IMMEDIATE RELIEF TREATMENTS
Corydon Pain Management provides a variety of treatments specifically designed to quickly relieve your pain. Our team is committed to helping you feel better and reclaim your life.
|Advanced Rehabilitation Procedures||Steroid Treatments||Radio Frequency Neurotomy Injections|
|Fluoroscopy||Head and Neck Procedures||Lumbar Transforaminal Epidural Steroid Injections|
|Joint Stiffness and Pain Relief||Medication Management||Medial Branch Block Injections|
|Non-Surgical Approach to Chronic Pain||Neural Stimulation||Sacroiliac Joint Steroid Injections|
|X-Ray Diagnoses||Epidural Steroid Injections||Trigger Point Injections|
Advanced Rehabilitation Procedures
A variety of factors (including accidents, falls, stress, tension, sports activity and sleep position) can cause a misalignment of the spinal column, which causes irritation to spinal nerve roots. Alignment care locates problems in the functioning of the musculoskeletal system and then makes adjustments to that system to improve a patient's comfort and function.
Our physicians and rehabilitation experts work together to develop a comprehensive program of advanced therapeutic procedures designed to help you regain your range of motion, muscle tone and strength white helping to alleviate your pain.
Many conditions caused by irritation of the spine and nerve roots can be successfully treated with epidural steroid injections, commonly referred to as ESIs. These nerves can become irritated as the result of many spinal conditions, including spinal stenosis, bulging or herniated discs, and sciatica. Such conditions often result in radicular symptoms, meaning painful or tingling sensations that shoot or radiate down one or both legs (as in lumbar radiculopathy) or one or both arms (as in cervical radiculopathy). There are several different types of ESIs with different names depending on the location and method involved. Your pain specialist will determine the type of ESI that is right for you depending on the nature and severity of your condition.
Procedure: During the procedure, you will be asked to lay face-down on a procedure table. Your physician will numb the injection site with a local anesthetic. Once the skin and surrounding tissues are numb, the doctor will then inject both steroids and an additional anesthetic into the epidural space of the spine. The precisely-delivered medication reduces inflammation of the nerve roots and relieves pain, allowing the body to heal. Patients report that this procedure is brief and relatively comfortable. Most likely, your physician will provide intravenous sedation to help you relax throughout the procedure and tolerate any discomfort.
Physicians perform epidural injections with the aid of x-ray fluoroscopy. The x-ray guides the physician in proper placement of the needle to ensure maximum safety and effectiveness. It is performed on an outpatient basis; most patients are able to go home immediately with only a small bandage over the area. Your physician will most likely ask you to rate your pain immediately after the procedure and continue to keep track of your level of pain once at home so you can determine how successful the injection was.
Benefits: A major benefit of all ESIs is that most patients experience immediate relief. If partial relief is achieved, your physician may recommend repeating the injections to further decrease your pain.
Radio Frequency Neurotomy Injections
Cervical Facet Radiofrequency Neurotomy
This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.
Lumbar Radiofrequency Neurotomy
This minimally-invasive procedure, also called radiofrequency (RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.
Video Fluoroscopy: Using Breakthrough Technology with Pinpoint Accuracy
At the Pain Relief Center, we take the accuracy of pain treatment very seriously. To make sure our treatments are done with best science can offer, we use a Video Fluoroscope. This marvel of technology enables the physician to see the pain area in a 3-dimensional x-ray video format. Pain treatment is 70% more accurate by means of this equipment.
Years of experience allow the doctors at the Pain Relief Center to achieve impressive results for patients suffering from pain. The procedures use small amounts of various medications directly applied to the source of the pain, which can significantly relieve acute and chronic pain conditions. Not only can we give fast relief for these painful conditions, but we can also help prevent flare-ups by rehabilitating the underlying weakness.
Selective Nerve Root Blocks
Pain, usually caused by bulging/herniated discs and/or by arthritic impingement, is relieved or lessened by performing a selective nerve root block. Such a block helps determine whether a specific spinal nerve root is the source of pain and then helps to reduce inflammation around that nerve root.
Facet blocks help determine whether a specific spinal facet joint is the source of pain and then helps to reduce inflammation around that spinal joint. It decreases or relieves pain caused by facet inflammation, which is the most common cause of low back pain.
Peripheral Joint Blocks
Another common cause of low back pain is inflammation around the sacroiliac (SI) joint, which can be decreased or relieved by performing a peripheral joint block. Again, the block determines if the SI joint is the source of pain and reduces the inflammation around it.
Other peripheral joint blocks are used for treatment of areas away from the spine – shoulder, knee, elbow, wrist and other potential problem areas
Myofascial Trigger Point Treatment
This treatment is used to help areas of the muscle that have hypersensitive zones because of the accumulation of toxins and other by-products of injury.
Head and Neck Procedures
The neck is a complex system of joints, ligaments, and muscles, any number of which can become injured or deteriorate and cause you pain. Whether your neck pain was brought on by a traumatic injury or is the result of a chronic condition, our team of doctors will give a professional diagnosis and prescribe a treatment system that can result in reducing or completely eliminating the pain.
Lumbar Transforaminal Epidural Steroid Injections
This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.
Joint Stiffness and Pain Relief
Inflammatory joint conditions (such as rheumatoid arthritis, psoriatic arthritis, gout, tendinitis, bursitis, and occasionally osteoarthritis) can be treated with joint injections (intra-articular injections). These injections are performed by inserting a needle into the affected joint to administer a dose of an anti-inflammatory agent (most commonly corticosteroids). This technique can also be used to remove excess fluid from the joint or to replace bursa fluids with another highly-viscous fluid.
Medication is just one option when it comes to managing your pain. In addition to the other treatments listed here, numerous medications are available to treat chronic pain. Depending on your type of pain condition and prior medical history, your pain specialist may prescribe one or more of the following classes of drugs:
- Nonsteroidal Anti-Inflammatories (NSAIDs)
- Acetaminophen (Tylenol)
- COX2 Inhibitors
Medial Branch Block
This diagnostic procedure is performed to identify a painful facet joint. The facet joints are the joints between the vertebrae in the spine. They allow the spine to bend, flex and twist.
Non-Surgical Approach to Chronic Neck & Back Pain
Injury, deterioration, normal wear-and-tear, and lifestyle factors can all contribute to lower back pain. Part of what makes treating the back so complex is that the back is made of so many different components that can become injured. Discs, the cushions that lie between the vertebrae of the spine, are a common source of back problems. They can break down, rupture, bulge, or herniate, causing additional damage to the surrounding nerves and spinal structures and causing pain, numbness, and other uncomfortable symptoms.
Now you don't have to live with the pain. Spinal decompression relieves chronic pain from neck and back injuries without surgery. This technology was engineered specifically to help patients suffering from herniated or deteriorating discs quickly return to more active lifestyles - without surgery.
Procedure: A special machine is used for this procedure. You will be asked to lay on a special decompression bed. The doctor advises the patient on which position to take and carefully straps the patient’s limbs according to a personalized procedure. A computer gently stretches your body into various positions, relieving nerve compression often associated with lower back pain and sciatica. You can imagine being on a gentle stretching machine where a computer program will guide a carefully-designed, light stretching of your spine.
Each session lasts about 30 to 45 minutes. In the beginning, you will probably have sessions every day for a couple of weeks. After that, you will keep going three times a week, eventually cutting down to two times per week before ending the program.
Result and Benefits: Most patients begin to feel much better after only a few sessions. By the second week, you will likely notice a significant reduction in your level of pain. The most significant benefit of the spinal decompression approach is that patients are able to reduce or eliminate their medication intake and increase their quality of life without having to undergo surgery.
- - -
Sacroiliac Joint Steroid Injection
This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
Although less detailed than an MRI or CT scan, x-rays are a quick, comfortable way for your doctor to take pictures of the inside of your body. X-ray is an important primary diagnostic tool.
Epidural Steroid Injections
Cervical Epidural Steroid Injection
This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
Lumbar Epidural Steroid Injection
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
Trigger Point Injections
This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.