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Procedures

Please read below to review what procedures we offer and how they are done. We do not use sedation for any office based procedure as it adds risk without benefit.  Procedures performed with local anesthetic are well tolerated, much safer, and less costly.

At this time there is great controversy regarding a need to stop blood thinners prior to certain procedures. Competing guidelines are different on what procedures and what medications need to be stopped. We no longer require patients to stop blood thinners unless we are doing spinal stimulators, kyphoplasty, discography, or sympathetic blocks. Additionally, we are able to perform epidural injections, RF (nerve burning procedure) and all other injections using small needles while patients are on blood thinners.

Evaluations performed for:

  • Personal Injury evaluation
  • Independent Medical Exams
  • Consultation

We offer a wide range of procedures, including:

  • Spinal cord stimulator trials and implants
  • Peripheral nerve stimulator trials and implants
  • Medial Branch blocks and Radiofrequency Ablation
  • Kyphoplasty and Vertebroplasty
  • Epidural Steroid Injections
  • Sacroiliac joint injections
  • Discography
  • Synvisc knee injections
  • Percutaneous Disc Decompressor
  • IDET
  • Gray rami communicans blocks
  • Stellate ganglion blocks
  • Ganglion impar blocks
  • Lumbar sympathetic blocks
  • Superior hypogastric blocks
  • Celiac ganglion blocks
  • Gasserian ganglion blocks
  • Sphenopalatine ganglion blocks
  • Cortisone injections into any/all joints
  • Radiofrequency ablation: genicular (knee), suprascapular, gasserian, hip, occipital.
  • Suprascapular nerve block
  • Intra-articular facet injections
  • Intrathecal implantable pumps
  • Other procedures performed on request