Welcome to Pain and Spine Clinics

Back pain management focuses on providing relief for painful symptoms that arise due to degenerative, often irreversible conditions of the spine. Interventional pain management involves therapeutic injections and nerve blocks to very specific areas of the spine to reduce pain and improve your quality of life.

Two highly effective interventional treatment options for back pain include:

  • Epidural Injections
  • Facet Joint Injections

Epidural Steroid Injections

An epidural steroid injection is a fast, safe and highly effective non-surgical treatment for back pain. It involves injecting a powerful steroid medication into the epidural space of the spine, where the inflamed nerves are located.

Epidural injections relieve pain by reducing inflammation in a number of painful conditions in the spine.

An epidural injection is performed with fluoroscopy, a special imaging technique that uses X-rays for exact needle placement.

Facet Joint Injections

Facet joints are the joints in the spine that keep the back flexible and allow us to bend and twist. The facet joints may become painful due to arthritis.

Facet joint injections use a steroid to reduce inflammation in the facet joints. The injections are given under a local anesthetic, using fluoroscopy. Before injecting the medication, an anesthetic is injected to numb the joint and confirm the exact facet joint causing pain.

Good candidates for facet joint injections are people with arthritic or thickened facet joints. Most patients undergoing facet injections have already tried conservative treatments, such as anti-inflammatory medication and physical therapy.