Epidural Steroid Injections
An epidural steroid injection (ESI) is a medical procedure in which a corticosteroid (a type of anti-inflammatory medication) is injected into the epidural space of the spine. The epidural space is the area surrounding the spinal cord and nerve roots. The purpose of this injection is to reduce inflammation and swelling, which can help alleviate pain, especially in cases of conditions like herniated discs, spinal stenosis, sciatica, or radiculopathy. This can be done in the cervical, thoracic, lumbar, and caudal regions of the spine.
Sacroiliac Joint injection
A sacroiliac (SI) joint injection is a medical procedure where a local anesthetic and corticosteroid is injected into the sacroiliac joint, located at the junction where the sacrum (the triangular bone at the base of the spine) meets the iliac bones of the pelvis. This joint plays a crucial role in absorbing shock and stabilizing the pelvis. When there's inflammation or dysfunction in the SI joint, it can cause pain in the lower back, buttocks, and legs.
Trigger Point Injections
A trigger point injection (TPI) is a medical procedure used to treat painful areas of muscle tissue known as "trigger points." These are tight knots of muscle fibers that can develop when a muscle is overworked, injured, or stressed. Trigger points can cause localized pain, as well as referred pain (pain felt in other areas of the body). The injection typically contains a combination of a local anesthetic (to relieve pain) and a corticosteroid (to reduce inflammation), and is aimed at relaxing the affected muscle and providing pain relief.
Lumbar Transforaminal Epidural Steroid Injections
A Lumbar Transforaminal Epidural Steroid Injection (TFESI) is a medical procedure used to treat pain in the lower back and legs caused by inflammation around the spinal nerve roots. Transforaminal refers to the method of delivering the medication into the epidural space through a specific path — the foramen, which is the opening where the nerve roots exit the spine. The procedure involves injecting a combination of corticosteroid (to reduce inflammation) and a local anesthetic (to provide immediate pain relief) into the epidural space near the affected nerve root. It’s typically used to treat conditions like lumbar radiculopathy, sciatica, herniated discs, or spinal stenosis.
Platelet-Rich Plasma Injections
Platelet-Rich Plasma (PRP) Injections are a form of regenerative medicine used to promote healing and reduce pain, particularly in musculoskeletal conditions like tendon injuries, arthritis, and soft tissue damage. The treatment involves using a person’s own blood to create a concentrated mixture of platelets, which are rich in growth factors that promote tissue repair and regeneration.
Botox Injections for Migraines
Botox has been FDA-approved for the treatment of chronic migraines in adults who experience headaches for 15 or more days a month, with at least 8 of those days involving migraines. It’s used as a preventive treatment to reduce the frequency and severity of migraines. These injections may prevent the activation of migraine-associated nerves and reduce inflammation around the nerves. Botox is injected into 31 sites around the head and neck every 12 weeks.
Botox Injections for Dystonia
Botox has been shown to be an effective treatment for various forms of dystonia, such as cervical dystonia (also called spasmodic torticollis), blepharospasm (eye twitching), and limb dystonia. Botox works by temporarily paralyzing the overactive muscles responsible for the abnormal movements and postures. By blocking the release of acetylcholine, Botox reduces the muscle contractions that cause the involuntary movements or spasms. This procedure can be performed every 8-12 weeks.
Intra-Articular Steroid Injections
Intra-articular injections are a type of medical procedure in which a substance is injected directly into the joint to relieve pain, reduce inflammation, or promote healing. The injection typically contains a combination of a local anesthetic (to relieve pain) and a corticosteroid (to reduce inflammation). These injections are often used to treat conditions such as osteoarthritis, rheumatoid arthritis, and other joint-related issues. Common joints treated with this injection include: knees, hips, shoulders, elbows, and ankles
Zilretta Knee Injections
Zilretta is an FDA-approved injectable medication used for the treatment of osteoarthritis (OA) pain, specifically for knee osteoarthritis. It is a brand name for triamcinolone acetonide, a type of corticosteroid that is formulated in a way that allows for sustained release. Zilretta provides longer-lasting pain relief compared to traditional steroid injections. This injection can be performed every 12 weeks.
Greater Trochanteric Bursa Injections
A Greater Trochanteric Bursa injection is a medical procedure where medication is injected directly into the bursa located near the greater trochanter of the femur (thigh bone) to relieve pain and inflammation associated with conditions like trochanteric bursitis or other hip-related issues.The injection typically contains a combination of a local anesthetic (to relieve pain) and a corticosteroid (to reduce inflammation).