Non-operative Treatment
Epidural Steroid Injections
Epidural spinal injection is a non-surgical treatment option utilized for relieving back pain. Spine degenerative conditions such as herniated disc, spinal stenosis and many others may induce back pain due to the compression of the associated spinal nerves. This pain or numbness may extend to the other parts of the body such as hips, buttocks, and legs.
Facet Injection
The facet injection procedure may be performed primarily as a diagnostic test to check whether the pain is originating from the facet joints. Secondly, it is used to treat inflammation caused by several spine conditions.
Radiofrequency Ablation
Radiofrequency ablation (RFA), also called rhizotomy or neurotomy, is a novel non-surgical technique of treating pain. This technique employs radiofrequency waves to produce heat and the heat produced damages the nerves transmitting pain signals to the brain. This procedure is performed to treat painful facet joints in the spine that usually cause chronic low back pain and neck pain.
Sacroiliac Joint Injections
Sacroiliac joint injections can be used both for diagnostic as well as therapeutic purposes. As a diagnostic tool, it helps your doctor locate the origin of pain. To diagnose SI joint pain, an anesthetic injection is given to the joint under X-ray guidance. An acute relief in low back pain following the injection indicates an abnormality in SI joint.
Medial Branch Block Injections
Medical branch block is an injection of a local anesthetic near the medial branch nerves to temporarily block the pain signal carried from the facet joints of the spine to the brain. It is used to assist your physician in diagnosing the cause of your back pain.
Lumbar Spinal Bracing
Lumbar braces are external devices used to restrict movement of the lumbar spine and provide support and stability to the lower back region to relieve back pain and promote healing, after surgery or injury. Braces are also called orthotics and are made from different materials such as nylon, rubber, molded plastic and elastic cotton.
Lumbar Spinal Injections
Lumbar spine injections are utilized in the assessment and treatment of low back pain. These injection procedures are valuable in determining whether structures are the source for low back pain. Pain initiated by lumbar facet joints is characteristically experienced in the lower back, hip, buttock, and/or leg.
Cervical/Lumbar Traction
Cervical/lumbar traction is a therapy that stretches the spine to relieve pressure on compressed nerves and stretch tight muscles, to treat back and neck pain. It may also be used for realigning the spine in cases of dislocation. Traction may be performed manually or mechanically (with the use of weights and pulleys).
Thoracic Spinal Injection
Thoracic spine injections are involved in the assessment and treatment of pain in the upper back, chest and rarely, the arm. Acute and chronic pain syndromes from the thoracic spine are much less common than with cervical and lumbar spine. This is valid both for the incidence and the intensity of the disease.
Piriformis Muscle Injection
The piriformis muscle is present in the buttocks, connecting the sacrum to the outer surface of the hip. This muscle enables us to walk and run. The sciatic nerve is a thick, long nerve passing through or below the piriformis muscle. A spasm of the piriformis muscle can compress the sciatic nerve resulting in severe pain (sciatica).