Interventional Pain Treatments
- Facet Injections can help you in two major ways. First, it can help you diagnose the cause and location of the pain. Second, it can provide pain relief. Facet Injections involve injecting local anesthetic or steroid medication to help block the pain.
Interlaminar Epidural Injections
- An Interlaminar Epidural Injection bathes the inflamed nerve root to reduce inflammation and decrease pain.
Transforaminal Epidural Injections
- Transforaminal Epidural Injection is a procedure similar to the Interlaminar Injection, however, it is from a lateral approach and is specific to the nerve root involved.
- Epidural Injections are meant to help alleviate pain and reduce inflammation via use of corticosteroids. Epidural Injections are minimally invasive procedures that deliver the medicine directly to the area that needs relief.
Medial Branch Blocks
- Medial Branch Blocks are meant to temporarily interrupt pain signals being carried from facet joints.
Intercostal Nerve Blocks
- Our Intercostal Nerve Block treatment delivers steroid medication which bathes the intercostal nerve reducing inflammation and pain.
Head and Neck Procedures
- We offer a multitude of treatments for headache and neck pain. These include epidurals, facet injections, occipital nerve blocks, RFA, MUA and Botox treatments depending on the individual patient’s condition.
- Sacroiliac (SI) Joint Injections are an injection into the sacroiliac joint which can alleviate SI joint and hip pain along with sciatic type pain.
- A Myofascial injection is a procedure used to treat painful areas of muscle that contain knots in surrounding muscle that form when muscles do not relax. Many times, such knots can be felt under the skin. These isolated areas of muscle contraction may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body. Small amounts of anesthetic and steroid are injected into the point to help alleviate the pain.
Trigger Point Injections
- Trigger Point Injections are procedures that are meant to alleviate pain once injected directly into the trigger point, or focal areas of spasm and inflammation.
All Joint Injections
- For Joint Injections, we inject a steroid or other medication into a joint to reduce inflammation or swelling of tissue.
RFA (Radio Frequency Ablation)
- An injection procedure performed to give longer lasting arthritis relief by using heated probes to thermally ablate the nerve. This will provide a more permanent solution by stopping the pain signals being transmitted along the nerve pathway.
- Kyphoplasty (or vertebral augmentation) is the gold standard in treatment for compression fractures and to alleviate pain due to osteoporosis. The procedure is performed in approximately 45 minutes and most patients feel pain relief within a couple of hours. The next day the patient is up and walking nearly pain free. This MIS (minimally invasive procedure) has a success rate greater than 90%.
Spinal Cord Stimulation Trials
- Spinal Cord Stimulation (SCS) is an innovative, proven technology that offers a treatment option for chronic pain. It is most commonly used to treat low back and leg pain. SCS is a specialized device that uses mild electrical pulses to the spinal cord to interrupt pain signals, resulting in pain relief.
Non-Steroidal Injections (Traumeel)
- An injection utilizing a homeopathic anti-inflammatory medication.
MUA (Manipulation Under Anesthesia)
- MUA is a non-invasive procedure that is meant to help people who are suffering from acute and chronic range of motion restriction, with or without associated pain.
Bursa and/or Tendon Injections
- This is an injection that bathes the surrounding tissue that reduces swelling, inflammation and pain.
PRP (Platelet Rich Plasma) Therapy
- PRP Therapy is a type of injection procedure that speeds the healing of tendons, muscles and connective tissue by using the bodies own miraculous healing chemistry.
Stem Cell Therapy
- Stem cell therapy is an innovative treatment approach that taps into the body’s natural healing process without the need for invasive surgical procedures.
Botox for Chronic Migraines and Cervical Dystonia
- BOTOX® is the first and only FDA-approved preventive treatment for Chronic Migraines. It’s also the only treatment for people with Chronic Migraines that can help prevent headaches and migraines before they even start. BOTOX® prevents on average 8 to 9 headache days and migraine/probable migraine days a month.
- Doctors have been using BOTOX® for cervical dystonia and its symptoms since it was FDA approved in 2000. Results from a key clinical study showed that after receiving BOTOX® treatment, people with cervical dystonia had improved head posture and reduced intensity and frequency of neck pain.
- Viscosupplementation is ideal for patients with mild to moderate Osteoarthritis (OA) of the knee. It may be especially useful for patients who have not responded to other OA treatments, such as physical therapy, weight loss, pain relievers, and corticosteroid injections.
Regenerative Medicine Therapy
Platelet Rich Plasma (PRP) Therapy
What exactly is PRP (Platelet Rich Plasma) Therapy?
Platelet Rich Plasma, or PRP, is blood plasma with concentrated platelets and multiple growth factors. The concentrated platelets found in PRP contain huge reservoirs of bioactive proteins, including growth factors and signaling proteins that are vital to initiate and accelerate tissue repair and regeneration.
These bioactive proteins initiate connective tissue healing in tissues such as meniscus (knee) and rotator cuff tissue, bone and articular cartilage regeneration and repair, promote development of new blood vessels, and stimulate the wound healing process. How does it work?
The PRP signaling proteins attract stem cells to repair the area of injury. PRP Therapy is a treatment option for various orthopedic injuries and condition, which have traditionally required surgery or other extensive treatments. PRP injections are being utilized in Orthopedics with increasing frequency and effectiveness. What type of injuries does it help?
Injuries currently being treated with the PRP Therapy are arthritis of the hip, knee, shoulder, ankle and other joints. PRP therapy is also utilized for soft tissue injuries such as tendonitis, muscle sprains and tears, and various types of ligament injuries. These include common tendon injuries such as tennis and golfers’ elbow, Achilles tendonitis and knee tendonitis.
PRP is also used to treat various injuries and conditions affecting joint injuries. These include rotator cuff and meniscus injuries.
How is it done?
PRP is a very simple and effective procedure; a small amount of blood is taken from the patient’s arm. The blood is then placed in a centrifuge. The centrifuge spins and separates the platelets from the rest of the blood components.
Using the patient’s own blood, specifically prepared platelets are taken and re-injected into the affected area. These platelets release special growth factors that lead to tissue healing. By using the concentrated platelets, we increase the growth factors up to eight times, which promotes temporary relief and stops inflammation. PRP injections actually heal the area over a period of time. This can be done anywhere from one to three months.
How many treatments will I need?
Although every case is different, most patients need 3-5 treatments over a 3 month period.
What is Interfyl Therapy?
Interfyl is human connective tissue matrix. It uses the power of placental tissue to support your body’s natural ability to heal. Unlike other regenerative therapies, it helps replace and supplement damaged tissue. Is it safe?
Interfyl tissue matrix goes through and extensive screening and is processed according to the Food & Drug Administration (FDA) and American Association of Blood Banks’ (AABB) requirements. The processed tissue is incorporated into your body where it works with your body’s natural healing process to repair damaged tissue.
What happens during treatment with Interfyl?
Valley Neurology and Pain uses Interfyl human tissue matrix and injects the material into the treatment area during a simple outpatient procedure. Once injected, the material stimulates the release of the body's own stem cells, providing a matrix for attachment all while reducing inflammation for better healing.
Where is Interfyl Therapy used?
Interfyl therapy is widely used to treat many types of pain, including:
- joint damage due to arthritis, including arthritis in the knees, hips and shoulders
- meniscal tears and other damage in the knee joint and surrounding soft tissues
- labral tears and other shoulder injuries
- tendonitis and ligament strains
- muscle and other soft tissue injuries
- chronic neck and back pain
- foot and heel pain, including plantar fasciitis
How soon will I experience the benefits of Interfyl Therapy?
Most patients experience maximum benefits in 3-4 weeks after treatment.
*Some fees may apply depending on insurance plan.
MUA (Manipulation Under Anesthesia).
Manipulation Under Anesthesia (MUA) can provide relief from acute and chronic pain when all other approaches have failed. Manipulation Under Anesthesia (MUA) is a non-invasive procedure used to restore range of motion and relieve acute and chronic shoulder, knee, spine, and joint pain that has not responded to other treatments. MUA can be especially beneficial to patients with conditions caused by long-term disabilities that have resulted from accidents and sports injuries. When a patient is mildly sedated, our center’s trained physicians are able to perform deep tissue pressure, traction and muscle stripping at a much deeper level than what normally would be tolerated without sedation. A combination of passive stretches, and muscle, joint, and tendon movements are used to break up fibrous adhesions and scar tissue around joints and muscles. Scar tissue and fibrous adhesions can greatly restrict range of motion and cause pain.
Who is a Candidate?
Before patients can be considered candidates, they need to receive a consultation with one of our Board Certified Physicians.
Some spinal syndromes respond poorly to conservative, conventional care because they do not address the underlying cause.
Whether it is a disc injury, old injury to the spine, or headaches, the chronic pain is caused by adhesions and scar tissue that have built up around the spinal joints and within the surrounding muscles.
Patient Evaluation and Screening
Patient selection is one of the most important aspects to ensure the MUA procedure will be a success. Not everyone is a candidate for this procedure. Candidates are selected for MUA after taking a thorough and adequate history, thorough examination, and appropriate diagnostic imaging and laboratory procedures necessary for an accurate diagnosis of the underlying condition.
MUA is performed under conscious sedation with the consideration of the anesthesiologists. The patient is given anesthesia (conscious sedation) selected by the anesthesiologist that is most appropriate based on their personal medical history. Two properly trained and qualified physicians take the patient through specific and controlled passive stretching techniques. These stretches are intense and the range of motion is taken beyond the point of consciously tolerable pain.
Deep tissue pressure, traction and muscle stripping are performed. Similar in thought to spray and stretch but at a much more deep and intense level–beyond what would be possible without being sedated.
Specific joint manipulations are then performed. This helps to increase the range of motion of the restricted joints, eliminate the deposited fibrosis within the joints, and stretch the shortened connective tissue within the joint to help restore normal motion. The patient is injected with anti-inflammatory medication, is awakened from the anesthesia, and is taken to recovery and monitored. When the conservative treatment of chronic becomes intolerable, the benefit of sedation becomes obvious.
Shortly after the MUA procedure, the patient usually experiences a dramatic increase in range of motion and decrease in pain. However, it is essential to complete a post-MUA rehabilitation program to ensure a permanent resolution of chronic pain.
In an effort to minimize the re-formation of adhesions, a post-operative care program is prescribed for six to eight weeks. Patients who have experienced chronic pain for years can become severely de-conditioned.
As a result, they may require an additional 6 to 8 weeks of re-conditioning, work conditioning, and strength training.
MUA Is Not a New Procedure.
It Has Been the Topic of Research Since 1948.
Since the 1930s, MUA has been changing the lives of chronic pain sufferers and improving their quality of life. Documentation regarding the success and value of MUA has been recorded in the osteopathic literature since 1948, when Clybourne reported in the Journal of American Osteopath Association a success rate of 80–90% which has been maintained to this day.