Areas of Practice

Comprehensive Pain Evaluation

Cancer Pain Management

The Access to Controlled Medications Programme identified the development of treatment guidelines that cover the treatment of all types of pain as one of the core areas of focus for improving access to opioid analgesics. Such guidelines are interesting both for health-care professionals and policy-makers. They are also important in improving access to controlled medicines for determining when those opioid medicines and when non-opioid medicines are preferred.

Occipital Nerve Blocks

Occipital Nerve Blocks treat headaches, including migraines. We inject a local anesthetic with or without a small dose of corticosteroid into the back of your head, near the greater and lesser occipital nerve.

Trigeminal Nerve Block

Trigeminal neuralgia is a relatively common neuropathic disorder that is characterized by sudden severe episodes of lancinating or electric pain along the distribution of cranial nerve V (CNV).

Median Nerve Block for the treatment of Carpal Tunnel

An orthosis worn at night providing a slow and sustained stretch on the tight aponeurotic structures adding tension to the carpal tunnel may avoid surgery and subsequent physical therapy.

Spinal Stenosis

The bone is creating the spinal canal to grow inward and narrow the spinal canal and pinch the nerves.

Epidural Steroid Injections

Procedures that are performed to relieve low back pain and radiating lower extremity pain. The medication reduces the swelling and inflammation of the nerve caused by other conditions, such as sciatica, herniated discs, spinal stenosis and radiculopathy.

Transforaminal Epidurals

Cervical Epidurals

The part of the nerve that connects to the spinal cord is called the root. If one of the roots is injured, the patient will experience pain, tingling, numbness in the part of the body that the above nerve served.

Sports rehabilitation injuries

Sacroiliac Blocks

This procedure is performed to relieve the pain caused by arthritis in the sacroiliac joint. The medication can reduce swelling and inflammation in the joint.

Facet Blocks

Procedure used for both diagnoses and treatment of back and neck pain. A facet joint block injection can confirm whether the facet joint can relieve the pain and inflammation.

Medial Branch Blocks

This is a diagnostic procedure performed to determine if a specific facet joint is the source of the patient’s pain. The procedure consists of an injection administered to block the nerves serving the painful facet joint.

Reflex Sympathetic Dystrophy

Complex Regional Pain Syndrome Therapy

By combining medication management with interventional and non-interventional therapies, patients with CRPS can often dramatically reduce their symptoms and lead full and functional lives.

Stellate Ganglion Blocks

The procedure is used to diagnose and treat pain coming from the sympathetic nerves. Used in treatment of RSD–complex regional dystrophy pain affecting face, neck, head or arms. Usually more than one injection is used to treat the patient.

Selective Nerve Root Blocks (SNRB)

In a SNRB, the nerve is approached at the level where it exists the foramen (the hole between the vertebral bodies). The injection is done both with a steroid (an anti-inflammatory medication) and lidocaine (a numbing agent). Fluoroscopy (live X-ray) is used to ensure the medication is delivered to the correct location.

Soft Tissue Pain

Fibromyalgia Treatment

Medication Management

Botox therapy for chronic pain

Chronic Neck and Low Back Pain Management

Radiofrequency Neuroablations

This helps us treat back and neck pain. Using radio frequency nerve ablation under fluoroscopic guidance, we deliver precisely controlled heat to temporarily and selectively disable nerves responsible for pain.

Chronic Abdominal Pain Management

Celiac plexus blocks are injections of pain medication that help relieve abdominal pain, commonly due to cancer or chronic pancreatitis. The celiac plexus is a bundle of nerves that surrounds the aorta, the main artery into your abdomen.

Intercostal Nerve Blocks

An intercostal nerve block is an injection of medication that helps relieve pain in the chest area caused by a herpes zoster infection (or “shingles”) or a surgical incision.Intercostal nerves are located under each rib. When one of these nerves or the tissue around it gets irritated or inflamed, it can cause pain.

Pudendal Nerve Blocks

The pudendal block gets its name because a local anesthetic, such as lidocaine or chloroprocaine, is injected into the pudendal canal where the pudendal nerve is located. This allows quick pain relief to the perineum, vulva, and vagina.

Caudal Steroid Injections

This injection is performed to relieve low back pain and radiating pain. The medication can reduce the swelling and inflammation caused by many spinal conditions, such as herniated discs, sciatica and radiculopathy.

Joint Injection

These injections help relieve pain from many causes, including osteoarthritis. We inject medications such as corticosteroids, local anesthetics, hyaluronan (i. e. Synvisc, Hyalgan, orthovisc) directly into the source of the pain. We find the precise right location, we use either X-rays or ultrasounds. This procedure takes two minutes.

Peripheral joint, muscular, bursa & tendinous injections

A bursa is a gel-filled sac that helps muscles and tendons glide over bones. You have bursae in your shoulders, elbows, hips, knees and other parts of your body. When bursae get swollen, they can cause joint pain. But a steroid medication injected into your bursa can help reduce the inflammation and alleviate the pain.

Pain relief for:

• Herniated Disc

• Degenerative Disc

• Sciatica

• Facet Syndrome

• Backaches

• Headache

• Knee, Foot, Neck, Shoulder

• Carpal Tunnel Syndrome

• Tendonitis