State of the art techniques:
Below are short descriptions of the procedures. By clicking on Learn More you will find the answers to many questions our patients ask. You will also find some illustrations to help you understand the procedures we perform.

Spinal cord stimulation - Spinal cord stimulation is the electrical stimulation of a precise area in the spinal cord in order to block the transmission of pain.
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Radiofrequency Treatment - Radiofrequency Treatment is a procedure using a specialized machine to interrupt nerve conduction on a semi-permanent basis. The nerves are usually blocked for 3-18 months (can be as short as 3 months or as long as 18 months).
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Epidural steroid injection - The Epidural steroid injection is a procedure in chich a local anesthetic and a steroid are administered into the epidural space, or near the nerve root, in the area of the spinal cord. This is usually done under fluoroscopy (watching under live x-ray) to deliver the drug to the precise location.
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Facet joint injection - Facet joints are small joints present, one on each side of the vertebra, in the spinal column. They connect each vertebra with the vertebra above and below. These joints help us to bend forward and backward and to a limited extent to the side. Facet joint blocks are injections of local anesthetic and a steroid into the facet joints.
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Discography/Spinal diagnostic procedures (cervical thoracic, lumbar) - Lumbar Discography is a procedure designed to test the disc itself for pain generation. It is done by placing a needle inside the disc and then pressurizing the needle. That simulates standing up or loading the disc.
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Sacroiliac Joint Block - A Sacroiliac Joint Block is an injection procedure used to diagnose and treat low back pain associated with injury or disease to the sacroiliac joint. The sacroiliac joints are located in the area of the low back and buttocks where the pelvis joins with the spine.
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Selective nerve root block (transforaminal epidural steroid injection)

Epiduroscopy - Epiduroscopy is the use of a fiber optic scope to provide direct visualization of the epidural space. Its purpose is to get a specific diagnosis of the soft tissue pathology in the epidural space and perform injections to the area. The scope is similar to that used to perform laparoscopic gall bladder and pelvic surgery. The procedure is generally used in patients who have intractable back pain or sciatica that had not responded to other therapies.
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IntraDiscal Electrothermal Therapy - Is a procedure for disc-related problems in the lower back. A thermal treatment with the Intradiscal Catheter is intended to treat the protein wall of your disc and reduce the volume of disc material that causes nerve irritation.
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Myoneural injection (with or without Botox)

Nucleoplasty procedures

Percutaneous Discectomy

Sympathetic block