Minimally Invasive Treatments
Sacroiliac Joint Injections
Sacroilliac Injections are used to treat lower back and upper buttock pain caused by arthritis, trauma, and pregnancy. The Sacroilliac joints connect the sacrum to the pelvis, and when inflamed cause significant pain while standing or walking.
The injection is a combination of anesthetic and corticosteroid, and is injected directly into the sacroiliac joint. The local anesthetic provides immediate relief, while the corticosteroid reduces inflammation and provides long term pain relief.
Sympathetic Ganglion Block
A Sympathetic Ganglion Block is an injection of anesthetic agents directly into the specialized set of sympathetic nerves to alleviate symptoms such as reflex sympathetic dystrophy, also known as complex regional pain syndrome. The injection is also used to reduce sympathetic mediated nerve pain. This may require several sequential injections, ranging from 3-6. Pain relief varies from individual to individual.
Tarsal Tunnel Injections
Tarsal Tunnel Injections are used to treat Tarsal Tunnel Syndrome, which is a condition caused by compression and pressure on the tibial nerve. Symptoms of Tarsal Tunnel Syndrome include tingling, burning, and cramping or in the foot/ankle region.
Tarsal Tunnel Injections are a combination of corticosteroid and anesthetic, used to provide pain relief and decrease compression on the tibial nerve. The combination is injected directly in the tarsal tunnel, as the anesthetic provides immediate pain relief while the corticosteroid decreases inflammation of the surrounding tissue. This decreases pressure on the tibial nerve and provides a long term pain solution. One injection may provide weeks or even months of relief, and may be repeated 3-4 times a year.
Trigger Point Injections
Trigger point injections are used to treat muscular trigger points – knots in the muscles that contract but are unable to relax. These knots are caused by both physical injury, and mental stress/anxiety. Not only are muscles affected, but often times the surrounding nerves may be affected, causing long term chronic pain.
The injections are often a combination of anesthetic and corticosteroid, which are both used to decrease pain and relax the muscle. They can be useful for treating tension headaches, temporomandibular joint (TMJ) pain or fibromyalgia, and myofascial pain syndrome
Viscosupplementation is a type of procedure where hyaluronate is injected into the knee to decrease pain from osteoarthritis. This gel like substance provides lubrication for the joints and enables bones to move smoothly without pain. It also acts as a shock absorber to help bear weight on the knees. Typically 3 injections are required over the course of several weeks. It cannot be used for knee tears or other conditions affecting the knee.