Nerve Blocks

Are you tired of chronic pain?

You are in the right place.

A nerve block may be the answer you’re looking for. Whether you have back pain or knee pain or hip pain or shoulder pain or pelvic pain or any type of pain, that pain signal is transmitted via a nerve to the brain. Using ultrasound or x-ray guidance, our doctors can target the nerve precisely and inject an anesthetic that will silence pain temporarily. If the pain is susccefully reduced, our doctors will proceed with Radiofrequency Ablation to permanently silence this nerve.

Occipital nerve blocks

Occipital nerve can be blocked using ultrasound guidance. It is typically located immediately above your neck, in the back of your head. Occipital nerve can be the culprit for migraine headaches, chronic tension headaches, occipital neuralgia, cervicogenic headache and others.

Nerve Blocks

Suprascapular nerve blocks

Suprascapular nerve is located above your shoulder blade. Blocking or ablating Suprascapular nerve has been a successful and effective strategy to reduce shoulder pain due to various conditions such as rotator cuff tear, frozen shoulder, arthritis. Suprascapular nerve stimulation is a new advanced technique that is reserved for advanced case. Your doctor will guide you through every step to select the best treatment for you. Surgery may be avoided with these simple treatments can be done in office.

Genicular Nerve Block

A genicular nerve block temporarily blocks the nerve signals in the knee. This procedure is primarily used as a diagnostic test for radiofrequency ablation (RFA) candidacy; patients who respond well to a genicular nerve block often proceed with the genicular RFA, which provides more prolonged pain relief. Peripheral Nerve Stimulation using a special device is another option to reduce your pain and avoid surgery.

Intercostal nerve blocks

Have you been suffering from ribcage pain that failed to improve with physical therapy and NSAIDs? Intercostal nerves run underneath each of your ribs. Inflammation of these nerve can lead to pain. Your doctor may inject an anesthetic around the intercostal nerve under the rib to stop the pain. These injections contain a steroid medicine to help heal the inflammation as well. A successful block confirms the accuracy of diagnosis as well.

Obturator / Femoral Nerve block

Obturator / Femoral nerve block is used to treat chronic hip pain and can be repeated multiple times to treat chronic hip neuralgia. Under ultrasound guidance or fluoroscopy (X-ray) guidance, our pain management specialist will inject steroid mixed with local anesthetic around the nerve to reduce inflammation and block pain signal traveling through the nerve. This procedure is primarily used as a diagnostic test for radiofrequency ablation (RFA) candidacy; patients who respond well to the nerve block, often proceed with the RFA to destroy the nerve permanently, which provides more prolonged pain relief.

Cluneal Nerve Block

This is a cluster of nerves at the upper portion of the buttocks and tail bone. It branches out of the termination of the lumbar and sacral nerves at the base of the spine.. A Cluneal nerve block is a minimally invasive procedure, done in office. Oftentimes it is difficult to establish the correct diagnosis for low back pain ; Sacroiliitis, vs Facet Arthritis vs Radiculopathy. Cluneal Nerve block is done as a test to confirm the correct diagnosis. Cluneal nerve stimulation is a new advanced technique that is utilized to eliminate pain transmitted by this nerve.

Sympathetic nerve blocks

Sympathetic block is appropriate when the diagnosis is not clear. It can treat many chronic pain conditions, such as herpes pain, shingles, Raynaud’s syndrome, causalgia, sympathetic dystrophy and others. A stellate block focuses on the sympathetic nerves in the upper spine, including those that run to the chest, arms, neck and head. A nerve block of the celiac plexus involves the sympathetic nerves in the middle of the spine that reach the abdomen. A lumbar sympathetic nerve block targets the sympathetic nerves of the lower spine that affect the legs and feet and a hypogastric plexus block targets sympathetic nerves to the pelvis.

Iliohypogastric nerve block

The iliohypogastric and ilioinguinal nerves branch from your lumbar spine and run inside the pelvis to your inner thigh and groin. The iliohypogastric nerve block stops these nerves from carrying pain signals to your brain. This can relief your pelvic, abdomen or hip pain.

Medial Branch Nerve block

Medial Branch nerve carries pain signals from the facet joints in your spine. This is often the culprit for chronic back Pain. Before scheduling Radiofrequency ablation (RFA), your doctor is likely to recommend a diagnostic procedure, called a Medial Branch Block (MBB). This procedure can be cervical or thoracic or lumbar and pain relief is often immediate after the procedure. Since the procedure is minimally invasive, your downtime is minimal and you will quickly be able to return to your normal levels of activity.

Pudendal Nerve Block

Pudendal nerve carries pain signals from genitals, tailbone (coccyx), and/or rectal pain (pudendal neuralgia). it can become inflamed due to local trauma such as a stretch injury or obesity, tight clothing, or pregnancy or diabetes. Using x-ray or ultrasound guidance, your pain doctor will locate the nerve precisely. A local anesthetic and/or steroids are then injected to reduce your pain.

Lateral Femoral Cutaneous Branch Block

This nerve carries pain signals from the outer sides of your thighs and hips. It is often the cause of pain after hip surgery, Meralgia Paresthetica and typically presents with numbness / tingling on your on your hips and thighs. Using x-ray or ultrasound guidance, your pain doctor will locate the nerve precisely. A local anesthetic and/or steroids are then injected to reduce your pain.

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