(865) 633-9469 RECORDS@SSPAMD.COM

PROCEDURES

Interventional Procedures For Multi-Modal Treatment Plans

What Differentiates Southeast Spine and Pain Associates?

Southeast Spine and Pain Associates offer numerous interventional pain procedures for patient-tailored treatment plans. Procedures are performed in-office by a board-certified anesthesiologist. Please note that this is a list of commonly performed procedures, not an exhaustive list of all procedures.

Instructions:

  • Stop any anti-coagulants (blood thinners) as advised by your physician.
  • All procedure preparation instructions must be followed by the patient, or the physician reserves the right to reschedule your procedure.
  • Inform your physician before your procedure if you are or could be pregnant.

What to expect:

  • If you experience an increase in pain the day following your procedure, remember that this is normal. This pain is due to the local anesthetic from your procedure wearing off.
  • Pain relief varies by each patient. Some patients experience relief immediately after the procedure, and some patients may require a few days for the procedure to take effect.

Complications to look for:

  • Numbness, weakness, or tingling in your limbs (arms & legs) lasting greater than 24 hours
  • New or unusual headaches or neck stiffness
  • Unusual swelling or redness around the injection site
  • If you experience any of these symptoms, please call our office at (865) 633-9469.
  • If you experience difficulty breathing, chest pain, or any emergency, please call 911 or go to the nearest emergency hospital.

Southeast Spine and Pain Associates

CONTACT INFORMATION

(865) 633-9469 PHONE
(865) 633-9474 FAX
records@sspamd.com

4713 Papermill Drive
Suite 301
Knoxville, TN 37909

Monday – Friday 8:00am – 5:00pm
Weekends – CLOSED

Caudal Epidural Steroid Injection

Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They have been used for low back problems since 1952 and are still an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.

In addition to the low back (the lumbar region), epidural steroid injections are used to ease pain experienced in the neck (cervical) region and in the mid spine (thoracic) region.

READ MORE

VIDEO

Cervical Medial Branch Block

A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. Typically, several levels of the spine are injected in one procedure.

If the patient experiences marked pain relief immediately after the injection, then the facet joint is determined to be the source of the patient’s pain.

The procedure is primarily diagnostic, meaning that if the patient has the appropriate duration of pain relief after the medial branch nerve block, then he or she may be a candidate for a subsequent procedure – called a medial branch radiofrequency neurotomy (or ablation) – for longer-term pain relief.

READ MORE

VIDEO

Cervical Radio Frequency Ablation

A radiofrequency neurotomy is a type of injection procedure used to treat facet joint pain or sacroiliac joint pain caused by arthritis or other degenerative changes, or from an injury. In this procedure, a heat lesion is created on certain nerves with the goal of interrupting the pain signals to the brain, thus eliminating pain. The terms radiofrequency ablation and radiofrequency neurotomy are used interchangeably. Both terms refer to a procedure that destroys the functionality of the nerve using radiofrequency energy.

There are two primary types of radiofrequency ablation:

  • A medial branch neurotomy (ablation) affects the nerves carrying pain from the facet joints
  • A lateral branch neurotomy (ablation) affects nerves that carry pain from the sacroiliac joints.

These medial or lateral branch nerves do not control any muscles or sensation in the arms or legs, so a heat lesion poses little danger of negatively affecting those areas. The medial branch nerves do control small muscles in the neck and mid or low back, but loss of these nerves has not proved harmful.

READ MORE

VIDEO

Dorsal Column Stimulator

A Dorsal Column Stimulator (DCS) or Spinal Cord Stimulator (SCS) is a type of implantable neuromodulation device that is used to send electrical signals to select areas of the spinal cord (dorsal columns) for the treatment of certain pain conditions.

The first step is to complete a trial to determine if you are a candidate for a permanent implant. Upon completion of a successful trial, the permanent implant can be placed.

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VIDEO

Dorsal Ganglion Root Therapy (DRG Therapy)

DRG therapy is a new, non-opioid therapy specifically designed to help manage chronic nerve pain due to causalgia following surgery. It works by sending mild electrical pulses to the nerves responsible for the painful sensations. This could reduce or completely block the pain from the affected nerve to the brain.

If you continue to have chronic pain 6 months after knee surgery, hernia repair surgery or the loss of a limb you may be a candidate for DRG.

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VIDEO

Hip Steroid Injection

Steroids are chemicals that occur naturally in the body. Steroid medicines can be used to reduce inflammation and are used to treat many different conditions. A local steroid injection may be given to reduce inflammation and pain in a joint. Steroid injections may be used for people with rheumatoid arthritis or other causes of joint pain and swelling such as osteoarthritis, gout, or frozen shoulder. Steroid injections may also be used for the inflammation of soft tissues.

Steroid injections can be very effective but should be used with other treatments. Other treatments may include medicines for pain relief and physiotherapy, depending on the underlying condition. The side effects of steroid injections are uncommon. However, the injected area may be sore for the first few days after the injection.

The main purpose of the steroid injection is to decrease pain and increase movement and use of the affected area. Steroid injections are usually well-tolerated and much less likely than steroid tablets to cause serious side effects.

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Knee Supartz Injection

When you have knee osteoarthritis, the hyaluronic acid (HA) in the synovial fluid in your knee joint becomes diluted and breaks down—reducing its natural properties. This is associated with increased inflammatory processes that can degrade the cartilage in your knee.

This inflammation causes pain receptors to begin firing during normal movement. The pain tends to cause knee osteoarthritis patients to limit movement which, in turn, limits to further deterioration of joint structures and synovial fluid quality because movement is required for normal synovial activity. This process can become a vicious cycle as the disease becomes progressively worse and the quality of life is severely compromised for patients.

SUPARTZ FX (also called a viscosupplement) is a non-surgical, non-pharmacologic therapy for knee osteoarthritis. SUPARTZ FX therapy can help relieve your pain which improves your mobility and gets you back to your normal activities and productive life.

Hyaluronan is a natural substance found in your joint cartilage and in the synovial fluid that fills your joints. In the knee joint, hyaluronan acts like a lubricant and a cushion in the knee. The goal of SUPARTZ FX is to supplement poor-quality hyaluronan in your painful knee with additional highly purified hyaluronan.

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Knee Steroid Injection

Steroids are chemicals that occur naturally in the body. Steroid medicines can be used to reduce inflammation and are used to treat many different conditions. A local steroid injection may be given to reduce inflammation and pain in a joint. Steroid injections may be used for people with rheumatoid arthritis or other causes of joint pain and swelling such as osteoarthritis, gout, or frozen shoulder. Steroid injections may also be used for the inflammation of soft tissues.

Steroid injections can be very effective but should be used with other treatments. Other treatments may include medicines for pain relief and physiotherapy, depending on the underlying condition. The side effects of steroid injections are uncommon. However, the injected area may be sore for the first few days after the injection.

The main purpose of the steroid injection is to decrease pain and increase movement and use of the affected area. Steroid injections are usually well-tolerated and much less likely than steroid tablets to cause serious side effects.

READ MORE

Lumbar Epidural Steroid Injection

Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They have been used for low back problems since 1952 and are still an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.

In addition to the low back (the lumbar region), epidural steroid injections are used to ease pain experienced in the neck (cervical) region and in the mid spine (thoracic) region.

READ MORE

VIDEO

Lumbar Medial Branch Block (MBB)

A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. Typically, several levels of the spine are injected in one procedure.

If the patient experiences marked pain relief immediately after the injection, then the facet joint is determined to be the source of the patient’s pain.

The procedure is primarily diagnostic, meaning that if the patient has the appropriate duration of pain relief after the medial branch nerve block, then he or she may be a candidate for a subsequent procedure – called a medial branch radiofrequency neurotomy (or ablation) – for longer-term pain relief.

READ MORE

VIDEO

Lumbar Radio Frequency Ablation (RFA)

A radiofrequency neurotomy is a type of injection procedure used to treat facet joint pain or sacroiliac joint pain caused by arthritis or other degenerative changes, or from an injury. In this procedure, a heat lesion is created on certain nerves with the goal of interrupting the pain signals to the brain, thus eliminating pain. The terms radiofrequency ablation and radiofrequency neurotomy are used interchangeably. Both terms refer to a procedure that destroys the functionality of the nerve using radiofrequency energy.

There are two primary types of radiofrequency ablation:

  • A medial branch neurotomy (ablation) affects the nerves carrying pain from the facet joints
  • A lateral branch neurotomy (ablation) affects nerves that carry pain from the sacroiliac joints.

These medial or lateral branch nerves do not control any muscles or sensation in the arms or legs, so a heat lesion poses little danger of negatively affecting those areas. The medial branch nerves do control small muscles in the neck and mid or low back, but loss of these nerves has not proved harmful.

READ MORE

VIDEO

Shoulder Steroid Injection

Steroids are chemicals that occur naturally in the body. Steroid medicines can be used to reduce inflammation and are used to treat many different conditions. A local steroid injection may be given to reduce inflammation and pain in a joint. Steroid injections may be used for people with rheumatoid arthritis or other causes of joint pain and swelling such as osteoarthritis, gout, or frozen shoulder. Steroid injections may also be used for the inflammation of soft tissues.

Steroid injections can be very effective but should be used with other treatments. Other treatments may include medicines for pain relief and physiotherapy, depending on the underlying condition. The side effects of steroid injections are uncommon. However, the injected area may be sore for the first few days after the injection.

The main purpose of the steroid injection is to decrease pain and increase movement and use of the affected area. Steroid injections are usually well-tolerated and much less likely than steroid tablets to cause serious side effects.

READ MORE

Sacroiliac Joint Injection

A sacroiliac (SI) joint injection—also called a sacroiliac joint block—is primarily used either to diagnose or treat low back pain and/or sciatica symptoms associated with sacroiliac joint dysfunction.

The sacroiliac joints lie next to the spine and connect the sacrum with the hip on both sides. There are two sacroiliac joints, one on the right and one on the left. Joint inflammation and/or dysfunction in this area can cause pain.

The purpose of a sacroiliac joint injection is two-fold: to diagnose the source of a patient’s pain, and to provide therapeutic pain relief. At times, these are separated and a patient will undergo a purely diagnostic or therapeutic injection, although often the two are combined into one injection.

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VIDEO

Trigger Point Injection (TPI)

Trigger point injections are an effective treatment modality for inactivating trigger points and providing prompt relief of symptoms from myofascial pain syndrome. Myofascial pain syndrome is a common painful muscle disorder characterized by myofascial trigger points. This syndrome is distinct from fibromyalgia syndrome, which involves multiple tender points, though the two pain syndromes may be concurrent.

Myofascial trigger points are a major cause of pain and dysfunction. They produce pain locally and in a referred pattern and often occur in conjunction with chronic musculoskeletal pain disorders. Various modalities for the treatment of trigger points include spray and stretch, ultrasound, manipulative therapy, and trigger point injections.

Not all trigger points require injection or needling. Many active trigger points will respond to physical therapy, especially in the early stages of trigger point formation. However, for chronic trigger points, trigger point injection and needling is an effective treatment.

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VIDEO

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(865) 633-9469