflammation and pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Cervical (Neck) Epidural Steroid Injection

This injection relieves pain in the neck, shoulders, and/or arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis (narrowing of the spinal canal or nerve openings) can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Facet Joint Injections

The facet joints, found on both sides of the cervical (neck), thoracic (upper and mid back) and lumbar (lower back) spines, can become painfully irritated or inflamed.  A facet joint injection may help diagnose the source of a patient’s pain.  The injections can also relieve pain and inflammation.

Trigger Point Injections

This outpatient procedure is designed to reduce or relieve the pain of trigger points.  These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs).

Sacroiliac Joint (SI) Injections

This injection is performed to relieve pain caused by arthritis in the sacroiliac joint, often called SI joint, where the spine and the hip bone meet.  The steroid medication can reduce swelling and inflammation in the joint.

Genicular Nerve Block (G Block)

This is an injection of anesthetic to the genicular nerves.  These are the sensory nerves that transmit pain signals from the knee to the brain.  Anesthetizing these nerves can disrupt the pain signal cause by degeneration of the knee.  A genicular nerve block can provide temporary pain relief.  It may help to determine if a patient is a candidate for nerve ablation or burning, which can provide long-term pain relief.

Thoracic (upper and mid back) Epidural Steroid Injection

This injection is performed to relieve pain in the upper or mid back and/or pain radiating from the upper or mid back. Conditions such as herniated discs and spinal stenosis (narrowing of the spinal canal or nerve openings) can compress nerves, causing inflammation and pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Nerve Block

This outpatient procedure is an injection of anesthetic to different nerves throughout the body. These are the sensory nerves that transmit pain signals from the periphery to the brain. Anesthetizing or numbing these nerves can disrupt the pain signals. A nerve block can provide temporary pain relief and may help to determine if a patient is a candidate for nerve ablation or burning, which can provide long-term pain relief.

Caudal (low back/buttocks) Epidural Steroid Injection

This injection is performed to relieve pain in the low back and legs.  Conditions such as sciatica, herniated discs, and bone spurs can compress nerves, causing inflammation and pain.  Steroid medication can reduce the swelling and inflammation caused by these conditions.

Suprascapular Nerve Block

This injection is used to treat pain and discomfort from arthritis, bursitis or impingement of the suprascapular nerve in the shoulder joint. The suprascapular nerve is a major motor nerve that serves the muscles of the shoulder.

Celiac Plexus Block (Percutaneous Approach)

This injection temporarily disrupts the nerves of the celiac plexus. These nerves branch away from the spine. They connect to the organs in your abdomen. Pain signals caused by conditions such as pancreatitis or pancreatic cancer travel through these nerves on the way to your brain.

Sphenopalatine Ganglion (SPG) Block

This is an injection of numbing medicine.  It is delivered to the area around a bundle of nerves called the “sphenopalatine ganglion,” which lies deep within your face. This injection can be used to diagnose or to treat conditions linked to these nerves.

Stellate Ganglion Block

A stellate ganglion nerve block is an injection of medication into the nerves that can numb branches of nerves in your neck.  This can help relieve head, neck, upper arm and upper chest pain.  This injection can also be used to diagnose and treat circulation problems in the arms and neck. This treatment may require a series of injections.

Piriformis Injections

This injection is performed to diagnose and treat pain related to piriformis syndrome.  Piriformis syndrome is an irritation of the sciatic nerve caused by the contraction of the piriformis muscle in the buttocks.

Lumbar Sympathetic Ganglion Block

This is an injection of steroid and local anesthetic medication along the sides of your spine in your lower back that can help relieve pain in the lower back or legs.  This can be used a number of conditions such as reflex sympathetic dystrophy, complex regional pain syndrome, herpes zoster infection (shingles) involving the legs, vascular insufficiency and peripheral neuropathy.

Discography

This is a diagnostic procedure, also called discogram, it is used to determine whether back pain is caused by one or more spinal discs.  The procedure involves pressurizing suspect discs with an injection of sterile liquid to induce pain.  Discography can help your care team plan the best course of treatment for you. 

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