SPINE PROCEDURES NON-SURGICAL
Bone Density Scan (DXA or DEXA)
This is a type of x-ray that measures your bone density. Your doctor may recommend it if you’re at risk for osteoporosis (that’s a weakening of your bones). This scan is a quick and easy way to check for signs of bone density loss.
Caudal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.
Celiac Plexus Block (Percutaneous Approach)
This procedure temporarily disrupts the nerves of the celiac plexus. These nerves branch away from your spine. They connect to the organs in your abdomen. Pain signals caused by conditions such as pancreatitis or pancreatic cancer travel through these nerves on the way to your brain. A celiac plexus block can relieve your pain.
Cervical Epidural Steroid Injection
This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
Cervical Epidural Steroid Injection (without contrast)
This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
Cervical Facet Radiofrequency Neurotomy
During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.
Cervical Selective Nerve Root Block
This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. It can be used to treat conditions such as herniated discs, spinal stenosis, and radiculopathy.
Cervical Transforaminal Epidural Steroid Injection
This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
Cold Laser Therapy
This technique uses laser light to promote the healing of injured tissues. It may be used to replace invasive procedures such as injections and surgery. In some cases, it may reduce the need for physical therapy.
Costovertebral Joint Injection
This outpatient procedure is an injection of pain-relieving medication into one or more costovertebral joints. These are the joints that form the connections between the ribs and the vertebrae.
CT Scan (Computed Tomography; CAT Scan)
This scan lets doctors see inside your body by taking x-ray images from many angles. These are combined to show clear cross-section slices of parts of your body. A CT scan shows much more than a typical x-ray. It can show cancer and other problems.
Discography (Cervical)
This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your neck. To see how it works, let’s watch a discography done in the cervical spine.
Discography (Lumbar)
This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let’s watch a discography done in the lumbar spine.
Discography (Thoracic)
This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let’s watch a discography done in the thoracic spine.
Electromyography (EMG)
This is a test of your muscles and nerves. It usually has two parts. One is a nerve conduction study. This measures how well electricity moves through your nerves. The second part is a needle electromyogram. It records the electrical signals your muscles make when you move them. The results can help your doctor find problems linked to certain disorders or conditions.
Epiduroscopy
In this minimally-invasive procedure, a flexible instrument containing a tiny camera, called an epiduroscope, is used to diagnose the cause of pain in the lower spine and legs, likely from sciatica. During the procedure, the surgeon may also administer medication to treat the pain.
Facet Joint Injections
The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.
Fascia Iliaca Block
This procedure is performed to block pain signals from traveling along the femoral nerve from the thigh or knee to the brain. It is commonly used to alleviate pain that can appear after certain leg surgeries such as total knee replacement.
Fluoroscopic Guided Piriformis Injection
This injection procedure is performed to diagnose and relieve the pain of piriformis syndrome, an irritation of the sciatic nerve caused by a contraction of the piriformis muscle in the buttocks.
High Dosage Laser Therapy (HDLT)
This is a way of caring for injured tissues with laser light. If your muscles or joints hurt from conditions such as fibromyalgia or arthritis, high dosage laser therapy may help.
Hip Joint Injection
If you have pain in your hip, your doctor may inject medicine into your hip joint. It can help your doctor find where your pain is coming from. It can also make your hip feel better.
Lumbar Epidural Steroid Injection
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
Lumbar Epidural Steroid Injection (without contrast)
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
Lumbar Sympathetic Block
This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.
Lumbar Transforaminal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.
Medial Branch Block
This diagnostic 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.
Medial Branch Block (Cervical)
This is an injection of numbing medicine that bathes the medial branch nerves. These nerves are attached to the facet joints of the spine. Disease or injury of these joints can cause pain in the medial branch nerves. This pain may travel through the neck, shoulders, upper back and head. A medial branch block can help your physician find the source of your pain. It may also provide temporary pain relief.
MRI (Magnetic Resonance Imaging)
This scan lets doctors see inside your body without using radiation. Instead, MRIs use magnets and radio waves. An MRI shows clear views of your soft tissues. It can show cancer and other problems.
Myelography (Myelogram)
This outpatient procedure is a diagnostic examination of the spine. It allows the physician to identify problems involving the spine, the spinal cord and the nerve roots.
Nerve Conduction Study (NCS)
This noninvasive, outpatient exam is used to measure how quickly nerves conduct electrical signals through the body. NCS is a valuable technique for diagnosing nerve damage. If damage exists, NCS can help a physician find its source.
Osteoporosis Screening
As you get older, your risk for osteoporosis increases. That’s a disease that makes your bones thin and weak. A screening procedure called a “bone density test” shows if you have osteoporosis. It shows if you are likely to develop it. Or, if you are being treated for osteoporosis, it can show if your treatment is working.
Patient-Controlled Epidural Analgesia (PCEA)
This is a method of pain control. With it, you push a button attached to an IV pump device to give yourself a dose of pain relief medication. PCEA is often used to ease the pain of childbirth. It can also be helpful in the days immediately after some surgical procedures.
PET Scan (Positron Emission Tomography)
This scan lets doctors see inside your body. A PET scan is different from an MRI or a CT scan, because it shows how your organs and systems are working. It can give doctors a clear view of some types of cancer cells, which show up brightly on a PET scan. It can also help doctors diagnose other disorders throughout your body.
PRP Therapy (Overview)
Platelet rich plasma therapy can help injured joints and other problems. It uses parts of your own blood to reduce pain and speed up healing.
PRP Therapy (Overview) (AcCELLerated Biologics)
Platelet rich plasma therapy can help injured joints and other problems. It uses parts of your own blood to reduce pain and speed up healing.
RACZ Caudal Neurolysis
This injection, generally performed as an outpatient procedure under local anesthesia, relieves low back and leg pain most often caused by scarring from a prior back surgery. The procedure is performed with the patient lying face down with a cushion placed under the stomach.
Radiofrequency Neurotomy of the Cervical Facets
During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.
Radiofrequency Neurotomy of the Lumbar Facets
During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your lower back. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.
Sacroiliac Joint Steroid Injection
This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
Stellate Ganglion Block
A stellate ganglion nerve 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.
Thoracic Epidural Steroid Injection
This outpatient procedure is an injection performed to relieve pain in the upper back.
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