Procedures are performed using fluoroscopic (X-ray) or ultrasound guidance using the latest techniques. All procedures are minimally invasive to minimize injury to adjacent normal tissues thereby facilitating rapid healing and recovery.
- Migraine Headaches
- Muscle Spasms
- Movement Disorders (dystonia, torticollis)
Here in SOAR we provide minimally invasive, image-guided treatment for pain caused by herniated discs. Our specially trained doctors use real-time image guidance while performing interventional pain procedures such as nucleoplasty that require smaller incisions, have fewer risks of complication, and take less recovery time than traditional surgery. The treatment can reduce pain and restore mobility faster than traditional surgery.
- Nucleoplasty (aka percutaneous discectomy)
- Endoscopic Laser Discectomy
- Intradiscal Electrothermal Therapy
- Disc Denervation
A local anesthetic (usually lidocaine or bupivacaine) is injected into the joint with the goal of determining immediate pain relief to confirm that the joint is the source of the pain. Cortisone are powerful anti-inflammatory medications that are added to offer fast-acting relief of inflamed joints, tendons, and bursa.
- Sacroiliac (SI) joint
A local anesthetic (usually lidocaine or bupivacaine) is injected adjacent to the nerve with the goal of determining immediate pain relief to confirm that the nerve is transmitting the pain impulses. Cortisone are powerful anti-inflammatory medications that are added to offer fast-acting relief of inflamed nerve.
- SYMPATHETIC BLOCKS
- Cervical Stellate
- Celiac Plexus
- Lumbar Sympathetic
- Ganglion Impar
- EPIDURAL STEROID INJECTIONS: TRANSFORAMINAL / INTERLAMINAR
- FACET MEDIAL BRANCH NERVE BLOCKS
- PERIPHERAL NERVE BLOCKS
- Trigeminal Nerve
- Occipital Nerve
- Median Nerve (Carpal Tunnel)
- Ilioinguinal / Genitofemoral / Iliohypogastric
- Tibial Nerve
Neuroablation is a technique of selectively incapacitating for an extended period of time the purely or largely sensory nerves that do not serve any vital functions in order to relieve chronic pain. We no longer set out to destroy nerves for multiple reasons. Firstly the risk of neuroma formation, which could actually make the pain worse, combined with the lack of long term efficacy make the actual destruction of nerves undesirable.
Neuroablation has been investigated as a treatment modality for patients with a variety of chronic spinal pain syndromes, including flexion-extension injury (whiplash), neck and shoulder pain, intercostals neuralgia, sacroiliac syndrome, and facet joint pain syndrome.
Historically there are three major types of neuroablative procedures, chemical ablation, cryoablation and thermal or radiofrequency ablation. Modern treatments take into account the plasticity of the nervous system and focus more on temporarily interrupting aberrant signal pathways than destroying nerves.
A percutaneous procedure in which sensory afferent nerve fibers are selectively destroyed by heat produced by radio waves delivered through an electrode. Treatment objectives are to eliminate pain, reduce the likelihood of recurrence, and prolong the time to recurrence by selectively destroying pain fibers without inducing excessive sensory loss, motor dysfunction, or other complications.
Same technique and indication as in RFA but instead the sensory afferent nerve fibers are selectively destroyed by Absolute Alcohol or 6% Phenol.
Neuromodulation, defined by the International Neuromodulation Society as “the alteration of nerve activity through the delivery of electrical stimulation or chemical agents to targeted sites of the body,” is carried out to normalize – or modulate – nerve function. Neuromodulation is an evolving therapy that can involve a range of electromagnetic stimuli such as a very small electric current, or a drug instilled directly in the subdural space (intrathecal drug delivery).
- Spinal Cord Stimulation
- Intrathecal Pump Therapy
- Peripheral Nerve Stimulation
During the past several years, much has been written about platelet-rich plasma (PRP) and its potential effectiveness in the treatment of injuries. It has been used since the mid-1990’s in oral surgery and plastic surgery to aid in soft tissue recovery.
Many famous athletes — Tiger Woods, tennis star Rafael Nadal, and several others — have received PRP for various problems, such as sprained knees and chronic tendon injuries. These types of conditions have typically been treated with medications, physical therapy, or even surgery. Some athletes have credited PRP with their being able to return more quickly to competition.
We all have stem cells at work inside us all the time. At any single moment, inside your bone marrow, stem cells are busy making the 100,000 million new blood cells you need every single day! We need to make new cells all the time, just to keep our body functioning. Some specialized cells, such as blood and muscle cells, are unable to make copies of themselves through cell division. Instead they are replenished from populations of stem cells. Stem cells have the unique ability to produce both copies of themselves (self-renewal) and other more specialized cell types (differentiation) every time they divide. Stem cells, therefore, are essential to the maintenance of tissues such as blood, skin, and gut that undergo continuous turnover (cell replacement), and muscle, which can be built up according to the body’s needs and is often damaged during physical exertion.
A minimally invasive procedure proven to significantly relieve pain, increase mobility, and improve quality of life without open surgery. Performed through a small incision in the back and usually requires only a local anesthetic and mild sedation, eliminating the possible complications that may result from open surgery. In some instances, general anesthesia is advised with a minimal hospital stay. Semi-liquid cement is injected into the fractured bone. One the cement hardened, it creates an internal cast that stabilizes the fracture, thereby alleviating pain in approximately 90 percent of patients.
- KYPHOPLASTY / VERTEBROPLASTY
Treatment with platelet-rich plasma holds great promise. Currently, however, the research studies to back up the claims in the media are lacking. Although PRP does appear to be effective in the treatment of chronic tendon injuries about the elbow, the medical community needs more scientific evidence before it can determine whether PRP therapy is truly effective in other conditions.
Even though the success of PRP therapy is still questionable, the risks associated with it are minimal: There may be increased pain at the injection site, but the incidence of other problems — infection, tissue damage, nerve injuries — appears to be no different from that associated with cortisone injections.
If you are considering treatment with PRP, be sure to check your eligibility with your health insurance carrier. Few insurance plans, including workers’ compensation plans, provide even partial reimbursement.