Spinal injections are performed either to confirm a suspected diagnosis and/or reduce pain and inflammation for the patient with a spinal condition. These injections are often performed under fluoroscopy in an outpatient surgical center to assure proper placement of the needle.
Epidural
A block that is performed under fluoroscopy to confirm a specific diagnosis and/or decrease pain and inflammation.
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Selective Nerve Root Block (SNRB)
A block that is performed to determine if a specific spinal nerve root is the source of pain and reduce inflammation around the nerve root, thus decreasing or relieving the pain.
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Facet Block
A block that is performed to confirm that a facet joint is the source of pain and decrease pain and inflammation in a facet joint or joints.
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Neurotomy (medial branch rhizotomy)
Facet neurotomy is a procedure which results in interruption of the nerve supply to a facet joint. This interruption, known as denervation, is accomplished by a radio-frequency probe that heats the 2 small nerve branches to each facet joint. These nerves are called the medial branches.
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Discogram
A discogram is a diagnostic test performed to view and assess the internal structure of a disc and determine if it is a source of pain.
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Stellate Ganglion Block
A block that is performed under fluoroscopy to determine if there is damage to the sympathetic nerve chain and if it is the source of the patient’s arm pain. This is primarily a diagnostic block but it may provide pain relief in excess of the duration of the anesthetic.
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Sympathetic Block
A block that is performed to determine if there is damage to the sympathetic nerve chain and if it is the source of pain. This is a diagnostic test primarily, but may provide relief far in excess of the duration of the anesthetic.
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Costovertebral Block
A block that is performed under fluoroscopy to identify the costovertebral joint as the pain generator and decrease or relieve pain in that area and out toward the lateral rib cage.
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