Pain Management

Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Premier Surgical Center can assist your doctor in treating you with pain management surgeries, including:

Epidural Steroid Injections (interlaminar and transforaminal) – These injections can temporarily block pain caused by irritated or pinched spinal nerves. A doctor will inject a steroid (usually cortisone) between the spinal cord and the vertebrae. The steroid helps reduce the nerve inflammation and eliminate your pain.

Facet Joint Injections – Facet joints are small, thumbnail-shaped joints on either side of each of your spine vertebrae. They help stabilize and guide the spine as your body moves. Doctors can use facet joint injections to diagnose and treat pain caused by problems in the neck, upper back, or lower back sections of your spine. The doctor injects an anesthetic and an anti-inflammatory medication into the problem joint. The procedure can relieve your facet joint pain caused by Arthritis, Back injury, or Repetitive motion stress.

Radio Frequency Lesioning (Also called “RF Lesioning” or “radio frequency neurolysis”) – This procedure uses radio frequency waves to temporarily block nerve signals. It can block nerves carrying pain signals for six to 12 months and provide you with relief to facet or sacroiliac joint pain.

Spinal Cord Stimulation (SCS) Trials – Spinal Cord Stimulation is a pain management option that can relieve severe, chronic pain. This procedure uses electronic pulses to excite the nerve and “trick” your brain into believing the pain is gone or reduced. A battery-operated device generates the electronic pulses. Thin wire electrodes deliver the electronic pulses to the nerves in the spine. Doctors will first test SCS effectiveness on you by inserting a temporary SCS lead through a needle during a same-day surgery. The SCS trial lasts about a week after the temporary lead is inserted. If the SCS trial controls your pain, then the doctor will implant a permanent SCS device and electrode. The permanent device implant is also usually done on an outpatient basis.