Common Interventions

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A Medial Branch Block (MBB) is a diagnostic procedure used in pain management to identify the source of pain originating from the facet joints of the spine. The facet joints are small joints between vertebrae that provide stability and enable movement in the spine.

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Radiofrequency ablation (RFA) employs heat to destroy tissue. In pain management, radio waves are transmitted through a precisely positioned needle to heat a specific area of the nerve, thereby preventing pain signals from reaching the brain. RFA is often considered for long-term pain conditions, particularly those affecting the neck, lower back, or arthritic joints that have not responded well to other treatments.

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Epidural steroid injection (ESI)

An epidural steroid injection (ESI) involves administering anti-inflammatory medication—either a steroid or corticosteroid—into the epidural space surrounding your spinal nerves. This treatment is used to alleviate pain stemming from irritation and inflammation of the spinal nerve roots. Healthcare providers often utilize ESIs as a tool for managing chronic pain, helping to relieve discomfort in the neck, arms, back, and legs caused by inflamed spinal nerves due to various conditions or injuries. The pain relief from an ESI can last from several days to several months.

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Trigger point injection (TPI) may be an option for treating pain in some patients. TPI is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.

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A Sacroiliac Joint (SIJ) Injection is a procedure used to diagnose and treat pain originating from the sacroiliac joint, which is located in the pelvis between the sacrum (the triangular bone at the base of the spine) and the ilium (the large bone of the pelvis). The SIJ can be a source of pain due to various factors such as inflammation, arthritis, injury, or pregnancy-related changes.

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Cluneal nerve blocks are x-ray or ultrasound guided injections used to treat pain of the lower back, buttock, and pelvic ring. The cluneal nerves are a set of nerves that overlie the pelvis and buttock. These nerves can become trapped in muscular tissue and become areas of pain. These nerve blocks can help in the diagnosis and treatment of chronic low back, buttock and leg pain.

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