Chronic Pain Management
“As my sufferings mounted I soon realized that there were two ways in which I could respond to my situation ― either to react with bitterness, or seek to transform the suffering into a creative force. I decided to follow the latter course.” ― Martin Luther King Jr.
At the Sprintz Center, we understand how intrusive, frustrating, and depressing constant chronic pain can be. We also understand that many patients want alternatives to pain pills, which are a hassle to take, can be addictive, and often result in unpleasant side effects. For example, drugs like vicodin can trigger severe headaches and dizziness, as well as incite or worsen addiction.
The Sprintz Center is certified in the oversight and administration of a wide variety of pain management and relief treatments, including injections and nerve blocks, psychological therapy, clinical hypnosis for pain, physical therapy, surgical procedures, therapeutic massage, and complementary remedies.
Don’t let pain keep you from enjoying the active and joy-filled life you deserve. Call The Sprintz Center today and schedule a pain evaluation with our experienced and sympathetic specialists.
The cosmetic drug Botox (botulinum neurotoxin type A) is helpful when used in treating painful neuromuscular disorders because it can stop or reduce muscle spasm by blocking nerve signals to the injected muscle. It is an FDA approved medication injected for the treatment of painful skeletal muscular conditions. These conditions include chronic migraines, cervical dystonia, and upper limb spasticity.
Caudal Steroid Injection
Caudal epidural steroid injections are a combination of a steroid and a local anesthetic that is delivered to your lower back to treat chronic back and lower extremity pain.
Celiac Plexus Block
A celiac plexus block procedure is an injection performed to reduce abdominal pain caused by cancer, chronic pancreatitis or adhesions. An injection of local anesthetic is used to block the celiac plexus nerves that transmit pain signals from your abdomen to your brain. A celiac plexus block procedure can be performed as a diagnostic test or a treatment.
Cervical Steroid Injection
Cervical epidural steroid injection procedures are injections administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine. Conditions such as herniated discs, spinal stenosis or arthritis can compress and pinch nerves, causing inflammation and pain. The cervical epidural steroid injection procedure involves injections into the surrounding area that help with pinched nerve pain management and decrease the swelling of the inflamed or pinched nerve(s), in addition to reducing inflammation.
Continuous Catheter Nerve Blocks
A continuous catheter nerve block is a procedure used to provide analgesia to a specific area of the body in order to provide effective pain relief during the recovery period following surgery. The continuous catheter nerve block can also be referred to as the continuous peripheral nerve block. Many physicians prefer this technique to other single-injection nerve block procedures, because it utilizes a continuous infusion of anesthesia to a specified area.
Epidural Steroid Injection
Lumbar epidural steroid injection (ESI) is a procedure administered to relieve pain caused by pinched or inflamed nerve(s). The epidural steroid injection procedure can be used for various types of pain, including joint pain, knee pain, back and neck pain. The lumbar ESI procedure involves an injection of medication into the surrounding area helps to decrease pain and swelling of the inflamed nerve(s). Some common types of epidural steroid injection procedure used to help reduce pain are thoracic epidural steroid injection, lumbar epidural steroid injection, caudal epidural steroid injection or cervical epidural steroid injection.
A cervical, thoracic or lumbar facet joint injection involves injecting a small amount of local anesthetic (numbing agent) and/or steroid medication, which can anesthetize the facet joints and block the pain.
Ganglion Impar Block
The ganglion impar is a cluster of nerve cells in front of the joint between the sacrum and the coccyx. This procedure is used to reduce the symptoms of chronic pelvic or rectal pain by blocking nerve impulses.
Intercostal Nerve Block
The intercostal nerves are located under the ribs and provide sensation to the chest area. An intercostal nerve block is performed as a diagnostic procedure or to treat pain from shingles, rib fractures or a past surgical incision in the chest area. The injection of a steroid medication will help to decrease inflammation of the nerve(s) that is causing your pain. Depending upon the level of relief that you receive, your doctor may recommend that you have more than one injection.
Intrathecal Pumps (ITPs)
An intrathecal pain pump implantation, or targeted drug delivery, is used to relieve chronic pain. The intrathecal pain pump implantation delivers small amounts of medication directly to the intrathecal space (area surrounding the spinal cord) to prevent pain signals from being perceived by the brain. Because the medication is delivered directly to where pain signals travel, intrathecal drug delivery offers many people dramatic pain management, with a dose smaller than would be required with oral medication. This results in fewer side effects associated with oral medication, such as sleepiness, upset stomach, vomiting and constipation.
A trial will be done first to determine if intrathecal pump implantation would work for your pain management. If you achieve a good level of pain relief (50 percent or greater) you may be a candidate for a permanent pump.
Knee Joint Injections
Joint injection procedures are performed to increase mobility and relieve joint bone and joint pain due to injury, arthritis or other causes. During the joint injection procedure, an anesthetic that is sometimes mixed with steroid is injected into or around the joint.
Medial Branch Blocks
A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. Typically several levels of the spine are injected in one procedure.
Occipital Nerve Block
An occipital nerve block treatment procedure is an injection of numbing medication and cortisone (steroid) into the scalp at the back of the head. The occipital nerve block treatment procedure is used in the diagnosis and treatment of occipital neuralgia (nerve pain) or tension headaches. If you respond well to the occipital nerve block treatment procedure, the treatment may be repeated.
Peripheral Nerve Stimulation
Neurostimulation therapy treatment, also called spinal cord stimulation, is the safe delivery of low voltage electricity to the dorsal column or peripheral nerves. The implantable stimulator device inhibits pain signals before they reach the brain and replaces them with a soothing, tingling sensation (called paresthesia) that covers the specific area where pain is felt.
Neurostimulation therapy is an implantable, reversible system that allows patients to control their level stimulation with a handheld device. Neurostimulation therapy is a simple outpatient procedure and is first done on a trial basis, where a patient tries the device for three to seven days to see if they are happy with the results. If the device successfully reduces their pain, the neurostimulator is implanted permanently and can be removed at any time with no harm.
Radiofrequency neuroablation or neurotomy is intended to decrease or stop pain originating from the facet joints of your neck and spine. The radiofrequency neuroablation procedure is usually performed after you have demonstrated pain relief from a “test” injection such as a facet joint or medial branch block injection. During the procedure, an electrode is inserted in the area near the irritated nerve in the facet joint. The electrode heats up a small area of nerve tissue, decreasing pain signals from that specific area. A radiofrequency neurotomy can be performed on the neck, back, coccyx or sacrum areas and can provide pain relief for about one year. The degree and length of relief will vary with each patient.
Sphenopalatine Ganglion Block
A sphenopalatine ganglion block is a minimally invasive procedure used to treat at treat head and facial pain. While the procedure itself is short and performed in your doctor’s office, it requires a great deal of technical proficiency, hence very few physicians are trained how to do it. A sphenopalatine ganglion block is an established treatment method for a wide variety of pain syndromes.
Spinal Cord Stimulator (SCS)
A spinal cord stimulator (SCS), also known as a dorsal column stimulator, is a device surgically placed under your skin to send a mild electric current to your spinal cord. A small wire carries the current from a pulse generator to the nerve fibers of the spinal cord.
Stellate Ganglion Block
Stellate Ganglion injections are a common method of treatment for Complex Regional Pain Syndrome (CRPS) and shingles that affect the head, face, neck or arms. Stellate Ganglion injections can be used to either diagnose or treat pain. The Stellate Ganglion injection blocks the sympathetic nerves that are located on either side of the voice box in the neck. The Stellate Ganglion injection may decrease swelling, pain and sweating in the upper extremities.
Steroid Injections for Joint Pain
Corticosteroid injections can improve pain in some people with OA. Osteoarthritis (OA) is one of the most common forms of arthritis. The joint pain and stiffness caused by OA can make it difficult to work, play sports and perform daily activities. Anti-inflammatory and analgesic medications may help ease your pain.
Superior Hypogastric Plexus Block
A hypogastric plexus block is the injection of numbing medication directly to the group of nerves that supply sensation (including pain sensations) to the pelvic organs. A hypogastric plexus block is performed for the treatment of pelvic pain.
A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back.
Vertebroplasty & Kyphoplasty
The vertebroplasty treatment procedure is a minimally invasive procedure used for treatment of spinal fractures caused by osteoporosis or cancer. The vertebroplasty treatment procedure involves injecting bone cement into the vertebrae to stabilize fractures. This treatment results in significant pain relief and improved mobility in many patients.
Ultrasound-guided Nerve Blocks
Emergency physician performed ultrasound-guided regional anesthesia is an evolving field that offers many potential benefits in the emergency setting: Analgesia can be targeted specifically to the region of pain and provide relief for many hours, large volumes of local anesthetic can be avoided and there is also less need for general sedation without the increased morbidity to patients. In addition, by providing an alternative to procedural sedation, there seems to be a decreased ED-length of stay, shortened post-procedure observation periods with reduced need for ED-nursing care, and high patient satisfaction
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