A discogram can show if a disc has begun to rupture and if it has tears in the tough outer ring (the annulus). By injecting dye into the disc to increase pressure it can be determined if this is the area causing the pain.
Trigger Point Injections
Trigger Point Injection procedure used to treat painful areas of muscle that contain knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin, and in some instances may irritate the nerves around them and cause referred pain.
Platelet Rich Plasma
(PRP) Therapy. A small vial of a patient’s blood is spun in a Centrifuge to separate the platelet-rich plasma from the other components. The concentrated platelets are injected at the site of the patient’s injury. The growth factors that platelets secrete spur tissue recovery.
Spinal Cord Stimulation
A spinal cord stimulator is a device that uses pulsed electrical signals to the spinal cord to control pain. Spinal cord stimulation consists of stimulating electrodes, implanted in the epidural space, an electrical pulse generator, implanted in the lower gluteal region. Spinal cord stimulation has notable analgesic properties and can be used for complex regional pain syndrome and other neuropathies.
Radiofrequency Ablation (RFA)
RFA, or rhizotomy, is used to treat severe chronic pain. Radio frequency waves are used to produce heat on specifically identified nerves surrounding the facet joints on either side of the lumbar spine. By generating heat around the nerve, its ability to transmit pain signals to the brain is destroyed, thus ablating the nerve.
Electrodiagnostic tests assess the neuropsychological function of peripheral nerves. It is a method of obtaining information by passively recording the electrical activity of body parts, or by measuring their response to external electrical stimulus.
Medial Branch Blocks
Medial branch nerves are very small nerve branches that carry pain messages from the facet joints and the muscles around the joints. This procedure is a non-surgical treatment that relieves pain from a specific facet joint using injections.