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. ESIs may be performed to relieve pain caused by spinal stenosis, spondylolysis, or disc herniation.

Medicines are delivered to the spinal nerve through the epidural space, the area between the protective covering of the spinal cord and vertebrae. The effects of ESI tend to be temporary. Pain relief may last for several days or even years.

This procedure is to improve sciatica pain where the cause is thought to be due to a pinched or trapped nerve within the spine. Used for nerve root irritation between L4 and S4.

Injecting through the sacral hiatus is the least complicated way to access the epidural space, and may be performed as a day case without the need for admission.
The whole idea is to deliver the medication as close to the affected area as possible.

A nerve root block is performed to diagnose the cause of your pain, level of pain, the origin and also to treat the source of pain, by positioning the medicine close to the source of pain.

This procedure is useful when an Epidural injection has failed to help for Sciatica due to nerve root irritation. They can be performed at the lumbar and cervical levels.  If successful, this procedure can be repeated on 2-3 occasions. An overnight stay may sometimes be recommended for some paitents.

A facet nerve block is helpful in identifying if the facet joints are the source of the pain. If the pain is from the facet joints, it may be helpful to relieve the pain.

A mix of local anesthetic and a small quantity of corticosteroid is injected near the facet medial branch nerve.

A Facet radiofrequency neurolysis is performed if you have pain due to disease in the facet joints of your spine. This is performed after you have had appropriate pain relief from your facet diagnostic blocks.

A Facet Radiofrequency Neurolysis is the destruction of a facet nerve in the lower lumbar region  or the cervical (neck)  region using radio frequency waves. 

Sacroiliac joint injection is a procedure that targets lower back pain and buttock pain.  A steroid medication is injected into the joint.  To ensure proper placement of the medication the procedure is done under fluoroscopy or x-ray.

The Sacroiliac joint is the largest joint of your lower spine in your buttock region.  This becomes painful and inflamed.  The steroid medication can reduce the inflammation and thus alleviating your pain. Sacroiliac injection is useful for patients with lower  back, buttock, groin and/or leg pain

Lumbar discography is an injection technique used to evaluate patients with back pain who have not responded to extensive conservative care regimens. The most common use of discography is for surgical planning prior to a lumbar fusion.

Discography is usually done only if you think your pain is significant enough for you to consider more advanced treatment options, directed at the disc itself, such as surgery.

Patients with contained disc herniations may benefit from this therapy. Nucleoplasty is a minimally invasive procedure developed for these patients, combining disc decompression with thermal treatment.

Nucleoplasty is usually performed on an outpatient basis. Local anesthesia and mild sedation may be used to reduce discomfort during the procedure. Nucleoplasty patients will be awake to provide important feedback to the physician.

Percutaneous disc decompression refers to nonsurgical procedures designed to reduce disc volume, thereby decreasing the pressure exerted on pain generators either within the disc or at the spinal nerve.

This is used to treat people suffering pain becasue of disc herniation. Criteria are low back pain and leg pain (Sciatica) and/or confirmed disc bulge  or protrusion.

Intrathecal pumps are devices used in the treatment of many chronic pain states. These devices have shown effectiveness in treating severe back pain, neuropathic pain, and muscle spasticity. This technique has been proved to be both safe and effective in the treatment of pain.

These devices are automated pieces of equipment programmed to deliver medication into the spinal fluid through a small tube called a catheter. The purpose of the pump is to interrupt pain signals that travel through the spinal cord.

• Celiac
• Stellate Ganglion block
• Trigger Point injection
• Occipital Nerve Block
• Intercostal nerve block
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• Lumbar sympathetic block