Most patients on narcotic pain medications are seen by the doctor or mid-level provider such as Nurse Practitioner on a monthly or bi-monthly basis for pain re-evaluation and prescription refills. Michigan Automated Prescription Service (MAPS) and Urine Drug Screen are utilized at initial consultation and at random to screen patients who might be abusing narcotics or using illicit substances.
Injections are performed by Interventional Pain Fellowship trained Physician and are performed under Fluoroscopic guidance for proper needle placement. Local anesthetics and mild sedatives are used during the injections in most patients.
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Which may include anti-inflammatory medications, muscle relaxants, narcotic pain medications, anti-depressants, other medications helping with the nerve pain.
Interventional Pain Management
It includes epidural injections of steroid medication, facet joint injections followed by facet nerve rhizotomy, S.I. Joint injection, Trigger Point injections, Joint injections with steroid, Spinal Cord Stimulator implant, Intrathecal Pump Implant.
When the conservative approach fails, patient is referred to see a Spine Surgeon or Orthopedic Surgeon for consultation and surgical opinion.
Conditions We Treat
Spine Pain – Neck, Mid-back, Lower Back Pain
Degenerative Disc Disease
Sacroiliac Joint Pain
Tail Bone Pain
Failed Back Syndrome
Joint Pain – Hip, Knee, Shoulder, and other joint pain
Complex Regional Pain Syndromes (CRPS / RSD)
Phantom Limb Pain
Post Herpetic Neuralgia (Shingles)
Sympathetic Nerve Blocks
Facet Joint Injections
Sacroiliac Joint Injection
Occipital Nerve Block
Intercostal Nerve Block
Hip Joint Injection
Greater Trochanter Bursa Injection
Trigger Point Injection
Spinal Cord Stimulation Trial
Intrathecal Pump Implant and Pump Management
With the exception of few, all injections are performed under IV sedation by an Anesthesiologist.