Interventional Pain Management

Boston PainCare offers many methods of treatments to assist with pain relief. Our team of experts will evaluate your medical history, pain symptoms and work together to offer you the most optimal treatments to reduce or eliminate your pain. To learn more about some of our treatments, click on the following:

Botox Injections

Since 2010, Botox has been FDA-approved to treat patients with chronic migraine headaches. When Botox is injected, it temporarily reduces muscle contractions which may in turn reduce the frequency, severity, and duration of a migraine. After an evaluation at the Boston Headache Institute, we can tell you if you are a candidate for Botox.

Discography

Discography uses imaging guidance to direct an injection of contrast material into the center of one or more spinal discs to help identify the source of back pain. It also is used to help guide the treatment of abnormal intervertebral discs – sponge-like cushions located between the vertebrae of the spine. A discogram is typically performed to help diagnose the cause of back pain and to guide the treatment of abnormal discs. The procedure also may be performed prior to surgery to help identify discs that need to be treated or removed.

Epidurogram

Diagnostic epidurography is performed to assess the structure of the epidural space in your spine. This procedure is done before epidural steroids are administered to ensure accurate delivery of this therapeutic material to the source of your pain.

Epidural Steroid Injections

An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. An ESI involves the administration of a medicine directly at the site of the irritated area in order to reduce inflammation and discomfort. An ESI may be performed to relieve pain, numbness, or tingling caused by spinal stenosis, spondylolysis, or disc herniation.

Facet Joint Injections

A facet joint injection is often used to help diagnose and treat the symptoms of facet syndrome, also known as facet joint osteoarthritis, which is a spine condition that describes the inflammation and swelling of the facet joints within the spine. Facet joints are the structures along side of each vertebra that help allow movement of the spine. Over time, these joints are particularly prone to wear and tear, which causes the facet joint and surrounding nerves between each vertebra to become injured or inflamed. When this occurs, pain signals travel from the affected nerves to the brain and produce pain symptoms.

During a facet injection, a local anesthetic solution is injected into the inflamed joint in order to reduce the pain and temporarily numb the nerves surrounding the damaged joint.

Interscalene Blocks/Catheters

Interscalene nerve block refers to the technique of anesthetizing the roots or trunks of the brachial plexus in the neck between the anterior and middle scalene muscles.

Lumbar Sympathetic Block

A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Normally these nerves control basic functions like regulating blood flow.

Nerve Block Injections

A nerve block is a broadly used term to describe an injection or series of injections that are performed to treat occipital neuralgia, chronic migraine, and various types of headaches. Performing nerve blocks will typically take a few minutes and our clinicians may choose the injection site and medication based on the location and severity of your pain.

Occipital Nerve Blocks

Occipital nerve block is a procedure involving injection of steroids or anesthetics into regions of the greater occipital nerve and the lesser occipital nerve used to treat chronic headaches. Occipital nerves are located on the back of the head just above the neck area.

Peripheral Nerve Blocks

A peripheral nerve block is a type of regional anesthetic that involves injecting local anesthetics and other painkillers near the major nerves to your leg. A nerve block works by temporarily numbing your nerves to give pain relief. A peripheral nerve block is a type of regional anesthetic that involves injecting local anesthetics and other painkillers near the major nerves to your leg. A nerve block works by temporarily numbing your nerves to give pain relief.

Radiofrequency Ablation

Radiofrequency ablation, commonly referred to as RFA, is an effective long-term treatment for mechanical neck and low back pain due to joint inflammation. Using an X-Ray, your physician will guide a small needle to the target area and will send a small amount of energy through the needle tip by using a radiofrequency generator. The generator will continue to apply low temperature radio waves that will heat the targeted area and essentially “burn” the nerve, thus stopping its ability to send pain signals. RFA can possibly provide longer term relief of pain as compared with regular steroid injections. Click below to see our Boston PainCare Radiofrequency Ablation video.

Sacroiliac Joint Injection

The sacroiliac joints (SI joints) connect the sacrum to your hip on both sides. Joint inflammation in this area can cause pain. The purpose of this injection is to help diagnose your pain and to provide pain relief in this area.

Selective Nerve Root Block

Selective nerve root block injections are commonly administered to patients experiencing pain resulting from a compressed spinal nerve root. During this procedure, which generally only takes a few minutes, the physician injects a local anesthetic near the nerve at issue, at the point where the nerve passes through the patient’s vertebrae. The injection essentially blocks the pain signals being transmitted through the affected nerve. Nerve root blocks are used to diagnose the source of pain or provide temporary pain relief using corticosteriods. Selective nerve root block injections are commonly used for the cervical (upper), thoracic (middle) and lumbar (lower) areas of the spine, depending on the type of pain that a patient is experiencing.

Stellate Ganglion Injection

Stellate Ganglion injections are a common method of treatment for Complex Regional Pain Syndrome (CRPS) and shingles that affect the head, face, neck or arms. They can be used to either diagnose or treat pain. The Stellate Ganglion injection blocks the sympathetic nerves that are located on either side of the voice box in the neck. The Stellate Ganglion injection may decrease swelling, pain and sweating in the upper extremities.

Sympathetic Nerve Injections

Sympathetic Nerve Block is an injection that targets the sympathetic nervous system. The sympathetic nervous system controls several involuntary body functions such as blood flow, heart rate and sweating. A sympathetic nerve block can be used to treat pain as a result of Complex Regional Pain Syndrome (CPRS), Raynaud’s syndrome, and some types of abdominal pain. A sympathetic nerve block is an injection that involves injecting local anesthetic in the area where several nerves meet. The goal is to decrease or eliminate the pain signals being sent to the brain.

Trigeminal Nerve Root Block

The trigeminal nerve is one of several cranial nerves and is responsible for providing sensation to the face as well as various facial muscular functions such as chewing. Trigeminal neuralgia is a disorder of this nerve that causes shooting pain to one or both sides of the face. A trigeminal nerve block is an injection of medication that helps relieve this pain and other atypical facial pain syndromes.

Trigger Point Injection

Trigger point injection (TPI) is a simple procedure used to alleviate the areas of muscle that contain “trigger points,” or painful knots of a muscle that form when muscles do not relax. Many trigger points can actually be felt under the skin. These knots can irritate the nerves around them and cause referred pain to other parts of the body. After a TPI, the knot may be made inactive and pain is alleviated or less severe.

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