Pain Management at Centers for Neurosurgery, Spine, and Orthopedics


eck pain and back pain from the cervical spine down to the pelvic region can alter daily activities. Patients have a range of treatment options based on their diagnosis and symptoms.

Non-surgical techniques such as local dry needling, localized steroid injections, medications, relaxation techniques, physical manipulation and other physical therapy modalities can greatly help to reduce inflammation and pain.

The Benefits of Epidural Injections At Centers for Neurosurgery, Spine, and Orthopedics

When indicated, epidural injections are extremely effective for certain causes of back pain. This procedure is performed under sterile conditions with the doctor using a syringe to inject small doses of steroid medication near the nerves of the spine. Placed locally, a small dose of steroids reduces the inflammation and swelling of the nerve roots. This will decrease the compression of the nerves involved while diminishing the pain using a minimal dosage of steroids. Epidural injections are commonly used to treat mild to moderate herniated discs or bulging discs that have compressed nerve roots due to degenerative disc disease, degenerative spine disease, mild to moderate spinal stenosis, and spondylolisthesis. The use of local anesthetic prior to the epidural injection makes this a pain-free same day procedure that can be completed in 15 minutes using an x-ray called fluoroscopy and contrast dye to guide the needle to the affected area. It can be done both with or without sedation.

Facet Injections and Transforaminal Injections

Facet joint injections and transforaminal injections block pain in the cervical, thoracic, and lumbar spine. They are performed similarly and in close proximity to where epidural injections would be performed but are more localized in their steroid disbursement. Facet injections are often used to aid with physical therapy because after an injection, patients can then exercise using a full range of motion with minimum pain.

Sarcoiliitis Treatment

Also, sacroiliac joint block (SJB) or sacroiliac injections (SI) are often the primary method used to diagnose and treat sacroilic joint pain caused by inflammation. This type of back pain relief procedure is repeated as often as three times per year by a doctor. If the sacroiliitis is severe and recurring despite steroid injections, a minimally invasive surgical decompression by a neurosurgeon may be an option.

Relieving Muscle Spasms With Trigger Point Injections

A trigger point injection is often used for persistent pain due to a localized muscle spasm or “knot”. This may be caused by other back problems or due to strain or injury. Trigger points often are needed in the case of myofascial pain syndrome, a disorder causing sensitive muscle points in unrelated body parts throughout the body. This quick procedure is performed in the office using a topical anesthetic to numb the surface of the skin, then, the placement of an anesthetic mixture within the muscle causes the muscle to relax. Post injection, patients are free to move and stretch the muscle.

Headache and Migraine Pain Relief

Various symptoms determine whether a person is suffering from a migraine, cluster, stress or a tension headache. Headaches symptoms range from throbbing or pulsating pain in the forehead, temple lobes or back of the head to more severe symptoms such as blurred vision, light sensitivity, facial numbness, noise sensitivity, nausea and vomiting can also occur. There are many physical medicine techniques, eating and drinking habits, pain management procedures, and medications that can reduce the reoccurrence of headaches and minimize the discomfort when it happens. If the headache is found to be caused by a tumor, then it must be removed. After the careful evaluation of a headache and the determination of its cause, the appropriate treatment will be chosen by the pain management doctor. Options offered will depend on the cause of each headache and may include acupuncture, botox, acupressure, physical therapy, or trigger point injections all may be offered.

Centers for Neurosurgery, Spine, and Orthopedics Provides Pain Management

Centers for Neurosurgery, Spine, and Orthopedics (CNSO) is a comphrehensive resource for pain management. Whether individuals are inflicted with pain from a headache, an injury, accident, or a chronic pain disorder, top neurosurgeons, who are spine surgeons, and non-surgical staff including pain management doctors, physiatrists and physical therapists of CNSO, collectively evaluate each case and provide the best treatment. Offering multiple office locations spanning Passaic County to Sussex County and surrounding towns such as Paramus, Kinnelon, and Hackensack, NJ, patients are welcome to contact Centers for Neurosurgery, Spine, and Orthopedics today for effective pain relief.

Centers for Neurosurgery, Spine, and Orthopedics’s team of physicians understands how pain can be physically and emotionally debilitating. They compassionately help patients regain their pain-free lives.

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