Community Medical Wellness
Interventional Pain Management & Orthopedics
Treatments
Since not all pain is created equal, neither are their treatment options.
Spine Treatments
Trigger Point Injections
This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.
Facet Joint Injections
The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient's pain. It can also relieve pain and inflammation.
Sacroiliac Joint Injection
This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
Medial Branch Block
This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.
Lumbar Epidural Steroid Injection
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
Thoracic Epidural Steroid Injection
This outpatient procedure is an injection performed to relieve pain in the upper back.
Cervical Epidural Steroid Injection
This injection treats the pain of an inflamed nerve in your cervical spine. It relieves nerve swelling. If you have a herniated disc, spinal stenosis or some other problem that's pressing on a nerve, it may help you.
Lumbar Tranforaminal Steroid Injection
This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.
Cervical Transforaminal Steroid Injection
This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
Epidural Blood Patch
This procedure uses your own blood to fix a hole in the membrane around your spinal cord. The hole lets spinal fluid leak out, which causes severe headaches. By patching the hole, we stop the leak.
Stellate Ganglion Nerve Block
A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.
Sympathetic Lumbar Block
This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.
Occipital Nerve Block
This injection treats one or both greater occipital nerves. These nerves branch out from the spine in your neck. They supply feeling to your scalp at the top of your head and over your ears. A greater occipital nerve block manages pain and some types of headaches linked to these nerves.
Piriformis Block
This injection procedure is performed to diagnose and relieve the pain of piriformis syndrome, an irritation of the sciatic nerve caused by a contraction of the piriformis muscle in the buttocks.
Kyphoplasty
This minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine's natural shape. Some patients experience rapid pain relief after the procedure.
Discogram
This procedure, also called a "discogram," helps your doctor find painful spinal discs. It can show the source of pain in your neck. To see how it works, let's watch a discography done in the cervical spine.
Spinal Cord Stimulator Trial
Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.
Radiofrequency Ablation
This simple procedure treats chronic pain. It involves heating part of a nerve to block its pain signals. Radiofrequency ablation can give you long-term pain relief.
EMG Testing
This is a test of your muscles and nerves. It usually has two parts. One is a nerve conduction study. This measures how well electricity moves through your nerves. The second part is a needle electromyogram. It records the electrical signals your muscles make when you move them. The results can help your doctor find problems linked to certain disorders or conditions.
PRP Therapy
Platelet rich plasma therapy can help injured joints and other problems. It uses parts of your own blood to reduce pain and speed up healing.
Orthopedic Treatments
Knee Joint Injection
This is an injection of steroid into the knee joint. We often use it to treat the pain and inflammation of knee arthritis.
Knee Arthroscopy
Each of your knee joints is cushioned by two c-shaped wedges of cartilage. The two cushions in each knee are called the "menisci." Individually, each cushion is called a "meniscus." Certain motions, such as twisting the knee, can cause a meniscus to tear. In many cases, a torn meniscus can be treated with arthroscopic surgery.
ACL Reconstruction
This procedure repairs your knee after a tear of the anterior cruciate ligament (commonly called the "ACL"). This ligament is in the center of the knee. It helps anchor the femur to the tibia. This surgery can allow you to regain normal knee function.
Total Knee Replacement
This procedure restores function to a severely damaged knee. Most commonly, it is used to repair a knee that has been damaged by arthritis. During the procedure, the surgeon replaces the damaged portions of the knee with artificial parts. These parts consist of a metal femoral component, a metal tibial component and a plastic spacer. A small plastic patellar component may also be used.
Shoulder Joint Injection
This outpatient injection procedure relieves pain in the shoulder and arm caused by arthritis, injury or disorder.
Shoulder Arthroscopy (Slap Tear)
This surgery treats an injury in your shoulder. It repairs a tear of the labrum. That's a ring of cartilage around the shoulder socket. The injury happens where the biceps tendon meets the labrum. We call this injury a "SLAP" tear.
Shoulder Arthroscopy (Rotator Cuff)
This surgery repairs a tear of the rotator cuff in your shoulder. The rotator cuff is a group of muscles and tendons. It holds the head of the humerus in the shoulder socket.
Total Hip Replacement
During this procedure, your damaged hip joint is replaced with implants that recreate the ball and socket of a healthy hip. This can reduce pain and restore your hip function.
Wrist Arthroscopy
This minimally invasive outpatient procedure allows the surgeon to evaluate and treat injuries and disorders of the ligaments, cartilage, and bones of the wrist. The surgeon uses a small camera, called an arthroscope, and tiny instruments which are inserted through small incisions in the wrist.
Carpal Tunnel Release
This surgical procedure treats the pain of carpal tunnel syndrome. It relieves pressure on a nerve that travels through your wrist. This nerve is called the "median" nerve.
De Quervain's Release
This outpatient procedure relieves the symptoms of De Quervain's tenosynovitis by releasing the tendon sheath that wraps around the tendons at the base of the thumb. This relieves pressure and friction on the tendons, allowing them to glide freely.