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