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Common Procedures

Jogging in Sunset
  • Epidural Steroid Injections: Since 1952, ESIs are a common treatment option for many forms of low back and leg pain and are still an integral part of the non-surgical management of sciatica and low back pain today.

The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefits. In addition to the low back (the lumbar region), epidural steroid injections are used to ease pain experienced in the neck (cervical) region and in the mid spine (thoracic) region.

  • Trigger Point Injections: TPI is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause referred pain.

  • Joint Injections: 

    • Corticosteroid: Corticosteroid injections are one of the most common and uses an anesthetic numbing agent combined with a corticosteroid to relieve joint pain and inflammation. 

    • Epidural: Epidural injections are performed to alleviate spinal pain, as well as pain in the legs or arms that results from an inflamed spinal nerve. 

    • Facet Joint: Facet joint injections are another type of spinal injection used to relieve pain in the neck, middle back, or lower back. The facet joints are tiny joints near the back of the spine that connect each vertebrae. 

    • Sacroiliac: Sacroiliac injections are similar to face joint injections, with the exception that they are injected into the sacroiliac joint, which connects the sacral region of the spine to the pelvis. 

    • Visco Supplementation: Visco supplementation injections inject hyaluronic acid into the joint in order to improve the viscosity of joint fluids, which improves joint mobilization. Oftentimes, visco supplementation is used for patients with osteoarthritis who are looking for an alternative to surgery. 

  • Botox: Commonly used for migraines

  • Radiofrequency Ablation (RFA) is a procedure where an electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area.​​

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