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Treatments

MODALITIES

Transcrainial Magnetic Stimulation (TMS)

Transcranial Magnetic Stimulation (TMS) is a cutting-edge, non-invasive treatment that uses targeted magnetic pulses to stimulate nerve cells in the brain, effectively treating symptoms of major depression, anxiety, and other neurological conditions. Unlike traditional treatments, TMS is safe, painless, and requires no medication, making it an ideal option for those who have not found relief with other therapies. Patients often experience significant improvement in their mood and overall well-being after just a few sessions. If you or a loved one are struggling with depression or anxiety and are seeking a proven, drug-free treatment option, reach out today to schedule an appointment and start your journey toward a brighter, healthier future.

Injections

Pain Interventionists can inject medicines directly into an affected area or joint space. These injections act quickly and can reduce inflammation caused by arthritis or other degenerative conditions.

Physical Therapy

A branch of medicine that involves strengthening the joints and muscles through targeted exercises overseen by an assigned physical therapist. Can assist in recovery after surgery, or used by itself as a therapy to reduce chronic pain.

Bio-identical Hormone Replacement Therapy

Method of treatment depends on the cause of low testosterone, the patient’s preferences, cost, tolerance, and concern about fertility. We start with provider administered testosterone in a muscle weekly depending on patient need to allow for adjusting for optimal results.

Electromyography (EMG) / Nerve Conduction Study (NCS)

Electromyography sends small electrical currents through the nerves to diagnose nerve issues. The electrogram (EMG) tests your muscles and nerves. It consists of two parts: a nerve conduction study (NCS) and a muscle test. The results can help your doctor diagnose certain disorders or conditions. The nerve conduction study involves stimulating the nerves at different points with a small electric current. This measures how well your nerves conduct their signals. The muscle exam involves inserting very small needles into different muscles. These needles pick up on normal and abnormal signals given off by a muscle when moved.

PROCEDURES

Epidural Steroid Injections

Approaches:

  • Interlaminar approach: spinal needle entry between the vertebrae of the back or neck
  • Transforaminal approach: epidural: spinal needle entry from the side at the nerve root exit from the spinal canal
  • Caudal epidural: if someone had extensive surgery, it may be necessary to place a needle through to sacral hiatus and inject medication upwards into the canal. This approach is often used if there is bony fusion along the surgical levels of the spine and other approaches would not be able to be performed

Medial Branch Blocks/ Facet Joint Injection

Medication placed outside of the spinal canal but around the sensory nerve of the joint, or within the joint itself.

Rhizotomy/Radiofrequency Ablations

The approach is like the medial branch block. Heat is utilized to lesion the nerves instead of anesthetic as a blocking agent.

Spinal Cord Stimulation

Individuals with chronic pain that have failed other conservative measures such as epidurals, and even surgery can consider small lead placement along the pain pathway of the spinal cord that change the way pain signals/sensations are transmitted to the cerebral cortex.

Trigger point injection

Muscles can develop chronic spasms are regions within the tissue that become “knotted”. A trigger point targets medication directly into the muscle.

Medication Management

Although physicians try extremely hard to physically resolve a person’s pain, at times medications for extreme cases are necessary to help a person cope with chronic pain symptoms. Medication management is sculpted on a case-to-case basis for patients when pain is unresponsive to other forms of treatment.

Joint Injection

Injections for the shoulders, knees, hips, and even ankles can be performed in office. These procedures can entail use of medications such as steroid or cartilage substitute, or even a person’s own internal healing agents such as platelet rich plasma. Growth factors that occur in your blood stream are drawn out and injected into an area of tissue or joint damage.