Epidural Steroid Injection

Epidural steroid injections (ESI) relieve pain from spinal stenosis and disc herniation by applying a local anesthetic and minimal corticosteroids to the epidural space around the spinal cord and nerves. This procedure is performed under C-Arm image guidance for premier precision and serves to soothe pain and reduce inflammation in a target area.

Trigger Point

Traumatic injury, extreme use, muscle tension or pinched nerves can lead to trigger points which involve tight bands of painful muscle fibers in a given area. This may cause pain in surrounding areas and limit your range of comfortable motion. Ultrasound, C-arm or physician palpation are used to detect the location of a trigger point and a local anesthetic is applied before medication is injected to stop inflammation and pain at the source.

PRP | Stem Cell Injections

This procedure uses the regenerative parts of your own blood to promote healing, reduce pain and increase function. These can be done in the back, shoulders knees or other joints.


This is a minimally invasive procedure performed to reduce pain caused by herniated discs compressing nerve roots in the spine. This procedure may be performed in an outpatient surgical center with anesthesia allowing patients to return home in the same day.


When certain discs are suspected to contribute to your pain, a Discogram may be used to identify the structure in detail. By injecting a special dye contrast into the target discs, Discograms allow an in-depth view of pathology. This procedure is typically done to determine surgery or other advanced treatment.

Facet Joint Block

People suffering from tenderness, inflammation, decreased flexibility or pain in the neck that occasionally radiates down the arm to the hands or fingers may suffer from cervical facet pain. In the lower back, these symptoms may include pain that radiates to the back of the knee.

Medial Branch Block

When suffering from mechanical stress or trauma to the back, medial branch nerve blocks can indicate specific facet joints at the source of your pain. This quick procedure serves as a diagnostic tool in determining which treatment options may provide longer lasting pain relief.

Kyphoplasty for Compression Fracture

Vertebral compression fractures are commonly missed undiagnosed source of sudden onset back pain that cause a increase in pain while standing or walking and lead to limited spinal mobility and eventual deformity and disability if untreated. Compression fracture can result from seemingly mild trauma and severely activities of daily living over time. We provide outpatient solutions to treating this condition and a follow up regimen to ensure healing and recovery.

Peripheral Joint Treatment

When pain comes from the connection between bones and supporting tissues due to injury or wear and tear, local anesthetic medicine can be applied to the joint for pain relief and therapy. This procedure can be guided by ultrasound or C-arm fluoroscopy to precisely relieve pain in knees, arms, shoulders, wrists, ankles and hips.

Radiofrequency Ablation

For longer term minimally invasive relief, radio frequency ablation (RFA) provides an extended treatment option lasting an average of 10 to 14 months and up to 2 years. When pain is diagnosed from the facet or sacroiliac joints in the neck or back, radio frequency energy can be used to disrupt the nerve signal allowing pain relief at the root.

Using C-arm fluoroscopy, the target nerve roots are identified and tested before applying a heat lesion to that specified nerve. When combined with guided physical therapy this procedure allows for an increase in strength and activity tolerance while minimizing pain.

Occipital Nerve Block

Patients experiencing intense headache pain arising from the neck or base of the skull to the top of the head, temple, forehead or eyes may be suffering from occipital neuralgia. An occipital nerve block is an injection of medication around the greater and lesser occipital nerves located in the back of head just above the neck area. This procedure takes only a few minutes and relief begins almost immediately.


Electromyography (EMG) is a test the measures nerve impulses in the muscles. EMG’s are used to detect impaired nerve function caused by spinal compression, bulging or other issues at a specific location which impair associated nerves and cause pain or weakness in your arms or legs.

Botox for Headaches

People suffering from tension headaches or migraines can find relief through botox treatment therapy. Botox injections for headaches and migraines have been reported to reduce the number of headaches in patients by 50% and last for 10-12 weeks.