We provide minimally invasive treatments to eliminate pain in joints, limbs, muscles, tendons, ligaments, and nerves.

Treatments

Joint Injections

We treat disorders of the joints including problems with ligaments and menisci, as well as labral and cuff injuries. We perform the majority of these injections under direct visualization using ultrasound or x-ray guidance.

portrait of living young couple at the beach

Epidural Injections

An epidural injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into the epidural space of the spine in the treatment of neck pain, arm, back pain, and leg pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation. There are several types of epidural injection, which may be performed via the interlaminar (posteriorly, between the vertebra), transforaminal (from the side via the nerve foramen or opening) and the caudal (sacral area) routes.

Doctor during spine operation in operating room

Facet Injections

Facet joints, also called zygapophyseal joints are the small joints along the spine that provide stability and help guide motion. A facet joint injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into a spinal facet joint for pain relief.

Radiofrequency Treatments

Radiofrequency ablations are minimally invasive treatments in which a needle probe is used to deliver energy via radio waves to heat up a nerve for the purpose of pain relief. At Pain Care Doctors, these procedures are used for the treatment of spine pain, sacroiliac pain, and pain in the hips and knees. This includes the pain in the hips and knees that may persist after a joint surgery or replacement.

3d rendered illustration of a joggers painful knee

Coolief ™

Coolief ™ is a brand of radiofrequency ablation which is a minimally invasive treatment in which a needle probe is used to deliver energy via radio waves to heat up a nerve for the purpose of pain relief. The Coolief ™ system creates a larger lesion size than standard radiofrequency treatment. We often utilize it for the treatment of spine pain, sacroiliac pain, and pain in the hips and knees. This includes the pain in the hips and knees that may persist after a joint surgery or replacement.

Sacroiliac Joint Injections

A sacroiliac injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into the sacroiliac joint for the relief of low back pain or pelvic area pain.

The doctor conducts a procedure for young girl injections of chondroprotector and ozone therapy against intervertebral hernia, inflammation and back pain, copy space, spondylosis

Trigger Point Injections

A trigger point injection is a minimally invasive procedure in which local anesthetic or other agent is injected into a tender area of muscle or trigger point.

Nerve Blocks

A nerve block is a minimally invasive procedure involving the injection of medication in the vicinity of a nerve to block the function of that nerve with the goal of reducing pain.

Spinal Cord Stimulation

A spinal cord stimulator is a device implanted in a minimally invasive fashion in which a pulse generator sends a signal to a wire placed near the spinal cord. An electrical impulse is sent to stimulate the nerves in the area where your pain is felt. This may be helpful for patients with chronic pain in the spine, arms, or legs.

Peripheral Nerve Stimulation

A peripheral nerve stimulator is a device implanted in a minimally invasive fashion in which a pulse generator sends a signal to a wire placed near a peripheral nerve. An electrical impulse is sent to stimulate the nerves in the area where your pain is felt. This may be helpful for patients with chronic pain in the ribs, arms, or legs. We implant both temporary and permanent types of peripheral nerve stimulators.

PercutaneousTenotomy and Percutaneous Fasciotomy

Minimally invasive technology for treatment of chronic tendon pain.Percutaneous tenotomy / percutaneous fasciotomy is a minimally invasive technology used to treat chronic tendon pain by precisely targeting and removing damaged tissue without the need for conventional surgery. The site of tendon pathology is identified under ultrasound imaging. Under live ultrasound guidance, a small instrument is used to remove the damaged tissue allowing the body to heal within 4-6 weeks. This has been used successfully in helping patients avoid surgery in clinical cases of lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow), achilles tendinitis, patellar tendinitis, plantar fasciitis, and gluteal tendinitis which is often referred to as trochanteric bursitis.

Ultrasound Guided Carpal Tunnel Release

We utilize the Sonex Health™system for Carpal tunnel syndrome release. This minimally invasive procedure is done with a very small incision which does not require stitches. Recovery time is usually in days, rather than the weeks which is usually required after conventional carpal tunnel release.

The Intracept® procedure

The intracept® procedure is a new procedure for chronic low back pain. In patients with chronic low back pain, the discs are often described as the source of pain, however, in many patients it has been discovered that the vertebral end plates are a major source of pain. The Intracept® procedure targets the basivertebral nerve for the relief of chronic vertebrogenic low back pain in select patients.

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