Welcome to Advanced Pain Management Clinic
Services — to help you regain your life.
General
Anesthesia (Conscious Sedation)
Anesthesia (Epidural)
Anesthesia (Lumbar Puncture, Spinal Anesthesia)
Lumbar Sympathetic Block
Stellate Ganglion Block
Shoulder
Axillary Brachial Plexus Block
Biologics Treatment for Rheumatoid Arthritis
Brachial Plexus Block (Infraclavicular Approach, Electric Stimulation)
Brachial Plexus Block (Infraclavicular Approach, Ultrasound-guided)
Brachial Plexus Block (Supraclavicular Approach, Electric Stimulation)
Brachial Plexus Block (Supraclavicular Approach, Ultrasound-guided)
Interscalene Brachial Plexus Block
Intracapsular (Glenoid) Injection
Joint Injection: Shoulder
Platelet Rich Plasma (PRP) Injection Treatment for Rotator Cuff Injury
Soft Tissue Injection: Shoulder
Suprascapular Nerve Block
Hip, Leg and Knee
Fascia Iliaca Block
Femoral Nerve Block
Fluoroscopic Guided Hip Injection
Fluoroscopic Guided Piriformis Injection
Fluoroscopic Guided Steroid Injection - Knee Pain
HYALGAN® Injection for Knee Pain (Fluoroscopic Guided)
Popliteal Fossa Block
Sciatic Nerve Block (Posterior Approach, Electric Stimulation)
Sciatic Nerve Block (Posterior Approach, Ultrasound-guided)
Ultrasound-Guided Ilioinguinal Nerve Block
Ultrasound-Guided Injection for Knee Pain
Visco-supplementation for Arthritis of the Knee
Head, Neck and Spine
Cervical Selective Nerve Root Block
Costovertebral Block
Epidural for Cancer
Intrathecal Pump Implant (Medtronic)
Lumbar Sympathetic Block
Spinal Cord Stimulation (Medtronic)
Spinal Cord Stimulation (Paddle Lead, Medtronic)
Spinal Cord Stimulator Implant (Trial Procedure)
Stellate Ganglion Block
Hand and Wrist
Conditions — we can help you with.
General
Metastatic Cancer of the Spine
Peripheral Neuralgia
Elbow
Inflammation of the Biceps Tendon at the Elbow
Lateral Epicondylitis (Tennis Elbow)
Medial Ulnar Collateral Ligament Injury
Overuse Injuries of the Elbow
Throwing Injuries of the Elbow
Triceps Tendonitis
Head, Neck and Spine
Facet Joint Syndrome
Kyphosis
Post Laminectomy Syndrome
Spinal Infection
Spinal Stenosis (Thoracic)
Spondylosis
Hand and Wrist
Peripheral Neuralgia
Thumb Ulnar Collateral Ligament (UCL) Injury
Triangular Fibrocartilage Complex (TFCC) Tears
Trigger Digit
Hip, Leg and Knee
Avascular Necrosis (AVN) of the Hip
Degenerative Joint Disease of the Hip (Osteoarthritis of the Hip)
Inflammatory Arthritis of the Hip
Muscle Strain Injuries of the Hip
Muscle Strain Injuries of the Thigh
Osteochondritis Dissecans of the Knee
Transient Osteoporosis of the Hip
Shoulder
Biceps Tendinitis
Burners and Stingers
Glenoid Labrum Tears
Rheumatoid Arthritis (RA) of the Shoulder
Suprascapular Neuropathy
FAQ
How often can I have steroid injections?
Most of the steroid injections are safe up to six times per year. The number of steroid injections needed by a patient depends upon their response to the injections.
Are the steroid injections "curing" my pain?
Steroids decrease the local inflammation in the area of injection. In many cases the local inflammation is the cause of the pain and therefore reducing or eliminating the inflammation should cure your pain.
How long do I have to stay after my procedure?
In most cases you should be able to go home about 30-45 minutes after the procedure is done.
How long does the relief from the injections last?
It depends on the pain condition for which the steroid is injected, as well as the physical condition and well being of the patient. A series of three steroid injections could last for a year or longer.
How to prepare for a procedure?
All of the procedures are done as an outpatient. Always follow those steps.
Eating or Drinking: You should refrain from eating or drinking six hours prior to your procedure.
Ride: You must have someone, age 18+, drive you after your procedure.
Medication: If you take Aspirin or Plavix, it should be stopped one week before the procedure. If you take Coumadin, it should be stopped four days prior to your procedure. Always check with the physician prescribing your blood thinner medication that is safe for you to be off of it for that length of time. Sometimes, the risk of being off of the medication is too high to warrant doing the procedure. You may take your other medications, with a sip of water, according to your regular schedule. If you are diabetic you will be given special instructions regarding taking your medication.
Clothing: Wear comfortable clothing.
Do steroids have "side-effects" such as weight gain?
Since the injections are done locally and precisely using a fluoroscope (x-ray) machine, the amount of steroid injected is very small. Steroid side effects are dose dependent and at these small doses rarely one develops side effects.
Do I receive sedation during my procedure?
Most patients will receive intravenous sedation during the procedure and are very comfortable. There is no need for general anesthesia for these procedures.
How long will the procedure take?
Most procedures will be less than 30 minutes.
What do I need to do before my procedure?
You will have a full consultation and physical exam by our staff on a separate day before your procedure. The procedure as well as pre-procedure instructions will be given to you at that time and all your questions will be answered.
When do I get relief after I have a procedure?
It depends on the pain condition as well as the type of procedure. The relief is rarely immediate, it may take a few days up to a few weeks until you get relief.
What if the procedure doesn't help me?
If interventional procedures are not effective in treating your pain condition, various medical management options will be offered to try.
What if my condition requires surgery?
With the advancement of technology we are able to perform minimally invasive surgery at our facility to treat conditions such as Disk Herniation/Bulging and Vertebreal Compression Fracture. If we are unable to assist you with your pain condition, appropriate surgical referral will be made.