Advanced Treatment Options

Also referred to as the Intracept® Procedure, this treatment involves ablation of the basivertebral nerve, which carries pain signals originating from damaged vertebral bodies and endplates.

A bursa injection involves injecting a mixture of a local anesthetic and a steroid directly into an inflamed bursa to reduce irritation and alleviate pain around the joint.

A minimally invasive procedure used to treat chronic neck pain, typically caused by arthritis or degeneration in the facet joints of the cervical spine.

Epidermal Nerve Fiber Density (ENFD) testing is a diagnostic procedure used to evaluate small fiber neuropathy by measuring the number of small sensory nerve fibers in the skin. A small skin biopsy is taken, typically from the lower leg, and analyzed under a microscope to assess nerve fiber density. This test helps diagnose conditions that affect small nerve fibers, often before changes appear on traditional nerve conduction studies.

• Caudal Epidural Steroid Injection is a minimally invasive procedure in which anti-inflammatory medication is delivered into the lower part of the epidural space (near the tailbone) to relieve pain caused by conditions such as herniated discs, spinal stenosis, or sciatica.

• Cervical Interlaminar or transforaminal Epidural Steroid Injection: Delivers anti-inflammatory medication into the epidural space in the neck to reduce nerve inflammation and relieve pain from conditions like herniated discs or spinal stenosis.
• Lumbar Interlaminar or transforaminal Epidural Steroid Injection: delivers anti-inflammatory medication directly to the nerve root in the lower back, reducing pain, inflammation, and nerve irritation.
• Thoracic Interlaminar or transforaminal Epidural Steroid Injection: Delivers anti-inflammatory medication into the epidural space of the mid-back to reduce pain, inflammation, and nerve irritation caused by conditions like herniated discs or spinal stenosis.

• Cervical Facet Injection: Delivers anti-inflammatory medication directly into the inflamed joints of the neck to reduce pain caused by arthritis, whiplash injuries, or related conditions, often relieving discomfort radiating to the shoulders, upper back, and head.
• Lumbar Facet Injection: Deliver anti-inflammatory medication directly into the facet joints of the lower back to reduce pain and inflammation caused by arthritis or injury.

A ganglion impar block involves injecting an anesthetic and anti-inflammatory medication near the ganglion impar nerve cluster to relieve chronic pelvic, tailbone, or rectal pain by interrupting pain signals from the affected area.

The Intracept Procedure is a minimally invasive, outpatient procedure for patients with vertebrogenic pain. The procedure targets a specific nerve within the vertebra called the basivertebral nerve and has been shown to improve function and relieve pain long-term. The procedure is implant-free, preserving future treatment options for other spine conditions.

An intrathecal pump therapies involves temporarily delivering pain medication directly into the spinal fluid through a catheter to evaluate if it reduces chronic pain by at least 50% before permanent implantation.

A minimally invasive procedure that targets the genicular nerves—sensory nerves surrounding the knee joint—to interrupt pain signals and provide long-lasting relief from chronic knee pain, often due to arthritis or post-surgical pain.

Lumbar discography is a diagnostic procedure that involves injecting contrast dye into spinal discs to identify the specific disc causing lower back pain.

Lumbar radiofrequency denervation uses heat generated by radio waves to target and deactivate the medial branch nerves in the lower back, providing long-term relief from facet joint pain.

• Cervical Medial Branch Block: Diagnostic procedure that involves injecting an anesthetic near the medial branch nerves in the neck to temporarily block pain signals and identify if the facet joints are the source of neck, shoulder, or upper back pain.

• Thoracic Medial Branch Blocks are diagnostic and therapeutic injections used to target the medial branch nerves that supply the facet joints in the mid-back. By injecting a local anesthetic near these nerves, this procedure helps determine whether the facet joints are the source of thoracic spine pain and can provide temporary relief to improve mobility and function. If effective, this may lead to longer-lasting treatments like radiofrequency ablation.

• Lumbar Medial Branch Block: Injecting anesthetic near the medial branch nerves in the lower back to temporarily block pain signals and diagnose or treat facet joint pain.