Interventional Pain Medicine

  • Interventional pain medicine is a medical specialty focused on diagnosing and treating chronic pain through minimally invasive procedures. This field uses techniques such as nerve blocks, epidural injections, radiofrequency ablation to manage and alleviate pain. These procedures target specific areas of the nervous system to reduce pain and improve function without relying solely on medications.

    Interventional pain medicine involves a comprehensive approach, integrating physical therapy, medication management, and lifestyle changes to address the underlying causes of pain. The goal is to provide long-term relief and improve the patient's quality of life by reducing pain and enhancing their ability to perform daily activities.

  • These techniques are often combined with other treatments such as physical therapy, medication management, and lifestyle modifications to provide comprehensive pain management and improve overall function.

    Epidural Steroid Injections: Injections into the epidural space of the spine to reduce inflammation and pain, commonly used for back pain and sciatica.

    Joint Injections: Injections into joints like the knee, hip, or shoulder to reduce pain and inflammation.

    Nerve Blocks: Injections that block pain signals from specific nerves. Examples include:

    • Stellate Ganglion Block: For pain in the head, neck, or arm.

    • Lumbar Sympathetic Block: For pain in the legs or lower back.

    • Facet Joint Injections: Targeting the small joints in the spine.

    Radiofrequency Ablation (RFA): Uses heat to destroy nerve fibers that carry pain signals, providing long-term pain relief.

    Tenotomy: A procedure involving tissue selective resection of degenerative tendon tissue to target the source of chronic tendon pain and provide patients relief from tendinosis also referred to as chronic tendinitis or chronic tendinopathy.

    Trigger Point Injections: Injections of anesthetic and steroid into trigger points (knots of muscle) to relieve pain and improve movement.

    • Chronic Back Pain: Often due to conditions like herniated discs, spinal stenosis, or degenerative disc disease.

    • Complex Regional Pain Syndrome (CRPS): A chronic pain condition typically affecting an arm or leg, characterized by severe pain, swelling, and changes in skin color and temperature.

    • Facet Joint Pain: Pain originating from the small joints between the vertebrae in the spine, often treated with facet joint injections.

    • Fibromyalgia: A condition characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas.

    • Herniated Discs: Condition where a disc in the spine bulges out and compresses nearby nerves, causing pain and other symptoms.

    • Joint Pain: Pain in joints such as the knee, hip, shoulder, or elbow, often due to arthritis, bursitis, or injuries.

    • Myofascial Pain Syndrome: Pain caused by trigger points or knots in the muscles, often treated with trigger point injections.

    • Neck Pain: Including conditions like cervical disc herniation, cervical spondylosis, or whiplash injuries.

    • Peripheral Neuropathy: Pain and numbness caused by nerve damage, often associated with diabetes or other systemic conditions.

    • Post-Surgical Pain: Pain following surgeries, such as spinal surgeries or joint replacements, that persists beyond the expected healing period.

    • Radicular Pain: Pain that radiates from the spine to the extremities, commonly due to nerve root irritation or compression.

    • Sacroiliac Joint Dysfunction: Pain originating from the sacroiliac joints located at the base of the spine, often treated with injections or physical therapy.

    • Sciatica: Pain that radiates down the leg from the lower back, commonly caused by a herniated disc or spinal stenosis.

    • Spinal Stenosis: Narrowing of the spinal canal that puts pressure on the spinal cord or nerves, causing pain and other symptoms.

    • Spondylolisthesis: A condition where a vertebra slips out of position, often causing lower back pain and sometimes radiating pain.

    • Spondylosis: Degenerative changes in the spine, often referred to as spinal osteoarthritis, which can cause pain and stiffness.

    • Tendinitis: Inflammation or irritation of a tendon, commonly affecting areas like the shoulder, elbow, or knee.

    • Thoracic Outlet Syndrome: Compression of nerves or blood vessels in the thoracic outlet, leading to pain, numbness, or weakness in the upper extremities.

    • Whiplash-Associated Disorders: Pain and other symptoms resulting from neck injuries typically caused by car accidents.

    • Zygapophyseal Joint Pain: Pain arising from the facet joints located between the vertebrae, treated through injections or other interventions.

  • The Shoreline Clinic’s approach to interventional pain medicine is based on a comprehensive and patient-centered philosophy. Our specialists prioritize diagnosing, treating, and managing chronic pain conditions using advanced, minimally invasive techniques. Utilizing methods such as nerve blocks, epidural injections, and Tenotomy through Hydrocision TenJet, we aim to alleviate pain, restore function, and improve overall quality of life. We emphasize conservative treatments and the least invasive options whenever possible, and we are proud to be a non-narcotic practice.

    We adhere to a multi-specialty approach under our Singularity of Care philosophy, ensuring that patients receive comprehensive and coordinated care tailored to their specific needs. This collaborative strategy integrates interventional pain medicine with other medical disciplines, allowing us to address the full spectrum of our patients’ health concerns. Through this integration, we strive to provide seamless and effective treatment plans that support recovery and promote long-term health.