What is Cervical Selective Nerve Root Block (CSNRB)?

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. It can be used to treat conditions such as herniated discs, spinal stenosis, and radiculopathy.

The procedure is performed with the patient lying face down or face up to expose the neck. The patient may be sedated but awake during the procedure. A region of skin and tissue of the neck is numbed with a local anesthetic delivered through a small needle.

Facet Joint Injections

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.

In preparation for the procedure, the provider numbs the skin and tissue above the facet joint with an injection of local anesthetic.

What is a Lumbar Sympathetic Block?

This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.

The sympathetic nerves travel along both sides of your spine. They are associated with a wide range of functions that you don’t consciously control. These include your circulation, digestion and sweat production.

What is a Medial Branch Block?

The medial branch block procedure is performed to identify a painful facet joint. The facet joints are the joints between the vertebrae in the spine. They allow the spine to bend, flex and twist.

In preparation for the procedure, the patient is positioned on his stomach. The provider injects a local anesthetic. This numbs the skin and tissue around the facet joint that is suspected of causing the patient’s pain.

What is a Spinal Cord Stimulator Implant?

A Spinal Cord Stimulator Implant (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Electrodes at the end of the lead produce electrical pulses that stimulate the nerves, blocking pain signals. The patient gives feedback to help the provider determine where to place the stimulators to best block the patient’s pain. The leads are connected to an external trial stimulator, which will be used for approximately one week to determine if SCS will help the patient.