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:
To break up abnormal muscle fibers, we employ the following kinds of intramuscular 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.
Calms pain in the mid-buttocks region
Steroids and numbing medication given around specific nerve roots to calm the irritation in the leg or arm.
Multiple injections of steroids and numbing medication placed in small facet joints of the spine.
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)
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.
Sympathetic nerve block injections applied to the upper abdomen to treat pain related to pancreatitis or pancreatic cancer.
Applied to the lower back to treat CRPS, formerly known as causalgia in the lower legs.
Injections delivered to the lowest part of the back to treat pelvic and anal pain.
A sympathetic nerve block delivered by injection to treat anal pain.
Steroid injections in the lowest part of the spinal canal; indicated for leg pain, especially after spinal surgery.
An intramuscular injection of either steroids or Botox® to treat buttocks pain and sciatic nerve. impingement
Injections performed with a special catheter to break up scar tissue, causing spinal canal narrowing.
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.
Injection warranted as part of conservative treatment for rotator cuff syndrome; involves an injection of steroid into the inflamed bursa (fluid-filled sac).
To be used infrequently, this steroid injection is given around the biceps tendon to treat tendonitis.
A steroid injection into the shoulder joint, warranted for shoulder arthritis.
Injection of steroid into the smaller shoulder joint.
Steroid injections into the smallest joint where the collar bone meets the sternum (breast bone)
Used to calm “golfer’s elbow.”
Given around the medial nerve in the wrist when it is compressed and causing hand and wrist pain and weakness
Used to decrease inflammation associated with various forms of arthritis
Applied around the thumb to calm inflammation.
Used to treat knee arthritis, patella femoral syndrome, and meniscus tear (to help decrease pain and help delay surgery until it is absolutely needed.
Given to calm pain and locking of irritated finger flexor tendons.
Applied to the bottom of the foot to relieve the pain of plantar fasciitis.
Used to decrease inflammation of the pes bursa, which causes some forms of knee pain.
Applied to the bottom of the foot to relieve the pain of plantar fasciitis.
Usually placed between the second and third toe to treat pain caused by nerve overgrowth.
Placed in a major foot joint to either help heal the Spring ligament or decrease inflammation.
Placed in the ankle joint to decrease inflammation.
Administered into the bursa (fluid sac) overlying the hip.
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.
Placed in the fluid-filled sac on the buttocks to help resolve localized 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.