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Back Pain Management

Frequently Asked Questions

How often can I have a cortisone injection?
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The goal of pain management is quite self explanatory; Management of pain with future re-evaluation of the condition. The most common pain management procedures involve injections which are used to provide patients with relief for an extended period of time.

Ablation of the nerve may also be performed to destroy, or ablate, the nerve endings around a certain structure responsible for pain. The downside being that the pain has a tendency to recur in six to eight months due to the nerves growing back in many cases.

Pain Management Methods

Selective Nerve Block A selective nerve root block is performed both as a treatment for a pinched nerve and/or as a diagnostic test to determine if a particular nerve is the source of pain.
Trigger Point Injection A trigger point injection is a local injection involving some numbing and cortisone type medication.
Caudal-Epidural Similar to the epidural, the caudal epidural injection is performed very low in the spine at a location called the sacral hiatus.
Epidural One of the most common pain management procedures is the epidural block. It is performed under sterile conditions using television x-ray to be sure that the needle is placed in the proper location.
Prolo or Sclero Facet Injection Prolo or Sclero Facet Injection is a procedure where a chemical is injected around a facet joint to induce the formation of a type of scar tissue.
Transforaminal Epidural The transforaminal epidural injection is again similar to the standard epidural but differs in that access to the epidural space is gained through the foraminal canal.
Radio Frequency Nerve Ablation Radio frequency nerve ablation can be performed to destroy, or ablate, the nerve endings around a certain structure responsible for pain.