At Boev Clinic our philosophy is patient care centered. We work with the patient to come up with the best individualized treatment protocol available. We have years of experience successfully working with the most complex cases. Our care statement says it all: Exceptional Care, Without exception…
Some of the techniques used by our Non-surgical pain care professionals include:
Fluoroscopy is an X-ray guided viewing method. Fluoroscopy is often used to assist the doctor in precisely locating the injection so that the medication reaches the appropriate spot and only the appropriate spot.
Epidural Steroid Injections:
An Epidural Steroid Injection is a minimally invasive procedure performed under live X-Ray guidance that is used to treat pain in the neck, shoulders, arms, upper and lower back, buttocks, and legs that results from irritation of spinal nerve roots. A variety of conditions such as herniated disc, degenerative disc disease, and arthritis can cause a stenosis (narrowing) of the openings through which nerves exit the spine, which can be irritating to the nerves. By injecting low doses of long-lasting corticosteroids (potent anti-inflammatory pain medications) targeted directly to the source of the pain (instead of much larger oral or intravenous doses) this inflammation can be decreased, providing pain relief.
Medial Branch Blocks / Facet Joint Injections:
Medial Branch Blocks and Facet Joint Injections are minimally invasive procedures performed under live X-Ray guidance that are used to diagnose and treat pain arising from the small joints of the spine (facet joints). Diseases of these joints can produce pain in the neck, upper and lower back, and buttocks. Just like any other joint in the body (such as the knee or elbow) these joints may be acutely injured or produce chronic pain due to conditions such as arthritis. Medial Branch Blocks and Facet Joint Injections deliver low doses of long-lasting corticosteroids and local anesthetics directly to the source of the pain to alleviate discomfort.
Radiofrequency Nerve Ablations:
Radiofrequency Nerve Ablation is a minimally invasive procedure performed under live X-Ray guidance to treat back and neck pain by using precisely controlled heat to temporarily and selectively disable nerves responsible for pain. The procedure involves inserting a specialized needle with a heated tip near the problematic nerve, where the heat interrupts the nerve’s ability to send pain signals.
Trigger Point Injections:
Trigger point injection (TPI) may be an option for treating pain in some patients. TPI is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.
What Happens During a Trigger Point Injection?
In the TPI procedure, a health care professional inserts a small needle into the patient’s trigger point. The injection contains a local anesthetic or saline and may include a corticosteroid. With the injection, the trigger point is made inactive and the pain is alleviated. Often, a brief course of treatment will result in sustained relief.