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Medical Procedures

Over 20 Years of Helping Patients Live Pain-Free Lives

Injections are a common and effective way to treat chronic pain. They can be used to deliver medication directly to the source of the pain, providing relief that can last for weeks or even months. Injections can also be used to reduce inflammation, improve range of motion, and promote healing.

We perform in-office injections and operating room injections.

In-office injections

In-office injections may or may not be performed under local anesthesia, which means that the area surrounding the injection site is numbed, but the patient remains awake and alert. Office injections are often used to treat joint, muscle and nerve pain.

Some examples of in-office injections include:

  • Migraine Injections: Migraine injections can be used to prevent or treat migraine attacks. Preventive injections are given on a regular basis to reduce the frequency and severity of attacks. Common preventive migraine injections include CGRP inhibitors and Botox. Acute injections are used to treat migraine attacks when they occur. Common acute migraine injections include sumatriptan, DHE, and trigger point injections.

  • Trigger Point Injection: A trigger point injection (TPI) is a minimally invasive procedure that delivers medication to a trigger point, a tender area in a muscle, to relieve pain. TPIs are safe and effective for treating muscle pain, headaches, and other types of pain. TPIs can help you reduce your pain, improve your range of motion, and get back to your daily activities.

  • Caudal Injection: Caudal Injection is an epidural steroid injection that delivers medication to the epidural space, which is the area around the spinal cord. Epidural steroid injections can be used to treat pain and inflammation in the spine and nerve roots.


Operating room injections

Operating room injections are performed under general anesthesia or sedation, meaning that you will be asleep or in a deep state of relaxation. Operating room injections are typically used to treat pain in the spine and nerves.

Some examples of operating room injections include:

  • RACZ (lysis of epidural adhesions): The RACZ procedure involves passing a catheter endoscopically or percutaneously under fluoroscopic guidance into the epidural space under general anesthesia or conscious sedation, this with the goal of breaking up adhesions and reducing pain and inflammation.

  • Nerve blocks: Nerve blocks deliver medication to specific nerves, blocking pain signals from reaching the brain. Nerve blocks can be used to treat pain in the face, neck, back, arms, and legs.

  • Cervical Epidural Steroid Injection: This procedure involves the injection of a corticosteroid medication into the epidural space in the cervical spine. The epidural space is located just outside the spinal cord's protective membrane. This injection is often used to reduce inflammation and alleviate pain caused by conditions like herniated discs, spinal stenosis, or radiculopathy.

  • Facet Injections: Facet joint injections are used for diagnosing and treating pain arising from the facet joints of the spine, which are small joints located on the back of the spine. These injections can be therapeutic, providing pain relief, and also diagnostic, helping to identify the source of pain.


Which type of injection is right for me?

The type of injection that is right for you will depend on the location and cause of your pain. Your doctor will discuss your options with you and help you choose the best treatment plan for your individual needs.

If you are considering injections for pain management, we encourage you to talk to one of our doctors. They can help you understand the different types of injections available and determine which type is right for you.


If you are suffering from chronic pain, talk to your doctor to see if injections may be right for you. Injections can provide safe and effective relief from chronic pain, allowing you to get back to your daily activities and enjoy life again.

Here are some additional benefits of injections for chronic pain:

  • Injections can be targeted directly to the source of the pain. This can provide more targeted and effective relief than other pain treatments, such as oral medications or physical therapy.

  • Injections can provide immediate pain relief. This can be especially beneficial for people who are experiencing severe or debilitating pain.

  • Injections can reduce the need for other pain treatments, such as surgery. This can help to minimize the risks and side effects of other treatments.

If you are considering injections for chronic pain, be sure to discuss your options with your doctor. They can help you choose the right type of injection for your individual needs and help you manage any potential risks or side effects.

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