831.648.7200
12 Upper Ragsdale
Monterey, CA 93940
 
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    Injection Therapy

    Injection therapy is intended to be a means to an end. The goal is to provide the patient with enough pain relief to bridge from inactivity to physical therapy, where back problems can be better treated with special exercises. For years, spine physicians have used cortisone injections, epidural steroid injections, trigger point injections and nerve blocks to relieve pain in the spine.

    Injection procedures performed at Monterey Spine include the following:

    LUMBAR

    • Caudal Epidural
    • Celiac Plexus Injection
    • Facet Block
    • Medial Branch Nerve Block
    • Hardware Injection
    • Hypogastric Plexus
    • Pars Injection
    • Piriformis Injection
    • SI Joint Injection
    • Selective Nerve Root
    • Sympathetic
    • Translaminar Epidural
    • Intra Articular Hip Injection
    • Facet cyst aspiration
    • Lumbar plexus
    • Discography

    THORACIC

    • Costovertebral Joint Injection
    • Intercostal
    • Medial Branch
    • Translaminar Epidural
    • Thoracic Selective Nerve Root
    • Thoracic Facet
    • Discography
     

    CERVICAL

    • Atlantoaxial Joint Injection
    • Atlantooccipital Joint Injection
    • Occipital Nerve
    • Facet Joint
    • Medial Branch
    • Selective Nerve Root
    • Stellate Ganglion
    • Discography
    • Epiduroscopy
    • IDET
    • Nucleoplasty
    • Disc DeKompressor
    • Peripheral Nerve Stimulation / Implantation
    • Spinal cord stimulation / Implantation
    • Radiofrequency cervical, thoracic, lumbar, SI joint
    • Trigger point
    • Bursa Injection

    Epidural Injections

    Epidural injections of cortisone may reduce the inflammation and/or swelling of the nerves in the epidural space resulting in decreased pain, tingling and numbness. The procedure involves inserting a needle of a long lasting steroid (cortisone) through the skin and deeper tissues into the epidural space. The epidural space is the area surrounding the spinal cord and the nerves coming out of it. One or more injections may be needed to relieve symptoms.

    Facet Injection

    The facet joints act as the hinges in our back, connecting alll the vertebral bones in our back yet still allowing us to bend and twist with ease. The illustration above shows a facet injection in progress.

    Sometimes from injury or age, these joints can become irritated or they can develop bone spurs, which makes movement painful. To relieve pain symptoms and restore range of motion, the spine physician may inject medication into the facet joint. The medicine in a way can act like WD40 on a rusty door hinge, restoring movement. Typically injections are done as a way to bridge the patient to therapy so the therapist can help the patient retain mobility after the effects of the medication wear off.

    Trigger Point Injections

    Trigger points are painful tissues in and around muscles. Pressure can cause an aching or sharp pain sensation. Trigger point injections are the administration of a local anesthetic and steroid medication in the muscles where pain is occurring. The injection may relieve spasms of the muscle and may last from weeks to months.

    Sacro-Iliac (SI) Joint Injections

    A long lasting steroid (cortisone) is injected into the sacro-iliac joint to help decrease inflammation and/or swelling of tissue in the joint space. As a result, patients may experience reduced pain and other symptoms caused by inflammation of the joint. The sacro-iliac joint is located in the low back area. The procedure involves inserting a needle through the skin and deeper tissues into the SI joint. More than one injection may be needed for symptom relief.

    Rhizotomy

    Rhizotomy is where the physician may use heat or cold to intentionally damage the ability of a problematic nerve to telegraph pain signals to the brain.

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    About Monterey Spine | Orthopedic Spine Surgeon: Dr. Sohrab Gollogly | Spine Neurosurgeons: Dr. Christopher Carver | Dr. Dragan Dimitrov | Dr. Gus Halamandaris | Dr. Theodore Kaczmer | Nonsurgical Spine Physicians: Dr. Gary Chang | Dr. Laurie Ann Kleinman | Dr. Patrick Wong | Spine Problems: Back Pain, Neck Pain | Treatment: Nonsurgical care for back and neck pain, Spine Surgery | Educational Resources | Patient Center | Contact Monterey Spine | Driving directions to Monterey, California office | Sitemap

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