Physical Medicine & Rehabilitation

Pain Management

About Our Physical Medicine & Rehabilitation Program

Pain management is an important part of orthopaedic care. A Physical Medicine & Rehabilitation Physician (PM & R) treats injuries and illnesses related to nerves, muscles, and bones. PM&R physicians treat a wide range of problems and injuries from sore muscles to musculoskeletal injuries. Their goal is to decrease pain and improve performance without surgery.

Non-Surgical Treatments

Epidural Steroid Injections (ESI)

An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI may be performed to relieve pain caused by spinal stenosis, spondylolysis, or disc degeneration or herniation. The effects of ESI tend to be temporary. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities and a physical therapy program.

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Facet Joint Injections

A facet injection is a minimally invasive procedure that can temporarily relieve joint or nerve pain caused by inflamed facet joints. Facet joints are involved in carrying weight through your back/neck and allowing motion of the spine including flexion, extension, and twisting.

Facet mediated pain is often felt as a deep aching sensation in the back or neck that is worse with movement.

Facet joint pain can be caused by numerous factors including arthritis, degenerative disc disease, falls and car accidents. Pain from the facets cannot be diagnosed by x-ray, CT scan, MRI or Bone scan.
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Hip Joint Injections

Hip joint pain is a common complaint and is often related to hip joint osteoarthritis. Commonly hip joint pain is experienced as a deep aching sensation in the groin that is worse with walking or standing.

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Medial Brach Blocks

A medial branch block (MBB) is a minimally invasive diagnostic procedure that can be used to diagnose facet mediated back and neck. Facet joints are in involved in carrying weight through your back/neck and allowing motion of the spine including flexion, extension, and twisting. Facet mediated pain is often felt as a deep aching worse with movement. Facet joint pain can be caused by numerous factors including arthritis degenerative disc disease, falls and car accidents. Facet joints send pain signals through two medial branch nerves. Pain form the facet cannot be diagnosed by x-ray, CT scan, MRI, or Bone scan.

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Sacroiliac Joint Injections

Sacroiliac Joint (SIJ) Disease is one of the major causes of low back pain. The sacroiliac joint is located at the junction between the spine and the pelvis. The sacroiliac joint is a weight-bearing joint as the weight form the upper body transmitted down the spine, through the sacroiliac joint and into the pelvis, hips, and lower extremities. The sacroiliac joint is supported by many muscle groups and ligaments that are richly innervated by free nerve endings and spinal nerve roots. When there is inflammation to the sacroiliac joint the patient may experience intense low back pain. Patients typically complain that the pain associated with sacroiliac joint worsens when sitting for long periods of time or performing twisting motions.
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