PERIPHERAL NERVE STIMULATOR
A small amount of electrical current is used to stimulate nonpainful sensory pathway. The electrical current tricks the brain into turning off or reducing the pain signals.

HIP ARTHROGRAM WITH ANESTHESIA
Some medical conditions, injuries and aging can cause hip pain. A hip arthrogram is an injection which places medication into the hip joint under x-ray guidance after a dye or contrast has been injected into it.

DISCOGRAPHY
Discography is a diagnostic procedure to identify painful discs in the spine.  During discography, a contrast dye is injected into the disc. An X-Ray is then taken to view the disc and to see if the dye leaks out of the disc. Pressure within each disc is also measured during and after dye injection. Computed tomography (CT) is usually performed after discography to look for changes in the disk, tears or other injuries in the outer layer.

SHOULDER INJECTIONS
Shoulder injections involve inserting a needle into the shoulder joint, then injecting medicine that can relieve pain. 

CAUDAL EPIDURAL STEROID INJECTIONS
Caudal Epidural Steroid Injections are a combination of a steroid and a local anesthetic that is delivered to the lower back to treat chronic back and lower extremity pain.

TRANSLAMINAR EPIDURAL STEROID INJECTIONS
This procedure is used to treat chronic neck and back pain, anywhere along the spine.  Anti-inflammatory medication is injected directly into the epidural space to reduce pain and swelling.

STELLATE-GANGLION BLOCK
A stellate ganglion block is an injection of a small amount of local anesthetic and anti-inflammatory in the sympathetic nerve tissue of the neck, located on either side of the voice box.  This blocks the nerves that go to the arms and to the sympathetic nerves that go to the face. This may reduce pain,  swelling,  color and sweating changes in the upper extremity and may improve mobility.

SACROILIAC JOINT INJECTIONS
Guided by a special x-ray,  local anesthetic is injected into the affected joint.  If the anesthetic relieves the pain, this pinpoints where the pain is originating. A steroid medication is also injected. This strong, long-acting medicine reduces inflammation within the joint, which could help relieve the pain over a long period of time.

SPINAL CORD STIMULATOR
A small pulse generator sends electrical pulses to the spinal cord. These pulses interfere with the nerve impulses that make you feel pain, replacing them with a tingling sensation.

FACET RADIOFREQUENCY DENERVATION
Radiofrequency facet denervation (RFD) is used to treat central neck or back pain caused by arthritis. A heated needle is used to damage a portion of the nerve. This stops that nerve from sending pain signals. 

PERIPHERAL NERVE BLOCK
Peripheral nerve blocks are done to control pain arising from a nerve. A combination of cortisone and long-acting local anesthetic is injected close to the injured nerve in order to provide pain relief and reduce nerve irritation. 
Procedures
Some possible pain-relieving procedures, performed by a pain management physician, are described below. Your pain management physician can recommend what, if any, procedures may be right for you.

NERVE STIMULATOR
This procedure works by targeting nerves causing pain. A small amount of electrical current is introduced to the nerves.  This tricks the brain into turning off or significantly reducing  pain signals.

CERVICAL, THORACIC AND LUMBAR INJECTIONS
A cervical (neck), thoracic (upper back) or lumbar (lower back) injection involves injecting a steroid medication, which can anesthetize the  joints and block the pain.

TRANSFORAMINAL EPIDURAL STEROID INJECTIONS
This procedure is done with a fluoroscope, a special x-ray machine that guides needle placement. A light intravenous sedation and a local anesthetic in the area over the nerve root are given to relieve pain.  A steroid medication is also injected around the nerve root to decrease the inflammation and swelling of the nerve root. 

OCCIPITAL NERVE RADIOFREQUENCY DENERVATION
People with occipital neuralgia have jabbing pain usually in the lower back of the head on one side, though it can spread to other areas.  Occipital Nerve Radiofrequency Denervation can be an effective treatment for this condition.

SYMPATHETIC BLOCK
This therapy targets the sympathetic nervous system, a series of nerves that spread out from your spine to your body to help control several involuntary body functions. A sympathetic nerve block involves injecting a local numbing anesthetic and a corticosteroid into the space where the sympathetic nerves are located. 
© 2015 Total Pain Management Las Vegas. All rights reserved.
DISCLAIMER: All information contained in this website is for general purposes only. It is not intended for medical advice. All patients or potential patients needing prescription refills or medical advice will need to schedule a consultation with a health-care practitioner. If you are having a medical emergency, please dial 911.
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