About PSSO For Patients For Physicians

Our Services and Procedures

The physicians and staff at PSSO provide expertise and care for patients with painful conditions using a mix of interventional, rehabilitative, and pharmaceutical approach.


Multi-disciplinary approach

We are committed to treating the whole person. Using a multidisciplinary approach to pain management, we go beyond just medications. We incorporate lifestyle changes, non-invasive surgical procedures, physical therapy, education and other treatments.

 

Services, Procedures and Conditions We Treat

Procedures

Specialized pain-control and diagnostic procedures are a primary component of successful pain treatment. To effectively treat pain, you need your pain generators adequately diagnosed. To determine these pain sources, we use precision-guided injections to anesthetize tiny, discrete nerves that may be carrying your pain signal. Information gained from these procedures enable us develop a treatment plan tailored to your specific needs.

 

One example of a pain-control procedure is Radiofrequency Rhizotomy which treats nerves with microwaves to reduce pain signals from damaged or degenerative spinal facet joints. Another example
is Spinal Cord Stimulation which relieves extremity and back pain by flooding nerve pathways and
sensory stimuli to replace pain information that is transmitted to the brain.

Medications

Extremely versatile, advanced medications can be taken orally or injected. We use both narcotic and
non-narcotic medications to treat pain. In all cases, safety and medical compliance are paramount, and
your medication is monitored through urine/blood screens, patient/provider contracts, pharmacy checks,
pill counts and other techniques. Here are some specialized methods we use:

To relieve pain experienced in the neck, shoulders, back and buttocks, we use local anesthetics and
corticosteroids, a class of potent anti-inflammatories. These are injected between the vertebrae, into facet joints between the vertebrae or directly into the sacroiliac joint that connects the bottom of the spine with the pelvis. In nerve-related pain, similar medications are applied to the nerves along the spine. This resets the cycle of pain caused by these nerves and helps treat pain caused by conditions such as Sciatica or herniated discs that are pressing on the spinal nerves. Another kind of pain is experienced in muscle areas with knots that can often be felt under your skin. These trigger points can irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body. Injecting medications into these trigger points can reduce the discomfort associated with this condition. We also prescribe pain pumps that are implanted in your body to deliver painkillers and anti-spasm products directly into the spinal fluid. This option, while reserved for extreme cases such as inoperable cancer, is highly effective and has far fewer side effects than oral medication.

Integrative Approaches

There are many alternative approaches to pain treatment, each with their own merits. At Pain
Specialists we work with specialized practitioners to develop a customized treatment plan that is most
effective for you. This may include integrating Western medicine with complementary alternative methods such as acupuncture, counseling and manipulative therapies. We also help you cope with your pain by integrating mental health strategies, such as biofeedback and cognitive reconditioning, into a comprehensive management program.

Rehabilitation

Physical therapy and rehabilitation are an integral part of restoring your level of function, and active rehabilitation prevents future injury and relapse. At Pain Specialists, we recognize the importance of
this aspect of pain relief. We work closely with a small number of carefully-selected physical therapists to
develop a rehabilitation program tailored specifically for you.


Headache, Neck and Arm Pain Treatments   Low Back Pain, Hip Pan and Leg Pain Treatments
Acromioclavicular Joint Injection    
Bier Block Ischiogluteal Bursa Injections
Botox Injections for Pain Lateral Femoral Cutaneous Nerve Blocks
Brachial Plexus Block Lumbar Discography (video animation)
Cervical Discography (video animation) Lumbar Epidural Steroid Injections (video animation)
Cervical Epidural Steroid Injections
(video animation)
Lumbar Facet Blocks
Cervical Selective Nerve Root Blocks
(video animation)
Lumbar Interspinous Ligament Injections
Cervical Facet Joint Injections/Medial Branch Blocks (video animation)
Lumbar Medial Branch Radiofrequency Ablations (Rhizotomies)
Cervical Medial Branch Radiofrequency Ablations (Rhizotomies) Lumbar Selective Nerve Root Blocks (video animation)
Cervical Paraspinal Trigger Point Injections Lumbar Sympathetic Blocks (video animation)
Cubital Tunnel Injections Lumbar Paraspinal Trigger Point Injections
Epidrural Catheter Temporary Placement Minimally Invasive Lumbar Decompression (mild)
Glenohumeral (Shoulder) Joint Injections Neuraxial Opioid Functional Trials
Infraorbital Nerve Blocks Neuraxial Ziconatide Functional Trials
Intrathecal Pump Implants (video animation) Pes Anserinus Bursae Injections
Intravenous Regional Anesthesia Peroneal and Tibial Nerve Blocks
Lateral Epicondyle Injections Piriformis Injections
Medial Epicondyle Injections Plantar Fascia Injections
Median Nerve Block at the Wrist Pre-patellar Bursae Injections
Metacarpal-Phalangeal Joint Injections Prolotherapy (video animation)
Neuraxial Opioid Functional Trials Psoas Compartment Blocks
Occipital Nerve Blocks Pulsed Radiofrequency
Occipital Nerve Stimulation Sacroiliac Joint Injections
Radial Nerve Block at the Humerus Saphenous Nerve Block at the Knee
Radial Nerve Block at the Wrist Spinal Cord Stimulator Trial Lead Implant (video animation)
Spinal Cord Stimulator Trial Lead Implant (video animation) Spinal Cord Stimulator Permanent System Implant
Spinal Cord Stimulator System Implant (video animation) Abdominal and Sacral Pain Treatments
Stellate Ganglion Block (video animation) Celiac Plexus Blocks
Sternoclavicular Joint Injections Genitofemoral Nerve Blocks
Subacromial Bursae Injections Ilioinguinal Nerve Blocks
Subdeltoid Bursae Injections Pudendal Nerve Blocks
Supraorbital Nerve Block Splanchnic Nerve Blocks
Suprascapular Nerve Block Trans-Sacrum Nerve Blocks
Thoracic Sympathetic Block Miscellaneous Procedures
Trigger Finger Injections Intrathecal Pump Refills
Wrist Injections Transcutaneous Electrical Nerve Stimulation
  Iontophoresis
Low Back Pain, Hip Pan and Leg Pain Treatments    
Ankle Blocks    
Botox Injections for Pain    
Caudal Epidural Steroid Injections    
Femoral Nerve Blocks    
Greater Trochanteric Bursae Injections    
Iliotibial Band Injections    
Intra-articular knee viscosupplementation injections    
Intra-articular knee steroid injections    
Intra-articular hip steroid injections    
Intrathecal Pump Refills
   
Transcutaneous Electrical Nerve Stimulation    
Iontophoresis    
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