Procedures We Offer
A Discography or Discogram is an invasive diagnostic test that uses x-rays to examine the intervertebral discs of your spine. A special dye is injected into the injured disc or series of discs. The dye makes the disc visible on a fluoroscope monitor and x-ray film.
Extracorporeal Pulse Activation Technology (EPAT®) is the most advanced non-invasive technology platform utilizing acoustic energy based on unique sets of acoustic pressure waves designed for a broad range of podiatric and pain management uses and applications.
Anterior Cervical Discectomy and Fusion
A cervical disc herniation can be removed through an anterior approach (through the front of the neck) to relieve spinal cord or nerve root pressure and alleviate corresponding pain, weakness, numbness and tingling.
- This procedure is called an anterior cervical discectomy and allows the offending disc to be surgically removed. A discectomy is a form of surgical decompression, so the procedure may also be called an anterior cervical decompression.
- A fusion surgery is almost always done at the same time as the discectomy in order to stabilize the cervical segment.
- Together, the combined surgery is commonly referred to as an ACDF surgery, which stands for Anterior Cervical Discectomy and Fusion.
While this surgery is most commonly done to treat a symptomatic cervical herniated disc, it may also be done for cervical degenerative disc disease. It may also be done for more than one level of the cervical spine.
Pulsed radiofrequency (PRF) is a novel therapeutic modality with many potential applications in pain management.
Radiofrequency ablation uses an electric current to heat up a small area of nerve tissue to stop it from sending pain signals. It can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints.
This procedure is performed in the hospital, typically on an outpatient basis. It is performed under intravenous sedation. Your pain physician uses a proprietary blend of dextrose, chondroitin, glucosamine, DMSO, bupivacaine and antibiotic rather than traditional chymopapain. As opposed to chymopapain, this mixture does not traditionally induce a significant risk of anaphylaxis (a severe allergic reaction).
Adhesiolysis, also known as Epidural lysis of adhesions (LOA) is a minimally invasive spine surgery which involves the dissolution of epidural scar tissue by mechanical means to facilitate the spread of analgesics in an effort to alleviate pain.
Lumbar Spine Fusion
Spinal fusion permanently connects two or more vertebrae in your spine to improve stability, correct a deformity or reduce pain. Your doctor may recommend spinal fusion to treat deformities of the spine, spinal weakness or instability, and herniated disk.
one of the least invasive spine surgeries. It is used to relieve pressure on the exiting nerve or spinal cord,
Popliteal Nerve Catheter
During this procedure, a catheter is inserted behind the knee so that the lower branches of the sciatic nerve can be bathed in a continuous flow of anesthetic solution. Typically, it is used to numb the leg for surgery on the lower leg, ankle and foot and to manage pain following surgery.
Popliteal Nerve Catheter
This procedure is an injection of anesthesia (or an anesthetic/steroid mixture) around the sciatic nerve. It can be used to block the pain of surgery on the knee, leg ankle or foot, or it can be used to manage the pain of chronic issues in the lower extremity.
Sacroiliac Joint Radiofrequency
In this procedure, a heat lesion is created on certain nerves with the goal of interrupting the pain signals to the brain, thus eliminating pain. The terms radiofrequency ablation and radiofrequency neurotomy are used interchangeably. Both terms refer to a procedure that destroys the functionality of the nerve using radiofrequency energy.
All spinal fusions use some type of bone material, called a bone graft, to help promote the fusion. Generally, small pieces of bone are placed into the space between the vertebrae to be fused. A bone graft is primarily used to stimulate bone healing. It increases bone production and helps the vertebrae heal together into a solid bone. Sometimes larger, solid pieces are used to provide immediate structural support to the vertebrae.
Kyphoplasty is a minimally invasive surgery used to treat a spinal compression fracture.
Vertebroplasty is a procedure in which a special cement is injected into a fractured vertebra — with the goal of relieving your spinal pain and restoring your mobility.