Treatment

The causes of pain can be complex, and there are many different methods used to treat chronic pain. After a thorough evaluation with a Pain Specialists of Charleston physician, the best pain treatment program will be determined. Here are some of the common procedures used to treat chronic pain.

Caudal Steroid Injection

Caudal Steroid Injections treat pain in the lower back and buttock area, reducing inflammation and pain and promoting healing. Pain and symptons are usually improved within 3 -7 days.

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Celiac Plexus Block

Celiac Plexus Block is used to prescribe pain in the upper abdomen related to malignancy.

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Cervical Steroid Injection

These injections reduce inflammation and pain in nerves in the cervical spine that may cause pain in the neck, shoulder, or arms.

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Discography

Discography is a diagnostic test used to determine which interventional disc is the source of the patient’s pain in the neck or the back.

Epidural Steroid Injection

A corticosteroid injected into the epidural reduces the inflammation and/or swelling of the tissues near the nerves in the epidural space. This may reduce the pain, tingling, numbness, and other symptoms caused by nerve inflammation and/or irritation and swelling. In addition to treating back pain, epidural injections are used to treat knee, shoulder, and hip pain.

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A facet joint injection serves several purposes. First, by placing numbing medicine into the joint, the amount of immediate pain relief you experience will help diagnose the joint as a source of your pain. That is, if you obtain relief of your main pain while the facet joints are numb, then these joints are likely your pain source. Furthermore, time-release cortisone will be injected into these joints to reduce any presumed inflammation, which can, on many occasions, provide long-term pain relief.

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Fascia Iliaca Block

Fascia Iliaca Blocks offer post-operative pain relief for procedures and injuries involving the hip, anterior thigh, and knee.

Hip Joint Injections

Hip joint injections are used as both a diagnostic test to determine if pain is coming from the hip joint, as well as a therapeutic injection to give relief for the pain of the hip joint.

Ilioinguinal Injection

Ilioinguinal injections treat pain in the lower abdomen, often caused by scar tissue after abdominal surgery.

Interlaminar Epidural Injections

Interlaminar epidural injections are used to relieve pain back pain, leg pain, or other pain caused by irritated or inflammed spinal nerves

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Knee Injections

Knee joint injections are therapeutic injection giving relief for the pain specifically related to the knee joint.

Lumbar Epidural Steroid Injection

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Lumbar Sympathetic Block

This procedure is used to treat pain in patients with sympathetic dystrophy (RSD) of the lower extremity. A numbing medicine injected into the sympathetic nerves “break” the pain message that is sent from the lower extremity to the brain.

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Medial Branch Block

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Radiofrequency Ablation (Rhizotomy) Cervical, Thoracic & Lumbar

Lumbar, Cervical or Thoracic -If the patient has had 2 successful medial branch blocks (diagnostic and confirmatory), radiofrequency ablation (Rhizotomy) is performed to give patients more long term pain relief (9 months to a year).

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Sacroiliac Joint Steroid Injection

Sacroliac joint injections treat pain in the hip or buttock area caused by saccroilitis or inflammation in that joint.

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Shoulder Joint Injections

These injections are for pain arising from the joint itself and are given with sedation.

Spinal Cord Stimulator Implant

Spinal cord stimulation is a widely accepted medical treatment. It is an FDA-approved therapy for treatment of chronic pain of the trunk and limbs (back, legs and arms). Pain Specialists of Charleston is one of the only practices in the Lowcountry conducting spinal cord stimulator clinical trials.

For additional Neurostimulation information and resources, visit St. Jude Medical’s website: www.PowerOverYourPain.com

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Stellate Ganglion Block

Stellate injection treatments are for patients with reflex sympathetic dystrophy (RSD) of the upper extremity. This chronic pain may be the result of trauma, surgery, amputation, or stroke.

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Thoracic Epidural Injections

These injections reduce Inflammation and pain in the nerves in the thoracic spine may cause pain in your mid-back, along your ribs, to your chest wall or abdomen.

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Transforaminal Selective Nerve Root Block Injection

A nerve root block may be used by your physician to diagnose and try to determine from which level in your spine the pain is coming) and provide therapeutic relief at this level with medication.

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