Arm and Elbow

Care and Management

Cervical Epidural Steroid Injection

Cervical Epidural Steroid Injection

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Cervical Facet Radiofrequency Neurotomy

Cervical Facet Radiofrequency Neurotomy

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Wireless Peripheral Nerve Stimulation

Wireless Peripheral Nerve Stimulation

If you have chronic pain, peripheral nerve stimulation can help. It uses electrical pulses to disrupt pain signals. It may reduce your need for pain medications. Here’s how it works.

Conditions

Lateral Epicondylitis (Tennis Elbow)

Lateral Epicondylitis (Tennis Elbow)

This condition, commonly called tennis elbow, is an inflammation of the tendons that connect the muscles of the forearm to the elbow. The pain is primarily felt at the lateral epicondyle, the bony bump on the outer side of the elbow.

Medial Epicondylitis (Golfer’s Elbow)

Medial Epicondylitis (Golfer's Elbow)

This condition, commonly called golfer’s elbow, is an inflammation of the tendons that connect the muscles of the forearm to the elbow. The pain is primarily felt at the medial epicondyle, the bony bump on the inner side of the elbow.

Peripheral Neuropathy

Peripheral Neuropathy

This condition is a problem with the peripheral nervous system. These are the nerves that branch out from your brain and spinal cord and travel to all of the other parts of your body.

Phantom Pain

Phantom Pain

If you have lost a limb or another part of your body, you may feel painful sensations that seem to be coming from the missing part. This phenomenon is called “phantom pain.” It is common among amputees. It can become a chronic problem for some people.

Foot and Ankle

Care and Management

Stem Cell Therapy (Overview)

Stem Cell Therapy (Overview)

If you have an injury, or if you have tendons or ligaments that have become inflamed, stem cell therapy may help. It uses your body’s own stem cells to help heal damage. It may help you avoid surgery.

Conditions

Anatomy of the Hand

Anatomy of the Hand

Your hands are complex and versatile. They’re strong and nimble, and can do very delicate movements. Let’s look at the main structures of your hands so we can see how they do all the things they do.

Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS)

This is a type of chronic, long-lasting, pain. In most cases, it develops in an arm or a leg that you have previously injured. With CRPS, you may have unexplained pain that won’t go away. It may be severe, and it may spread.

Plantar Fasciitis

Plantar Fasciitis

Plantar fasciitis is an irritation of the plantar fascia. This thick band of connective tissue travels across the bottom of the foot between the toes and the heel. It supports the foot’s natural arch. It stretches and becomes taut whenever the foot bears weight.

General Body

Care and Management

Dry Needling

Dry Needling

This is a treatment that helps with the pain of trigger points. Those are small, tender knots in your muscles. They can be very sore when you press them. Sometimes they cause pain in other parts of your body. With dry needling, your therapist targets these knots directly with a thin needle. No medicine is injected.

Pain Management (Overview)

Pain Management (Overview)

If you suffer from pain, you know how hard it can be to live with. Pain management is a branch of medical care that specializes in pain control. It can help you enjoy a better quality of life.

Physical Therapy (Overview)

Physical Therapy (Overview)

If you have problems moving your body, physical therapy can help. It can control your pain and help you recover from injury or disease. It can help you get better after surgery. It can also help keep you healthy as you get older.

PRP Therapy (Overview)

PRP Therapy (Overview)

Platelet rich plasma therapy can help injured joints and other problems. It uses parts of your own blood to reduce pain and speed up healing.

Stellate Ganglion Block

Stellate Ganglion Block

A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.

Trigger Point Injections

Trigger Point Injections

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.

Conditions

Fibromyalgia

Fibromyalgia

This chronic condition is believed to be a type of interference with the way your brain processes pain signals. It leaves you highly sensitive to pain. If you have this condition, you may feel long-lasting pain throughout your body.

Piriformis Syndrome

Piriformis Syndrome

This is a pain and numbness you feel in your buttock and down the back of your leg. It involves the sciatic nerve. That’s a large nerve that travels from your lower spine down to your foot.

Trigeminal Neuralgia (TN)

Trigeminal Neuralgia (TN)

This chronic condition is caused by a misfiring of the trigeminal nerve. An attack causes brief episodes of extreme, shooting pain.

Hand and Wrist

Conditions

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. It happens when the area around the main nerve to your hand is too tight. The nerve is called the median nerve. And the small space in your wrist where it passes is called the carpal tunnel.

De Quervain’s Tenosynovitis

De Quervain’s Tenosynovitis

This condition, also called stenosing tenosynovitis of the first dorsal compartment of the wrist, is an inflammation of the sheath that wraps around the tendons at the thumb side of the wrist.

Rheumatoid Arthritis (RA) of the Hand (Arthritis Foundation Approved)

Rheumatoid Arthritis (RA) of the Hand (Arthritis Foundation Approved)

Rheumatoid arthritis, a condition that can attack joints throughout the body, commonly affects the joints and surrounding tendons of the wrist and fingers. It can cause the joints to become swollen, painful and possibly deformed, interfering with normal hand function and significantly impacting a person’s quality of life.

Trigger Digit

Trigger Digit

This common condition, also known as stenosing tenosynovitis, is a narrowing of a portion of the tendon sheath in the finger or thumb that interferes with normal finger movement. This condition most commonly affects the ring finger, but can affect any digit. It is more common in middle-aged women, but anyone can be affected, even newborns.

Head, Neck and Spine

Care and Management

Avoiding Trigeminal Neuralgia Triggers

Avoiding Trigeminal Neuralgia Triggers

If you have trigeminal neuralgia, you know how distressing it can be. You feel drained and hopeless. You live in fear of the next attack. But the good news is that some attacks are caused by specific triggers. Avoid those triggers and you may have fewer attacks. Here are some triggers we know about.

BOTOX® Injections for Chronic Migraine

BOTOX® Injections for Chronic Migraine

If you have the frequent, severe headache condition known as “chronic migraine,” your doctor may want you to try injections of BOTOX® in your head and neck. The injections can help stop migraines before they start.

Caudal Epidural Steroid Injection

Caudal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.

Cervical Facet Radiofrequency Neurotomy

Cervical Facet Radiofrequency Neurotomy

During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.

Costovertebral Joint Injection

Costovertebral Joint Injection

This outpatient procedure is an injection of pain-relieving medication into one or more costovertebral joints. These are the joints that form the connections between the ribs and the vertebrae.

Facet Joint Injections

Facet Joint Injections

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.

Living With Chronic Pain

Living With Chronic Pain

If you have pain that lasts for more than six months, you have “chronic” pain. It’s different from the temporary pain you feel when you hurt yourself. With chronic pain, you may not know why you are hurting. Your pain may affect your whole body and your mind, causing problems that ripple through every part of your life. But there is hope. Here are some tips to help you manage chronic pain.

Living With Migraine Headaches

Living With Migraine Headaches

If you have migraines, you know how disrupting they can be. Migraine pain can stop you in your tracks. It interferes with things like school and work, and throws your life into turmoil. But there are some things you can do to get relief.

Living With Osteoarthritis

Living With Osteoarthritis

If you’ve been diagnosed with osteoarthritis, you may need to make some changes in your lifestyle. But you can still do many of the things you enjoy. You just have to take steps to manage your condition.

Living With Post-Concussion Syndrome

Living With Post-Concussion Syndrome

After a concussion, you may have some unexpected physical and emotional effects. You may experience things like headaches, memory problems and depression. We call this “post-concussion syndrome.” You can have this syndrome even if your injury didn’t seem severe. And, these effects can last for a long time.

Living With Rheumatoid Arthritis (RA)

Living With Rheumatoid Arthritis (RA)

If you’ve been diagnosed with rheumatoid arthritis, you may be facing some new challenges. But you can live a full life with RA. You can do many of the things you enjoy. You just have to take steps to manage your condition properly.

Lumbar Epidural Steroid Injection

Lumbar Epidural Steroid Injection

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Lumbar Sympathetic Block

Lumbar Sympathetic Block

This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.

Lumbar Transforaminal Epidural Steroid Injection

Lumbar Transforaminal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

Managing Low Back Pain

Managing Low Back Pain

Low back pain can cause problems that ripple through every part of your life. You don’t do a lot of the things you enjoy because it just hurts too much. But there is hope. Here are some tips to help you manage your pain.

Managing Neck Pain

Managing Neck Pain

If you’re dealing with neck pain, you know how frustrating it can be. Fortunately, you can try these simple strategies for managing neck pain.

Medial Branch Block

Medial Branch Block

This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.

Preventing Back Pain

Preventing Back Pain

Most of us know the frustration of back pain. It’s something almost everyone has to deal with at some point in life. Back pain can last for a few days or weeks. For some, it becomes a chronic problem. The good news is, there are some things you can do to keep back pain away. These tips can help.

Conditions

Anatomy of the Spine

Anatomy of the Spine

The spinal column is the body’s main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.

Coccydynia

Coccydynia

This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks.

Compression Fractures of the Spine

Compression Fractures of the Spine

This is a collapse of vertebral bone. It can affect one or more vertebrae. Compression fractures typically develop in your mid or lower back. This can change the shape of your spine.

Degenerative Disc Disease

Degenerative Disc Disease

This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.

Facet Joint Syndrome

Facet Joint Syndrome

This condition is a deterioration of the facet joints, which help stabilize the spine and limit excessive motion. The facet joints are lined with cartilage and are surrounded by a lubricating capsule that enables the vertebrae to bend and twist.

Herniated Discs

Herniated Discs

A herniated disc is a common injury that can affect any part of the spine. A herniated disc can cause severe pain and other problems in the arms or legs.

Lumbar Radiculopathy (Sciatica)

Lumbar Radiculopathy (Sciatica)

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.

Migraine Headaches

Migraine Headaches

A migraine is an intense, throbbing headache that may be accompanied by nausea or dizziness. A migraine can last from hours to days.

Occipital Neuralgia (Arnold’s Neuralgia)

Occipital Neuralgia (Arnold's Neuralgia)

This condition is a distinct type of headache caused by irritation or injury of the occipital nerves. These nerves travel from the base of the skull through the scalp. This condition can result in severe pain and muscle spasms.

Spinal Stenosis

Spinal Stenosis

The spinal column contains open spaces that create passageways for the spinal cord and the spinal nerves. Spinal stenosis is a narrowing of (or an intrusion into) these openings. This can cause a compression of the nerves. Spinal stenosis most commonly affects the cervical and lumbar regions of the spine.

Spondylolisthesis

Spondylolisthesis

This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.

Spondylosis

Spondylosis

This condition is a degeneration of the spine that can affect the spine at any level, resulting in pain and discomfort that can grow worse over time.

Tension Headache

Tension Headache

This is a common type of headache that can be painful and frustrating for many people. It tends to start in the back of the head and then move forward to surround your head.

Hip, Leg and Knee

Care and Management

Fascia Iliaca Block

Fascia Iliaca Block

This procedure is performed to block pain signals from traveling along the femoral nerve from the thigh or knee to the brain. It is commonly used to alleviate pain that can appear after certain leg surgeries such as total knee replacement.

Genicular Nerve Ablation (RF Neurotomy)

Genicular Nerve Ablation (RF Neurotomy)

During this outpatient procedure, the physician uses a radiofrequency device to heat up and disrupt the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Disrupting these pathways can provide long term relief from knee pain.

Genicular Nerve Block (G Block)

Genicular Nerve Block (G Block)

This outpatient procedure is an injection of anesthetic to the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Anesthetizing these nerves can disrupt the pain signals caused by degeneration of the knee. A genicular nerve block can provide temporary pain relief. It may help determine if a patient is a candidate for nerve ablation, which can provide long-term pain relief.

Hip Joint Injection

Hip Joint Injection

If you have pain in your hip, your doctor may inject medicine into your hip joint. It can help your doctor find where your pain is coming from. It can also make your hip feel better.

Sacroiliac Joint Steroid Injection

Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Sciatic Nerve Block (Posterior Approach, Ultrasound-guided)

Sciatic Nerve Block (Posterior Approach, Ultrasound-guided)

This procedure is an injection of anesthesia (or an anesthetic/steroid mixture) around the sciatic nerve. It can be used to block the pain of surgery on the knee, leg ankle or foot, or it can be used to manage the pain of chronic issues in the lower extremity.

Ultrasound-Guided Ilioinguinal Nerve Block

Ultrasound-Guided Ilioinguinal Nerve Block

This non-operative, outpatient procedure is designed to provide relief for patients with hip and lower abdominal pain. The technique allows the physician to inject an inflammation-reducing steroid around the ilioinguinal nerve with maximum accuracy.

Ultrasound-Guided Injection for Knee Pain

Ultrasound-Guided Injection for Knee Pain

This non-operative, outpatient procedure is designed to provide relief for patients with arthritis of the knee. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.

Conditions

Anatomy of the Hip Joint

Anatomy of the Hip Joint

The hip joint is one of the largest weight-bearing joints in the body. This ball-and-socket joint allows the leg to move and rotate while keeping the body stable and balanced. Let’s take a closer look at the main parts of the hip joint’s anatomy.

Anatomy of the Knee

Anatomy of the Knee

The knee is the body’s largest joint. It’s the place where three bones meet: the tibia, the femur and the patella. The knee is a “hinge” joint. It allows the leg to bend in one direction only. Let’s take a closer look at the main parts of the knee’s anatomy.

Osteoarthritis of the Hip

Osteoarthritis of the Hip

This type of arthritis, also called “degenerative joint disease,” is a breakdown of the cartilage in your hip joint. As this protective cartilage wears away, bone rubs against bone. Bony growths called “bone spurs” may form in the joint. Pain from osteoarthritis can keep you from being as active as you like.

Sacroiliac Joint Pain

Sacroiliac Joint Pain

Your sacroiliac joints (we call them the “SI” joints) are the places where your hips meet your spine. These joints don’t have a lot of flexibility, but they do move slightly as you move your body. And if SI joints become damaged or diseased, it can be painful.

Shoulder

Care and Management

Soft Tissue Injection: Shoulder

Soft Tissue Injection: Shoulder

This outpatient injection procedure relieves pain in the shoulder caused by bursitis, or inflammation of the bursa. A bursa is a small, fluid-filled sac that reduces friction between bone and muscles or tendons. Bursae are found near joints throughout the body.

Ultrasound-Guided Injection for Shoulder Pain

Ultrasound-Guided Injection for Shoulder Pain

This non-operative, outpatient procedure is designed to provide relief for patients with pain in the shoulder from conditions such as osteoarthritis, rheumatoid arthritis and adhesive capsulitis. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.

Conditions

Acromioclavicular (AC) Joint Arthritis

Acromioclavicular (AC) Joint Arthritis

This arthritis affects a joint at the top of your shoulder. It’s where the shoulder blade’s bony protrusion (called the “acromion”) meets the clavicle. This joint acts as a pivot point when you raise your arm above your head.

Anatomy of the Shoulder

Anatomy of the Shoulder

The shoulder is a complex structure made of three separate joints. They work together to give the shoulder a tremendous range of motion. Let’s take a closer look at the main parts of the shoulder’s anatomy.

Biceps Tendonitis

Biceps Tendonitis

This is a problem with a tendon in your shoulder. Most often, it’s the “long head of biceps” tendon. It travels from the front of your upper arm to the top of your shoulder socket. With this condition, the tendon becomes painfully inflamed or irritated.

Rotator Cuff Injuries

Rotator Cuff Injuries

The rotator cuff muscles and tendons hold your upper arm bone in your shoulder socket. A hard fall, repetitive arm motions or problems with the structure of your shoulder can injure the rotator cuff.

Shoulder Impingement Syndrome

Shoulder Impingement Syndrome

This is a painful pinching of soft tissues in your shoulder. It happens when these tissues rub and press against a part of your shoulder blade called the “acromion.” This can irritate your rotator cuff tendons, and also a soft sac called the “subacromial bursa.”

Suprascapular Neuropathy

Suprascapular Neuropathy

This is a pain or weakness from an irritated nerve in your shoulder. It’s called the “suprascapular” nerve. It travels from the neck down through your shoulder.