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.

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 are Trigger Point Injections?

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.

In preparation for the procedure, the patient is positioned comfortably. The provider presses and pinches the skin to locate the trigger point. Once it has been identified, the provider cleanses the overlying skin. A topical anesthetic may be used to temporarily numb the skin.

What is Spondylolisthesis?

This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.