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Treatments & Procedures

Spine

Conditions

Myelopathy

Myelopathy

This is a problem that affects your spinal cord. It happens when something presses harmfully against it. Your spinal cord is the main nerve pathway between your brain and your body. Pressure on it can cause problems throughout your body.

Osteoporosis

Osteoporosis

As you get older, your bones may get weaker. This is called “osteoporosis.” Weak bones are more likely to break. Osteoporosis can be a problem for anyone, but it is more common in women.

Where Lower Back Pain Begins

Where Lower Back Pain Begins

Lower back pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your lower back.

Where Neck Pain Begins

Where Neck Pain Begins

Neck pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your neck.

Non-Surgical Care and Management

CT Scan (Computed Tomography; CAT Scan)

CT Scan (Computed Tomography; CAT Scan)

This scan lets doctors see inside your body by taking x-ray images from many angles. These are combined to show clear cross-section slices of parts of your body. A CT scan shows much more than a typical x-ray. It can show cancer and other problems.

MRI (Magnetic Resonance Imaging)

MRI (Magnetic Resonance Imaging)

This scan lets doctors see inside your body without using radiation. Instead, MRIs use magnets and radio waves. An MRI shows clear views of your soft tissues. It can show cancer and other problems.

General Body

Conditions

Pain Management (Overview)

Pain Management (Overview)

If you suffer from pain, you know how hard it can be to live with. Pain management is a branch of medical care that specializes in pain control. It can help you enjoy a better quality of life.

Head, Neck and Spine

Care and Management

Anterior Endoscopic Cervical Microdiscectomy

Anterior Endoscopic Cervical Microdiscectomy

This minimally-invasive surgical procedure, performed through a tiny hole in the neck, removes the bulging portion of a herniated cervical disc. It is designed to relieve neck and radiating arm pain caused by herniated disc material pressing on nerve roots.

Caudal Epidural Steroid Injection

Caudal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.

Celiac Plexus Block (Percutaneous Approach)

Celiac Plexus Block (Percutaneous Approach)

This procedure temporarily disrupts the nerves of the celiac plexus. These nerves branch away from your spine. They connect to the organs in your abdomen. Pain signals caused by conditions such as pancreatitis or pancreatic cancer travel through these nerves on the way to your brain. A celiac plexus block can relieve your pain.

Cervical Epidural Steroid Injection

Cervical Epidural Steroid Injection

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) 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.

Cervical Facet Radiofrequency Neurotomy

Cervical Facet Radiofrequency Neurotomy

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Cervical Selective Nerve Root Block

Cervical Selective Nerve Root Block

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. It can be used to treat conditions such as herniated discs, spinal stenosis, and radiculopathy.

Cervical Transforaminal Epidural Steroid Injection

Cervical Transforaminal Epidural 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.

Discography (Lumbar)

Discography (Lumbar)

This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let’s watch a discography done in the lumbar spine.

Facet Joint Injections

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.

Intradiscal Electrothermal Therapy (IDET)

Intradiscal Electrothermal Therapy (IDET)

This is a treatment for chronic pain in your lower back. The physician uses heat to reduce the sensitivity of nerve fibers in a spinal disc. More than one disc may be treated.

Lumbar Discoscopic Discectomy

Lumbar Discoscopic Discectomy

This minimally-invasive procedure is designed to relieve pain caused by herniated discs pressing on nerve roots. This surgery is performed through a small tubular device under local or epidural anesthesia, allowing the patient to leave the hospital the same day.

Lumbar Epidural Steroid Injection

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.

Lumbar Sympathetic Block

Lumbar Sympathetic 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.

Lumbar Transforaminal Epidural Steroid Injection

Lumbar Transforaminal Epidural 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.

Medial Branch Block

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.

Radiofrequency Neurotomy of the Thoracic Facets

Radiofrequency Neurotomy of the Thoracic Facets

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your upper back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Sacroiliac Joint Steroid Injection

Sacroiliac Joint Steroid 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.

Spinal Cord Stimulator Implant

Spinal Cord Stimulator Implant

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.

Stellate Ganglion Block

Stellate Ganglion 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.

Thoracic Epidural Steroid Injection

Thoracic Epidural Steroid Injection

This outpatient procedure is an injection performed to relieve pain in the upper back.

Thoracic Transforaminal Epidural Steroid Injection

Thoracic Transforaminal Epidural Steroid Injection

This injection procedure relieves pain in the upper back, ribs, and abdomen caused by a pinched nerve (or nerves) in the thoracic spine.

Conditions

Anatomy of the Spine

Anatomy of the Spine

The spinal column is the body’s main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.

Cervical Radiculopathy

Cervical Radiculopathy

This condition is an irritation or compression of one or more nerve roots in the cervical spine. Because these nerves travel to the shoulders, arms and hands, an injury in the cervical spine can cause symptoms in these areas. Cervical radiculopathy may result from a variety of problems with the bones and tissues of the cervical spinal column.

Coccydynia

Coccydynia

This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks.

Degenerative Disc Disease

Degenerative Disc Disease

This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.

Facet Joint Syndrome

Facet Joint Syndrome

This condition is a deterioration of the facet joints, which help stabilize the spine and limit excessive motion. The facet joints are lined with cartilage and are surrounded by a lubricating capsule that enables the vertebrae to bend and twist.

Herniated Discs

Herniated Discs

A herniated disc is a common injury that can affect any part of the spine. A herniated disc can cause severe pain and other problems in the arms or legs.

Kyphosis

Kyphosis

This condition is a deformity of the spine. With it, your vertebrae change from a cylindrical shape to a wedge shape. Your spine may begin to curve forward. Eventually, this gives your upper back a rounded appearance.

Lumbar Radiculopathy (Sciatica)

Lumbar Radiculopathy (Sciatica)

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.

Migraine Headaches

Migraine Headaches

A migraine is an intense, throbbing headache that may be accompanied by nausea or dizziness. A migraine can last from hours to days.

Post-Laminectomy Syndrome

Post-Laminectomy Syndrome

This condition, also called “failed back syndrome,” is a type of chronic pain. It can develop in some people after spine surgery.

Post-Whiplash Headache

Post-Whiplash Headache

This is a chronic headache. It can develop after a whiplash injury (a violent back-and-forth jerking of the neck).

Scoliosis

Scoliosis

This condition is an abnormal curvature of the spine. It most often develops in early childhood, just before a child reaches puberty.

Spinal Stenosis

Spinal Stenosis

The spinal column contains open spaces that create passageways for the spinal cord and the spinal nerves. Spinal stenosis is a narrowing of (or an intrusion into) these openings. This can cause a compression of the nerves. Spinal stenosis most commonly affects the cervical and lumbar regions of the spine.

Spondylolisthesis

Spondylolisthesis

This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.

Trigeminal Neuralgia (TN)

Trigeminal Neuralgia (TN)

This chronic condition is caused by a misfiring of the trigeminal nerve. An attack causes brief episodes of extreme, shooting pain.

Whiplash

Whiplash

This is a common neck injury. It happens when your neck jerks back and forth quickly and violently. Your spine bends past its normal range of motion. This can injure the vertebrae of your cervical spine. It can damage the supporting ligaments and muscles in your neck.