A Facet Nerve Block is a minimally invasive procedure used to diagnose and relieve pain originating from the facet joints of the spine. These small joints are located between each vertebra and help stabilize the spine while allowing for smooth movement. When these joints become inflamed or irritated due to arthritis, injury, or other spinal conditions, they can cause chronic pain in the neck, mid-back, or lower back.
At our practice, we offer Facet Nerve Blocks for the following spinal regions:
- Cervical (neck)
- Thoracic (mid-back)
- Lumbar (lower back)
How the Procedure Works
During the procedure, a small amount of local anesthetic — sometimes combined with a steroid medication — is carefully injected near the nerves supplying the affected facet joints. The injection is guided using real-time imaging (fluoroscopy or ultrasound) to ensure precision and safety.
Purpose of the Procedure
- Diagnostic: If the block provides temporary pain relief, it confirms that the facet joints are the source of the discomfort.
- Therapeutic: The anti-inflammatory medication may help reduce swelling and provide longer-lasting relief.
What to Expect
- The procedure typically takes 15–30 minutes.
- You may feel immediate relief from the anesthetic; lasting results may take a few days to develop.
- Most patients return to normal activities within 24 hours.
- Multiple injections may be recommended depending on the level and extent of the pain.
Conditions Treated
- Facet joint syndrome
- Spinal arthritis (osteoarthritis)
- Whiplash injuries
- Chronic neck or back pain unresponsive to conservative treatments
Our experienced medical team will assess your symptoms and imaging results to determine if a Facet Nerve Block is right for you. We prioritize patient safety, comfort, and long-term relief through evidence-based treatments.
Sacroiliac (SI) Joint Injections
Sacroiliac (SI) Joint Injections are a safe, minimally invasive procedure used to diagnose and treat pain in the sacroiliac joints — the joints that connect the lower spine (sacrum) to the pelvis. When these joints become inflamed or dysfunctional, they can cause pain in the lower back, buttocks, hips, or even radiate down the legs.
Why You Might Need an SI Joint Injection
SI joint pain can result from:
- Arthritis or degeneration
- Pregnancy or childbirth
- Trauma or injury
- Uneven leg length or abnormal gait
- Prior lumbar fusion surgery
How the Procedure Works
Using image guidance (fluoroscopy or ultrasound), your provider will inject a local anesthetic and a corticosteroid directly into the SI joint. The anesthetic helps confirm if the joint is the source of your pain, while the steroid works to reduce inflammation and provide longer-lasting relief.
Benefits of an SI Joint Injection
- Pinpoint the exact source of lower back or pelvic pain
- Provide pain relief
Epidural Steroid Injections for Back Pain Relief
Epidural Steroid Injections (ESIs) are a widely used, non-surgical treatment designed to relieve inflammation and pain in the spine. These injections deliver a powerful anti-inflammatory medication (steroid) directly into the epidural space—the area surrounding the spinal nerves—to help reduce nerve irritation and improve mobility.
When Are Epidural Injections Recommended?
Epidural injections may be an effective option if you are experiencing:
- Chronic lower back pain
- Sciatica or leg pain from a herniated disc
- Spinal stenosis (narrowing of the spinal canal)
- Degenerative disc disease
- Nerve compression or inflammation
How the Procedure Works
The procedure is typically performed under live X-ray guidance (fluoroscopy) for precise needle placement. A corticosteroid and local anesthetic are injected into the epidural space near the affected nerve root.
- The anestheticprovides immediate but temporary pain relief.
- The steroidhelps reduce inflammation, offering longer-term improvement in symptoms.
What to Expect
- The procedure usually takes 15–30 minutes.
- Most patients resume normal activity within 24 hours.
- Pain relief may begin within a few days and can last for weeks or even months.
- A series of injections may be recommended for optimal results.
Benefits of Epidural Injections
- Minimally invasive
- Helps delay or avoid surgery
- Improves function and quality of life
- Reduces the need for oral pain medications
At our practice, we take a personalized approach to spinal care. Our experienced team uses advanced imaging and precise techniques to ensure your comfort and the best possible outcomes.
Radiofrequency Ablation (RFA) for Chronic Pain Relief
Radiofrequency Ablation (RFA) is a minimally invasive, non-surgical procedure used to reduce or eliminate chronic pain, most commonly in the neck, back, and joints. This advanced treatment targets specific nerves that transmit pain signals, using heat generated by radiofrequency energy to temporarily "disable" those nerves—providing lasting relief without the need for medication or surgery.
What Conditions Can RFA Treat?
RFA is often recommended for patients with:
- Chronic neck or lower back pain
- Facet joint arthritis
- Sacroiliac (SI) joint dysfunction
- Pain after spinal surgery
- Certain types of joint pain, including knee or hip
How the Procedure Works
Using fluoroscopic (X-ray) guidance, a thin needle is placed near the affected nerve. Once the correct position is confirmed, radiofrequency energy is delivered through the needle to heat and disrupt the pain signal pathway. The procedure is typically performed under local anesthesia with mild sedation if needed.
What to Expect
- The procedure takes approximately 30–60 minutes.
- Most patients return to light activities the same or next day.
- Pain relief typically begins within 1–3 weeks and can last 6 months to over a year.
- The procedure can be safely repeated if needed.
Benefits of Radiofrequency Ablation
- Significant, long-lasting pain relief
- Reduced need for pain medications
- Improved mobility and quality of life
- Outpatient procedure with minimal recovery time
At our practice, we use state-of-the-art imaging and precision techniques to ensure the highest level of safety and comfort. If you’ve tried other treatments without success, Radiofrequency Ablation may offer the relief you've been searching for.
Trigger Point Injections (TPI) for Back Pain Relief
Trigger Point Injections (TPIs)Â are a safe and effective treatment for relieving muscle-related pain, particularly in the back, neck, and shoulders. Trigger points are tight knots or bands of muscle that can form due to stress, overuse, injury, or underlying conditions like fibromyalgia. These knots can irritate surrounding nerves and cause referred pain in other parts of the body.
What Are Trigger Point Injections?
A Trigger Point Injection involves the precise injection of a small amount of medication—usually a local anesthetic, sometimes combined with a corticosteroid—directly into the affected muscle knot (trigger point). The injection helps relax the muscle, reduce inflammation, and relieve pain.
Conditions Treated with TPIs
- Chronic back or neck pain
- Myofascial pain syndrome
- Muscle spasms and tension
- Pain following injury or overuse
- Fibromyalgia-related muscle pain
What to Expect During the Procedure
- Performed in-office and typically takes just a few minutes
- Minimal discomfort—most patients describe only a slight pinch
- Multiple trigger points can be treated in one session if needed
- Relief may be immediate or develop over the following days
- Normal activities can usually be resumed the same day
Benefits of Trigger Point Injections
- Rapid pain relief
- Reduced muscle tightness and spasms
- Improved range of motion and function
- Non-surgical and low-risk
At our practice, we tailor treatment plans to each patient’s unique needs. Trigger Point Injections can be a valuable part of a comprehensive approach to managing chronic back pain and restoring quality of life.
Transforaminal Nerve Block Injection
A Transforaminal Nerve Block Injection is a targeted, minimally invasive procedure used to relieve pain caused by inflamed or compressed spinal nerves. This injection is often used to treat nerve-related pain in the neck, back, arms, or legs due to conditions such as herniated discs, spinal stenosis, or sciatica.
What Is a Transforaminal Injection?
The term transforaminal refers to the foramen — the small openings on each side of the spine where nerve roots exit. During the procedure, a corticosteroid and a local anesthetic are precisely injected into the area around the irritated nerve root through the foramen. This reduces inflammation and relieves pain at the source.
Conditions Treated
- Herniated or bulging discs
- Sciatica or leg pain
- Cervical or lumbar radiculopathy
- Spinal stenosis
- Nerve compression from arthritis or degenerative disc disease
How the Procedure Works
- Performed under fluoroscopic (X-ray) guidance for precision and safety
- Local anesthetic provides temporary relief; the steroid reduces long-term inflammation
- Typically takes 20–30 minutes and is done in an outpatient setting
- You may resume normal activities within a day, depending on your response
Benefits of a Transforaminal Nerve Block
- Directly targets the source of nerve pain
- Minimally invasive with low risk
- Can help delay or avoid surgery
- Offers both diagnostic and therapeutic value
- May be repeated if necessary for ongoing relief
At our practice, we specialize in advanced pain management techniques to help you regain function and comfort. Transforaminal Nerve Block Injections are one of the many tools we use to help patients return to their daily lives with less pain.
Joint Injections for Pain Relief and Improved Mobility
Joint Injections are a minimally invasive, effective treatment option used to reduce pain and inflammation in joints affected by arthritis, injury, or overuse. These injections deliver medication directly into the affected joint, helping to relieve symptoms, improve mobility, and support overall joint function.
What Are Joint Injections?
Joint injections typically involve a corticosteroid (a powerful anti-inflammatory medication) and sometimes a local anesthetic. In certain cases, other substances such as hyaluronic acid (for knee osteoarthritis) or regenerative therapies (like platelet-rich plasma or stem cells) may also be used.
Commonly Treated Joints
- Knees
- Shoulders
- Hips
- Elbows
- Wrists and ankles
- Sacroiliac (SI) joints
Conditions That May Benefit from Joint Injections
- Osteoarthritis
- Rheumatoid arthritis
- Bursitis
- Tendonitis
- Joint inflammation due to overuse or injury
- Sports injuries
What to Expect During the Procedure
- Performed in-office, often under ultrasound or X-ray guidance for accuracy
- Quick procedure — usually 15–30 minutes
- Minimal discomfort; most patients resume normal activities shortly after
- Relief can begin within a few days and may last weeks to months
Benefits of Joint Injections
- Targeted pain relief
- Reduced inflammation and stiffness
- Improved joint function and mobility
- May help delay or avoid surgery
- Enhances effectiveness of physical therapy or rehab
At our practice, we offer personalized care and advanced injection techniques to help patients manage joint pain and restore quality of life. Whether you’re dealing with a chronic condition or a recent injury, joint injections may be a key part of your treatment plan.