Treatments

The Intracept procedure is a minimally invasive, FDA-approved medical treatment designed to address chronic low back pain originating from the vertebral endplates and associated withvertebrogenic pain. This condition is often linked to Modic changes, which are specific degenerative changes in the spine visible on MRI. The procedure targets the basivertebral nerve, a nerve within the vertebral body that transmits pain signals. By using radiofrequency energy to ablate (destroy) the nerve, the procedure interrupts the transmission of pain signals to the brain, providing long-term relief for patients who have not responded to conservative treatments such as physical therapy, medication, or injections. Performed under local or general anesthesia, the Intracept procedure involves the insertion of a specialized probe into the vertebral body through a small incision guided by fluoroscopic imaging. Once the probe is correctly positioned near the basivertebral nerve, controlled radiofrequency energy is applied to heat and ablate the nerve. The entire procedure typically takes around 60–90 minutes, and patients often experience minimal downtime, returning to normal activities within a few days. Clinical studies have shown that the Intracept procedure can provide

The Vertiflex procedure is a minimally invasive treatment designed to relieve symptoms associated with lumbar spinal stenosis, a condition where the spinal canal narrows and compresses the nerves. During the procedure, a small implant called the Superion Indirect Decompression System is inserted between two vertebrae in the lower spine. This implant creates space within the spinal canal, effectively decompressing the affected nerves and alleviating pain, numbness, and weakness in the legs. The procedure is performed through a small incision, typically in an outpatient setting, allowing for a quicker recovery compared to traditional surgical options. One of the key advantages of the Vertiflex procedure is that it maintains the spine’s stability while providing immediate relief from symptoms. Patients usually experience less postoperative pain and a faster return to daily activities, as the procedure is less invasive than conventional surgeries like laminectomy or spinal fusion. Most patients can resumenormal activities within a few weeks, making it an appealing option for those seeking an effective solution for lumbar spinal stenosis without the extensive recovery time associated with more invasive surgical interventions. However, like any

Epidural steroid injections (ESIs) are a minimally invasive treatment used to manage pain caused by inflammation of spinal nerves, commonly due to conditions like herniated discs, spinal stenosis, or sciatica. In this procedure, a corticosteroid combined with a local anesthetic is injected into the epidural space, which surrounds the spinal cord and nerve roots. The corticosteroid reduces inflammation, while the anesthetic provides immediate but temporary pain relief. By addressing inflammation directly at the source, ESIs help alleviate pain,numbness, or tingling in areas affected by nerve compression, such as the back, legs, or arms. Though ESIs don’t cure the underlying condition, they can offer significant temporary relief, lasting from several weeks to several months. This relief can help patients engage in physical therapy and other treatments aimed at addressing the root cause of their pain. The procedure is typically done on an outpatient basis and is guided by imaging (such as fluoroscopy) to ensure precise placement of the injection. Risks associated with ESIs are generally low, but they can include infection, bleeding, headaches, or in rare cases, nerve damage. Repeated injections may

A spinal cord stimulator (SCS) is a medical device implanted under the skin to help manage chronic pain by delivering electrical impulses to the spinal cord. These impulses interfere with pain signals before they reach the brain, providing relief from conditions like chronic back, leg, or arm pain, especially after failed surgeries or for those with conditions like complex regional pain syndrome (CRPS). The device consists of a small pulse generator, which is implanted under the skin, and thin wires (electrodes) that are placed in the epidural space near the spinal cord. Patients can adjust the intensity and location of the stimulation using anexternal controller. Spinal cord stimulation is typically considered after more conservative treatments, such as medications, physical therapy, or nerve blocks, have failed to provide relief. Before permanent implantation, patients undergo a trial period where temporary electrodes are placed to assess how well the SCS reduces their pain. If successful, the permanent system is implanted. While the SCS doesn’t cure the underlying condition, it can significantly improve quality of life by reducing reliance on pain medications and improving mobility

Sympathetic nerve blocks are medical procedures that involve the injection of anesthetic agents into specific areas around sympathetic nerves, which are part of the autonomic nervous system responsible for regulating involuntary bodily functions, including blood flow, sweating, and pain perception. These blocks target sympathetic ganglia—clusters of nerve cell bodies—such as the lumbar sympathetic ganglion or the stellate ganglion, depending on the area being treated. The primary goal of sympathetic nerve blocks is to interrupt the transmission of pain signals and reduce symptoms associated with conditions like CRPS, neuropathic pain, and other chronic pain syndromes. By temporarily disrupting the function of the sympathetic nervous system, these blocks can provide significant relief from pain and associated symptoms, like swelling and temperature dysregulation. The procedure typically involves using fluoroscopy or ultrasound for precise needle placement, ensuring that the anesthetic is delivered accurately to the targeted nerve area. The injection can provide immediate pain relief, which may last for hours to days, depending on the individual’s condition and response to the treatment. In some cases, the sympathetic nerve block may be repeated or used as

A TENS (Transcutaneous Electrical Nerve Stimulation) unit is a device used to relieve pain through the application of low-voltage electrical currents to the skin. The device consists of small electrodes that are placed on the skin near the area of pain. These electrodes deliver electrical impulses that stimulate the sensory nerves, which can help to block pain signals from reaching the brain. The electrical impulses also promote the release of endorphins, the body’s natural painkillers, which can further help reduce discomfort. TENS units are commonly used for conditions such as chronic pain, arthritis, muscle strain, and neuropathy. The TENS unit is non-invasive and is typically considered safe for most individuals. It is a portable device that can be easily adjusted for different intensity levels and used at home or in a clinical setting. TENS therapy does not cure the underlying cause of pain, but it can provide temporary relief, making it a helpful adjunct in managing chronic pain. The device is generally used for short-term pain relief, and while it is not suitable for everyone, many people find it effective for

A peripheral nerve stimulator (PNS) is a medical device designed to provide pain relief by delivering electrical impulses to specific peripheral nerves. The device typically consists of a small, implantable electrode that is placed near the targeted nerve and a pulse generator that can be implanted under the skin or worn externally. By sending electrical signals to the nerve, the PNS interrupts pain transmission to the brain and can help alleviate symptoms associated with various pain conditions. This method is particularly beneficial for patients who maynot have found relief through traditional pain management techniques or medications. Peripheral nerve stimulators are often used to treat a variety of chronic pain conditions, including neuropathic pain, migraines, complex regional pain syndrome (CRPS), and post-surgical pain. The therapy can be adjusted to cater to the individual needs of the patient, allowing for customization of stimulation parameters based on their pain levels and response to treatment. PNS can be a non-invasive option for patients, as it often involves a trial phase before permanent implantation, enabling patients to assess its effectiveness in managing their pain. By providing

Knee injections can provide significant pain relief and improve function for individuals suffering from knee pain, particularly due to conditions like osteoarthritis. These injections work by delivering medication directly into the knee joint, targeting inflammation, pain, or joint damage at its source. One common type is corticosteroid injections, which help reduce inflammation and provide temporary relief from pain and swelling. These are especially useful during flare-ups and can enhance mobility, though their effects are generally short-term, often lasting a few weeks to several months. Another type of knee injection is hyaluronic acid (HA) injections, which aim to improve the lubrication of the knee joint. HA is a naturally occurring substance in joint fluid that helps to cushion and lubricate the joint. By injecting HA, it can help restore some of the joint’s natural properties, potentially reducing pain and improving movement. This type of injection can provide longer-lasting relief compared to corticosteroids, often lasting several months. Additionally, platelet-rich plasma (PRP) injections, which involve using the patient’s own bloodcomponents to promote healing, are emerging as a treatment option. Each type of injection has

Kyphoplasty is a minimally invasive surgical procedure usedto treat vertebral compression fractures, which are oftencaused by osteoporosis, trauma, or certain malignancies. Theprocedure involves making a small incision in the back,through which a balloon is inserted into the fracturedvertebra. The balloon is then inflated to restore the vertebra’sheight and shape, creating a cavity within the bone. Once theballoon is removed, the cavity is filled with a special bonecement called polymethylmethacrylate (PMMA). This cementhardens quickly, stabilizing the vertebra and providingimmediate pain relief. Kyphoplasty is primarily used to address pain and instabilityassociated with vertebral compression fractures. Thesefractures can lead to severe back pain, loss of height, andspinal deformity, which can significantly impair a person’squality of life. By stabilizing the affected vertebra andrestoring its height, kyphoplasty helps alleviate pain, improvespinal alignment, and prevent further complications. It isparticularly beneficial for patients who have not respondedwell to conservative treatments, such as medication orphysical therapy, and are seeking a more immediate andeffective solution for their symptoms.

Physical therapy plays a crucial role in managing pain andpromoting recovery from compression fractures by focusingon strengthening the muscles around the spine andimproving flexibility. Through targeted exercises, physicaltherapists help stabilize the spine, reducing the strain on theaffected vertebrae and decreasing pain. Strengthening theback and core muscles also supports the spine better, whichcan alleviate pressure on the injured area and promoteproper posture. Improved posture and muscle support cansignificantly reduce the discomfort associated withcompression fractures and prevent further injury. Additionally, physical therapy can enhance mobility andfunctional ability by gradually increasing range of motion andguiding patients through gentle stretching and strengtheningroutines. This approach not only helps manage pain but alsoaids in restoring normal movement patterns and reducing therisk of future fractures. Physical therapists may alsoincorporate modalities like heat, cold therapy, or electricalstimulation to further relieve pain and inflammation. Overall,physical therapy provides a comprehensive approach to painmanagement, addressing both the physical and functionalaspects of recovery from a compression fracture.