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Interventional Pain Management at River City Rehabilitation and Spine Specialists

The doctors at River City Rehabilitation & Spine Specialists are experts in spine injection procedures, peripheral joint procedures, and orthopedic regenerative medicine procedures, with the goal of improving function and reducing pain. Collectively, our physicians have more than 37  years of experience in the performance of spine injections for back and neck pain, musculoskeletal problems, and associated disorders.

We exclusively perform injection procedures and orthopedic regenerative medicine procedures for the spine and musculoskeletal system. We believe this level of dedication and experience allows us to perform these highly specific image-guided injection procedures at an extremely high standard.

Schedule an appointment with RCRSS today and move forward with your life.

Commonly Treated Conditions at River City Rehabilitation and Spine Specialists

  • Low Back Pain
  • Neck Pain
  • Diabetic Neuropathy
  • Disc Bulge
  • Shingles Pain
  • Trigeminal Neuralgia
  • Headaches
  • Pelvic Pain
  • Abdominal Pain
  • Cancer Pain
  • Joint Pain
  • Lateral Epicondylitis ( Tennis Elbow)
  • Ankle Sprains
  • Complex Regional Pain Syndrome (CRPS)
  • Phantom Limb Pain
  • Plantar Fasciitis
  • De Quervain’s Tenosynovitis
  • Osteoarthritis of Hand
  • Rheumatoid Authritis (RA) of Hand
  • Scoliosis
  • Spinal Stenosis (Cervical)
  • Spinal Stenosis (Thoracic)
  • Spondylosis
  • Osteoarthritis of Hip
  • Patellar Tendonitis (Jumpers Knee)
  • Biceps Tendinitis

Offering Treatment Plans That Produce Results and Control Pain

Epidural injections

An epidural corticosteroid injection places medication directly around a pinched nerve as it exits the spine within the epidural space. Between the spine’s bones, discs and nerves is the epidural space. The space around the spinal nerves where disc tissue can herniate and cause pressure and inflammation.

Facet joint Injections

From the neck to the tailbone, facet joints are located between each set of vertebrae. They allow each vertebra to move against the vertebra above and below it. When the facet joints become painfully inflamed or irritated, a facet joint injection is used to reduce the inflammation and swelling of tissue in and around the facet joint space and to relieve pain and other symptoms caused by this condition. Some patients may experience pain in the surrounding tissues and even in the arms or legs when they are suffering from facet joint pain.

Radiofrequency Ablation

Radiofrequency ablation, also known as rhizotomy, is one of the newer pain control solutions. During the procedure, radiofrequency waves are delivered to nerves in a non-surgical way, with the goal of disrupting the brain’s pain signals.

Radiofrequency ablation is used to treat pain from the facet joints, which can cause chronic pain in the lower back or neck, as well as the sacroiliac joints. This can often contribute to chronic low back pain.

Sacroiliac joint injections

The sacroiliac joints, or SI joints are located at the base of the spine and connect it to the pelvis. A common cause of lower back pain is inflammation of the SI joint. It can also cause pain in the buttocks, groin, and legs. These symptoms are very common and can be caused by other factors as well. Joint dysfunction in the SI does not respond well to general pain treatments, so it is vital that your doctor confirms this as the cause of your pain to begin effective treatment. It is possible to diagnose as well as treat SI joint dysfunction with SI joint injections.

 

Common Surgical Procedures

Spinal Cord Stimulation

The use of spinal cord stimulation (SCS) has been shown to alleviate some of the most difficult pain issues. The SCS therapy is most commonly used to treat neuropathic pain, including diabetic neuropathy, post-laminectomy syndrome (residual pain after back surgery), and complex regional pain syndrome (CRPS). You may be able to control and relieve your pain with spinal cord stimulation (SCS) if you suffer from chronic neuropathic pain. Our board-certified pain specialists can help determine if SCS is an option for you.

Vertebral Augmentation

Vertebral augmentation involves injecting bone cement into fractured vertebras through a small incision in the skin in order to relieve back pain caused by a vertebral compression fracture. Vertebroplasty and kyphoplasty are similar percutaneous spinal procedures that use bone cement to treat fractured vertebrae.

Sacroilliac Joint Fusion

Sacroiliac joint fusion is a minimally invasive procedure performed under imaging guidance, involving only a small incision, usually less than two inches long. The procedure provides stability to the SI Joint through the use of implants and patients can typically return to normal routines in a few weeks.

 

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