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Pain Treatments

PERSONALIZED PAIN AND SPINE CARE IN THE SOUTH BAY.

Pain Treatment: Spine Conditions, Back Problems, Back Pain, Joint Pain

Our state of the art spine wellness clinic and surgery center offer innovative minimally-invasive approach to each individual needs. As a spine and pain center, our focus is to improve each patient’s pain and function. We have extensive experience in the diagnosis and treatment of spinal pain, chronic/acute pain syndromes, arthritis, joint disorders, musculoskeletal, and spine disorders, as well as chronic/acute sports injuries and headaches. We are dedicated to helping our patients lead a fully functional and active life, regaining control and functionality.

Treatments We Offer

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Epidural steroid injections (ESI):

An injection of cortisone into the space outside the dura (the epidural space) can temporarily relieve symptoms of spinal stenosis. While injections can rarely be considered curative, these spinal stenosis treatments can relieve pain in about 50% of cases. In addition, you can get up to three injections in several months.

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Transforaminal epidural steroid injections / selective nerve root blocks (lumbar, cervical, thoracic):

An epidural injection involves releasing medication directly into the area around the irritated spinal nerves causing the pain. This area is called the epidural space and is the area around the sheath-shaped protective membrane called the dura mater, which covers the spinal nerves and their roots.

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Facet Joint Injections (lumbar, cervical, thoracic):

Facet joint injections are steroid injections into the facet joints of the spine. The articular facets of the spine provide stability along the various regions of the spine, including the lumbar and cervical regions. When a patient is suffering from arthritis, stress, or facet joint injury, a facet joint injection can help relieve pain.

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Medial branch blocks (lumbar, cervical, thoracic):

A medial branch block is a medical procedure in which an anesthesiologist numbs the medial branch nerves that emerge from the spinal cord to determine if they are a source of chronic pain. The procedure will temporarily reduce pain if facet joints are the problems.

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Radiofrequency ablation (rhizotomy) of lumbar, cervical, thoracic medial branch nerves:

Pulsed radiofrequency represents a new technology in the treatment of acute and chronic pain. A fine needle, called a cannula, is introduced after local anesthesia with the help of radioscopy, in rare cases of CT scan, towards the nerve or structure to be treated.

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Kyphoplasty / SpineJack (lumbar, thoracic):

The kyphoplasty is a rapid method and at low risk, which is reserved to the treatment of those fractures that have not resulted in compression of the nerve structures housed within the spinal canal or which do not have characteristics of high instability.

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Spinal cord stimulator (trials and implantations)

Spinal cord stimulators (trials and implantations), also called neurostimulators, are specially designed to relieve chronic pain. A compact electrical device is implanted into the lower abdomen wall through surgery and connected by cable to electrodes near the spinal cord’s back.

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DRG Stimulation (trials and implantations)

The new therapy, called stimulation of the dorsal ganglion root (DRG), works targeting only the nerve fibers that carry signals from the source of the pain. Unlike stimulation of the spinal cord, it bypasses nerve fibers that transmit messages from non-painful regions.

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Sacroiliac joint injection / SI joint fusion

The sacroiliac region is a region prone to arthritis, sprain, and misuse. Sacroiliac joint pain is often confused with herniated disc pain or lame femoral joint pain. The sacroiliac injection technique is extremely effective in cases of inflammation in this region.

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MILD (Minimally Invasive Lumbar Decompression)

In this complex procedure, the spinal canal space is increased by removing thickened ligaments from the back of the spinal column with the help of a needle-like instrument. MILD is a short form of Minimally Invasive Lumbar Decompression.

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The Vertiflex™ Procedure (Superion)

The Vertiflex Procedure is a small implant between the spinous processis to relieve the symptoms of spinal stenosis. It is a solution for back pain patients who have failed injections or medications. It relieves back pain by re-establishing the standard space between the vertebrae.

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Nucleoplasty (percutaneous disc decompression) (lumbar, thoracic):

Nucleotomy is performed without cutting and intended to relieve pressure inside the disc and eliminate symptoms associated with compression of the nerve structures adjacent to the discs, with the advantage of reducing surgical trauma and providing better patient recovery.

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Percutaneous Lumbar Laser Discectomy

It is a minimally invasive procedure for treating the spine, particularly herniated discs. Procedures involving percutaneous (through the skin) disc decompression are intended to relieve intradiscal pressure and eliminate symptoms associated with compression of nerve structures adjacent to the discs.

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Intracept Procedure

In this case, it is just a matter of introducing a thin device with which the nerve responsible for the pain associated with low back pain is killed. Then, the patient is intubated through the mouth to receive local anesthesia in the area between the L3 and S1 vertebrae.

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Minuteman® Procedure

The Minuteman implant is performed as a day case under local or general anesthesia. It involves the implantation of the device in the space between two backbones to relieve pressure on the nerves and, therefore, pain in the legs.

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Platelet-rich plasma (PRP)

Platelet Rich Plasma (PRP) is obtained from the patient’s blood, which, after freshly collected with sodium citrate as an anticoagulant, is processed in a special centrifuge to concentrate the platelets. This process allows the concentration of large numbers of platelets to release growth factors in a small volume of plasma.

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Peripheral nerve blocks (pudendal, intercostal, ilio-inquinal, occipital)

The peripheral nerve block is a kind of partial anesthesia that is designed to control the pain in a more enduring way. With this technique, it is possible to reduce the use of potent systemic analgesic drugs. The peripheral nerve block may also be applied with other anesthetic techniques, such as sedation and anesthesia.

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Botox Injections

Botox, also known as botulinum toxin, is a substance that can be used to treat various diseases, such as microcephaly, paraplegia, and muscle spasms. It can prevent muscle contraction and acts by promoting temporary muscle paralysis, which helps reduce symptoms related to these situations.

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Suboxone Detox for opioid dependency

Suboxone is basically naloxone and buprenorphine. If you have been taking Suboxone® for a prolonged period of time, and have successfully stopped using heroin and methadone, then your doctor may begin to lower your Suboxone® dose. However, even if you have received 1 mg per day of Suboxone®, eliminating it completely is a difficult point for any opiate addict.

More information www.suboxone.com