Therapeutic injections are usually a combination of a local anesthetic (for example Lidocaine) and an anti-inflammatory steroid. Injections are sometimes referred to as “blocks” due to the blocking or numbing effect of the local anesthetic. The target of these injections is usually an inflamed structure that is, or might be, the source of the patient’s pain. Many times this is a portion of the spine, sometimes a nerve, or perhaps a joint or muscle.

  • Epidural Steroid Injections (ESI) (Intralaminar and Transforaminal) – reduce pain through a combination of a local anesthetic and a steroid
  • Nerve Blocks– the injection of local anesthetic around nerves for temporary control of pain
  • Peripheral Nerve Blocks
  • Stellate Ganglion Nerve Block
  • Sympathetic Nerve Block
  • Cervical, Thoracic, Lumbosacral Nerve Block
  • Suboccipital Nerve Blocks
  • Facet Joint Injection – local anesthetic and a long acting steroid to alleviate pain from facet joints which are joints responsible for load bearing and motion.
  • Sacroiliac Joint Injection – local anesthetic and a long acting steroid to alleviate pain from the sacroiliac joint which is the joint between the sacrum and the pelvis.
  • Transforaminal Caudal Epidural Steroid Injection – local anesthetic and a long acting steroid injected into the epidural space to reduce nerve inflammation
  • Trigger Point Injections – injection with a short acting local anesthetic without steroids or adrenalin to alleviate the pain caused by hyper-irritable spots in skeletal muscle that are associated with palpable nodules in taut bands of muscle fibers.
  • Trial and Permanent Lumbar Spinal Cord Stimulator – used to send pulsed electrical signals to the spinal cord to block chronic pain.
  • Radiofrequency Rhizotomies

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