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Services

Understanding The Source Of Pain

We never treat without proper diagnosis, so we take imaging seriously. Imaging is critical in helping your doctor pinpoint the source of your pain, then devise a plan to relieve it quickly and keep it away for as long as possible. You can bring us any imaging you already have, such as MRIs or CT scans. Or we will refer you to our world-class imaging partners.

Services

Pain Management

Non-opioid approach to avoid additional problems down the road.

Diagnostics

Discography

Assists in identifying the source of advanced, chronic back pain. Using imaging guidance, a contrast material is injected into the center of one or more spinal discs. As part of the procedure, an x-ray or CT scan also may be performed to obtain pictures of the injected disc. Though more invasive than some other imaging procedures, discography is generally safe.

Magnetic Resonance Imaging (MRI)

Examines the soft tissues surrounding the musculoskeletal system to aid in determining the cause of abnormal pain or discomfort. The images give a detailed, 3D look at muscles, tendons, ligaments and blood vessels, allowing diagnosis of even the smallest tears and injuries. Patients lie on a table that slides into the MRI machine’s tube. An MRI is painless and can last from 15 minutes to an hour.

Computed Tomography (CT Scan)

Provides a 3D view of a part of the body, revealing a detailed picture of the anatomy of bones and joints. As with MRI, patients lie comfortably on a table that slides into the machine. The process typically takes around 30 minutes.

Electromyography (EMG) and Nerve Conduction Studies (NCS)

Helpful in diagnosing a variety of muscle and nerve disorders. For an EMG test, a tiny needle electrode is inserted directly into a muscle and records the muscle’s electrical activity. Electrode patches applied to the skin during NCS stimulate the nerve with a very mild electrical impulse to calculate how fast that impulse moves through the nerves. These tests can be done separately or the same time.

Epidural Steroid Injection (ESI)

Beneficial in confirming a particular spinal nerve as the source of back pain. A small dose of steroid is injected in the epidural space surrounding a spinal nerve. If the nerve becomes numb and pain relief is achieved, your doctor has confirmation that the nerve is the source of pain and can plan treatment options.

Medial Branch Block

Used to identify if one or more facet joints may be the source of back pain. The skin is numbed, then a small amount of local anesthetic is injected into a facet joint adjacent to the spine. How much relief the patient experiences – and for how long – assist in determining the treatment path.

Occipital Nerve Block

Employed to determine if the occipital nerve may be the source of ongoing headache. A fine needle inserted into the skin just above the neck delivers steroid or other pain-relieving medication near the nerve. If the occipital nerve is swollen, pain relief will generally be achieved within a few days. A lack of results often signals that something else is going on.

Treatments

Epidural Steroid Injection (ESI)

Clinically proven to be effective in alleviating pain. A small dose of steroid is injected into the epidural space in the cervical, thoracic or lumbar spine. This common procedure takes only 10 to 30 minutes and patients often see pain relief and improved motion within a day or two. Depending on the patient, relief can last for several months.

Non-Opioid Medications

Creams that include non-narcotic pain relief and/or anti-inflammatory agents can be applied to painful area, including joints. Opioids are never prescribed as part of a patient treatment plan.

Radio Frequency Ablation

Generally providing longer-term pain relief, this procedure involves inserting a small, insulated needle or cannula next to pain-carrying nerves. Local anesthetic numbs the area, then heat is generated and precisely delivered to a small area of tissue, destroying the nerve endings. The procedure itself takes no longer than injections, but pain can be reduced or eliminated for anywhere from a few months to a year.

Services

Orthopedics

Injury treatment without the recovery time of traditional surgery.

Diagnostics

Electromyography (EMG) and Nerve Conduction Studies (NCS)

Helpful in diagnosing a variety of nerve and muscular disorders. For an EMG test, a tiny needle electrode is inserted directly into a muscle and records the muscle’s electrical activity. Electrode patches applied to the skin during NCS stimulate the nerve with a very mild electrical impulse to calculate how fast that impulse moves through the nerves. These tests can be done separately or the same time.

Discography

Assists in identifying the source of advanced, chronic back pain. Using imaging guidance, a contrast material is injected into the center of one or more spinal discs. As part of the procedure, an x-ray or CT scan also may be performed to obtain pictures of the injected disc. Though more invasive than some other imaging procedures, discography is generally safe.

Magnetic Resonance Imaging (MRI)

Examines the soft tissues surrounding the musculoskeletal system to aid in determining the cause of abnormal pain or discomfort. The images give a detailed, 3D look at muscles, tendons, ligaments and blood vessels, allowing diagnosis of even the smallest tears and injuries. Patients lie on a table that slides into the MRI machine’s tube. An MRI is painless and can last from 15 minutes to an hour.

Computed Tomography (CT Scan)

Provides a 3D view of a part of the body, revealing a detailed picture of the anatomy of bones and joints. As with MRI, patients lie comfortably on a table that slides into the machine. The process typically takes around 30 minutes.

Treatments

Abortive Medications

Many medications can be used to stop treat pain caused by nerve damage. These include analgesics, non-steroidal anti-inflammatory medications (NSAIDs), tricyclic antidepressants, anticonvulsants and antinausea compounds. Opioids are never prescribed as part of a patient treatment plan.

Trigger Point Injection

When muscles around the spine and back do not relax properly, knots or “trigger points” can form under the skin, irritating the nerves and causing pain. A small needle is used to inject medication into the muscle to relax tissue and alleviate accompanying nerve pain. In best cases, pain resolves after one injection.

Occipital Nerve Block

Reduces chronic headache and neuralgia pain at the back of the skull A fine needle, inserted into the skin just above the neck, delivers steroid or other pain-relieving medication near the nerve. The procedure takes only a few minutes and can alleviate headache immediately.

Services

Neurology

Diagnosing nerve damage and treating its troubling symptoms.

Diagnostics

Electromyography (EMG) and Nerve Conduction Studies (NCS)

Helpful in diagnosing a variety of nerve and muscular disorders. For an EMG test, a tiny needle electrode is inserted directly into a muscle and records the muscle’s electrical activity. Electrode patches applied to the skin during NCS stimulate the nerve with a very mild electrical impulse to calculate how fast that impulse moves through the nerves. These tests can be done separately or the same time.

Discography

Assists in identifying the source of advanced, chronic back pain. Using imaging guidance, a contrast material is injected into the center of one or more spinal discs. As part of the procedure, an x-ray or CT scan also may be performed to obtain pictures of the injected disc. Though more invasive than some other imaging procedures, discography is generally safe.

Magnetic Resonance Imaging (MRI)

Examines the soft tissues surrounding the musculoskeletal system to aid in determining the cause of abnormal pain or discomfort. The images give a detailed, 3D look at muscles, tendons, ligaments and blood vessels, allowing diagnosis of even the smallest tears and injuries. Patients lie on a table that slides into the MRI machine’s tube. An MRI is painless and can last from 15 minutes to an hour.

Computed Tomography (CT Scan)

Provides a 3D view of a part of the body, revealing a detailed picture of the anatomy of bones and joints. As with MRI, patients lie comfortably on a table that slides into the machine. The process typically takes around 30 minutes.

Treatments

Abortive Medications

Many medications are used to treat pain caused by nerve damage. These include analgesics, non-steroidal anti-inflammatory medications (NSAIDs), tricyclic antidepressants, anticonvulsants and anti-nausea compounds. Opioids are never prescribed as part of a patient treatment plan.

Trigger Point Injection

When muscles around the spine and back do not relax properly, knots or “trigger points” can form under the skin, irritating the nerves and causing pain. A small needle is used to inject medication into the muscle to relax tissue and alleviate accompanying nerve pain. In best cases, pain resolves after one injection.

Occipital Nerve Block

Reduces chronic headache and neuralgia pain at the back of the skull A fine needle, inserted into the skin just above the neck, delivers steroid or other pain-relieving medication near the nerve. The procedure takes only a few minutes and can alleviate headache immediately.