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Treatment Solutions

Diagnostic Imaging
Diagnostic Imaging

At Advanced Pain Medicine Associates, we specialize in state of the art pain treatment, using the latest technology and equipment. Everyone’s pain is different and requires a specific pain treatment plan, which is why our doctors always meet with patients for a full consultation before prescribing pain medicine or starting a plan.Some of our most common treatments include:

Kyphoplasty: This surgical procedure is used to stop pain commonly associated with a spinal fracture. Our doctor goes into the spine fluoroscopically to stabilize the bone with the help of a special balloon.

Minimally Invasive Lumbar Decompression Procedure: M.I.L.D. can help relieve leg and back pain due to nerve compression. The fluoroscopic procedure involves going into the spine and removing fibrous tissue.

Quantitative Sensory Testing: Q.S.T. is a way to assess the amount of nerve damage in a patient using a computer testing system. The testing is noninvasive- the computer system reads patient responses to hot and cold sensations and vibrations.

Selective Nerve Root Injections: In an S.N.R.I. our doctors go into your spine fluoroscopically to inject a steroid around an irritated nerve root. This procedure releases pressure and reduces inflammation.

Facet and Medial Branch Blocks: This is another fluoroscopic procedure. In a facet block, the doctor gives a shot of local anesthesia and a steroid injection into a joint in the spine. In a medial branch block, the shot is given outside the joint.

Sympathetic Nerve Blocks: This procedure targets the sympathetic nervous system- a group of nerves that spread out all over your body from your spine, controlling involuntary body functions like blood flow and digestion. Our doctors place a nerve block on portions of the nervous system, alleviating pain.

Physical Therapy & Physical Therapy Modalities: Advanced Pain Medicine Associates uses physical therapy as a way to treat some patients’ pain. Modalities such as hot and cold packs, ultrasound and electrical stimulation can all be used in physical therapy.

Epidural Steroid Injections: E.S.I.s are a common treatment option for lower back and leg pain caused by the narrowing of passages where nerves travel. The injectable steroids decrease swelling in the area, allowing the passages to open up again.

Discography- Cervical, Thoracic, Lumbar: The Discogram procedure entails a doctor placing needles into different discs in your spine and then injecting them with small amounts of sterile liquid.

Peripheral Nerve Blocks: Peripheral nerves are located outside the brain and spinal cord, and transmit sensation and motor control. Our doctors place blocks on portions of the peripheral nerves to help alleviate pain.

Joint Injections- Hip, Knee, Shoulder: By injecting medication into a joint, our doctors can temporarily decrease pain and stiffness. Injections are commonly used as a treatment for joint inflammation conditions like arthritis and tendonitis.

Cervical & Lumbar Radiofrequency Lesioning: By using electromagnetic waves to create heat energy, our doctors are able to deconstruct tissue and nerves, eliminating pain. Radiofrequency lesioning is a long term pain solution, and is commonly used for chronic pain conditions like spinal arthritis.

Lumbar Nucleoplasty: This procedure is done to alleviate pain caused by damaged invertebral discs. Our doctors go into the spine with a needle and remove excess tissue, which alleviates pressure on the nerves inside the discs.

Spinal Cord Stimulation: Using a mild electric current, our doctors are able to block nerve impulses in the spine, alleviating pain.

Intrathecal Pumps: This treatment is used in extreme cases only. A drug pump is surgically implanted under the skin of the patient’s abdomen. The pump is able to deliver pain medication directly to the spinal cord.

IDET (Intradiscal Electrothermal Therapy): This treatment is used to relieve lower back pain caused by the lumbar disc. Our doctors fluoroscopically guide an electrothermal catheter into the lumbar disc, which is then turned on and heats the disc.

Trigger Point Injections: A trigger point is a knot in a muscle, caused when a muscle is unable to relax. By injecting a local anesthetic into the trigger point, the muscle relaxes, alleviating pain.

Sacro-iliac Joint Injections: Also known as sacroiliac joint block, this treatment is used to diagnose and reduce lower back pain associated with sacroiliac joint dysfunction. Our doctors go into the sacroiliac joint fluoroscopically with a needle and inject either a local anesthetic (for diagnosis) or an anti-inflammatory medicine (for treatment).

Opioids/Narcotic Pain Killers: Opioids work by binding to opioid receptors in the brain and spinal cord, blocking pain messages from being sent to the brain. These narcotic pain killers are only prescribed for severe pain. Please note: We WILL NOT prescribe pain killers to you on your first visit.