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.

What is a Stellate Ganglion Block?

A stellate ganglion block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.

The stellate ganglion nerves travel along both sides of your spine. They are associated with a wide range of bodily functions that you don’t consciously control. These include blushing, heart rate, sweating and the dilation of your pupils.

What is an Axillary Brachial Plexus Block?

This outpatient procedure numbs the arm and hand with an injection of local anesthetic. Typically, it is used before or after surgery on the elbow, forearm or hand. The numbing sensation will last for several hours after the injection. The arm will be placed in a sling until the nerve block wears off. When the anesthesia wears off, painkillers may be needed to alleviate pain from the procedure.

What is a Caudal Epidural Steroid Injection?

This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.

What is a Celiac Plexus Block?

This procedure temporarily disrupts the nerves of the celiac plexus. These nerves branch away from your spine. They connect to the organs in your abdomen. Pain signals caused by conditions such as pancreatitis or pancreatic cancer travel through these nerves on the way to your brain. A celiac plexus block can relieve your pain.

What is Cervical Facet Radiofrequency Neurotomy?

During this minimally-invasive procedure, the provider uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

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.

What is a Fascia Iliaca Block (FICB)?

This procedure is performed to block pain signals from traveling along the femoral nerve from the thigh or knee to the brain. It is commonly used to alleviate pain that can appear after certain leg surgeries such as total knee replacement.

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 Lumbar Radiofrequency Neurotomy?

During this minimally-invasive procedure, the provider uses heat from radio waves to treat painful facet joints in your lower back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.