Medical Procedures

Pain Management Frisco and Sherman

Patients experiencing pain do best when they understand more about the array of treatment procedures that may be applied to their disorder. To define procedures specific to the Precision Pain Care practices, please see the following descriptions:

Trigger points

To break up abnormal muscle fibers, we employ the following kinds of intramuscular injections:

  • Dry needling, with no fluid injected
  • Numbing medication
  • Physical examination to further evaluate the CAUSE of the trigger points
  • Numbing medication with a small amount of steroid or Botox┬«

Interlaminar epidural steroid injections

Non-specific injections placed around the spinal nerves used to reduce irritation involving nerve roots and generally not used to fully relieve back pain. The solution includes steroid, saline, and sometimes, a small amount of numbing medication.

herniated disk, inter-laminar pain

Sacro-iliac joint injection

Calms pain in the mid-buttocks region

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Transforaminal epidural steroid injections

Steroids and numbing medication given around specific nerve roots to calm the irritation in the leg or arm.

Facet injections

Multiple injections of steroids and numbing medication placed in small facet joints of the spine.

facet joint injections

Facet medial branch block

Performed only with numbing medication on the nerve giving sensation to facet joints. This is not a treatment but a diagnostic procedure. If these injections result in some pain relief, the indication is that the patient may get 6 to 12 months of relief by receiving a facet rhizotomy. (See below)

Facet rhizotomy

A procedure that gives the patient 6 to 12 months of relief from back pain by placing a small wire on the nerve giving sensation to facet joint.


Used in the neck to block burning pain in the arm and, occasionally, the face. This is a sympathetic nerve block used for complex regional pain syndrome (CRPS), formerly known as causalgia, and herpes zoster infections.

Celiac plexis/ Splanchnic nerve block

Sympathetic nerve block injections applied to the upper abdomen to treat pain related to pancreatitis or pancreatic cancer.

sympathetic chain blockade

Lumbar sympathetic block

Applied to the lower back to treat CRPS, formerly known as causalgia in the lower legs.

Hypogastric block

Injections delivered to the lowest part of the back to treat pelvic and anal pain.

Ganglion of lmpar block

A sympathetic nerve block delivered by injection to treat anal pain.

Caudal epidurals

Steroid injections in the lowest part of the spinal canal; indicated for leg pain, especially after spinal surgery.

caudal, pelvic pain, pain specialist near me

Piriformis injection

An intramuscular injection of either steroids or Botox® to treat buttocks pain and sciatic nerve. impingement

sciatic nerve pain, pelvic pain


Injections performed with a special catheter to break up scar tissue, causing spinal canal narrowing.

Peripheral nerve blocks

Indicated before surgery on specific parts of the body or when a nerve is inflamed, these injections are applied to the face, neck, arm, leg, back, or groin to block a specific nerve.

Subacromial bursa injections

Injection warranted as part of conservative treatment for rotator cuff syndrome; involves an injection of steroid into the inflamed bursa (fluid-filled sac).

Biceps tendon injection

To be used infrequently, this steroid injection is given around the biceps tendon to treat tendonitis.

Glenohumeral joint injections

A steroid injection into the shoulder joint, warranted for shoulder arthritis.

Acromial-clavicular (AC) joint injections

Injection of steroid into the smaller shoulder joint.

Sterno-clavicular (SC) joint injections

Steroid injections into the smallest joint where the collar bone meets the sternum (breast bone)

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Medial epicondyle injections

Used to calm “golfer’s elbow.”

Carpal tunnel injections

Given around the medial nerve in the wrist when it is compressed and causing hand and wrist pain and weakness

Hand and wrist joint injections

Used to decrease inflammation associated with various forms of arthritis

DeQuarivan's injections

Applied around the thumb to calm inflammation.

Intra-articular knee injections

Used to treat knee arthritis, patella femoral syndrome, and meniscus tear (to help decrease pain and help delay surgery until it is absolutely needed.

knee and leg pain, femur, tibia, patella

Trigger finger injections

Given to calm pain and locking of irritated finger flexor tendons.

Plantar fasciitis injections

Applied to the bottom of the foot to relieve the pain of plantar fasciitis.

Pes anserine injections

Used to decrease inflammation of the pes bursa, which causes some forms of knee pain.

Plantar fasciitis injections

Applied to the bottom of the foot to relieve the pain of plantar fasciitis.

Morton's neuroma injection

Usually placed between the second and third toe to treat pain caused by nerve overgrowth.

Sinus tarsi injections

Placed in a major foot joint to either help heal the Spring ligament or decrease inflammation.

Ankle joint injections

Placed in the ankle joint to decrease inflammation.

ankle joint, plantar fasciitis

Greater trochanter injections

Administered into the bursa (fluid sac) overlying the hip.

Intra-articular hip injections

Injections into the hip joint, used for arthritis and, occasionally, labral tears and even avascular necrosis (dead hip bone) to delay the need for hip joint replacement.

Ischial tuberosity bursa injections

Placed in the fluid-filled sac on the buttocks to help resolve localized pain.

greater trochanter pain, pelvic pain, lower body pain

*The content provided here is for informational purposes only. A complete and concise treatment plan must be developed by a trained medical professional and only with the best interest of a patient in mind.