Injection Therapy Treatments
A wide variety of injection therapies are offered at Monmouth Pain by our Pain Management and Sports Medicine Specialists. Injection therapy at Monmouth Pain is used primarily to relieve or eliminate pain and restore function. Epidurals, Radiofrequency Ablations Injection, Deep Joint Injections and our Spinal Cord Stimulator Trials are among our most common types of injection therapies. Spine (back and neck) injections include epidural, facet joint, SI joint, and coccyx joint and are geared toward conditions such as sciatica, radiculopathy and disc herniation. The back and neck injections primarily result in the reduction of pain and swelling. Additionally, our popular Knee Pain Program works to relieve pain and restore function through the use of hyaluronic acid “gel” to the knee. These all-natural gel injections work to help restore the knee joint cushion which has shown to reduce pain, stiffness, and swelling and improve knee function.
Injections at Monmouth Pain are also performed to the shoulder, knee, wrist, foot, and hip. Tight and painful muscles find relief with our trigger point injection therapy. Trigger point injection therapy helps release the muscular tension that can also be related to conditions like fibromyalgia or headaches. In general, Monmouth Pain’s injection therapy is a minimally invasive approach. This approach helps many of our patients without the use of systemic oral medications. Also, this approach oftentimes helps avoid surgery. Injection therapy at Monmouth Pain is designed to help our patients return to living their lives with better function and without pain.
Injection Therapies Offered at Monmouth Pain:
Epidural Steroid Injections
An epidural steroid injection is a minimally invasive procedure that can help relieve neck, back, arm, and leg pain, commonly caused by an inflamed spinal nerve. The procedure involves injecting a local anesthetic and a steroid medication directly into the epidural space that surrounds the nerve roots. Here, a steroid is injected locally using x-ray guidance with a fluoroscope to ensure greater specificity.
Radiofrequency ablation also called rhizotomy, is a non-surgical, minimally invasive procedure, most commonly used to treat chronic neck and back pain. The procedure uses heat to reduce or stop the transmission of pain. Radiofrequency waves ablate, or “burn,” the nerve that is causing the pain. The procedure is quick and with no downtime.
Spinal Cord Stimulator Trial
A spinal cord stimulator is a device for patients who have chronic pain that have failed conservative treatment, injections and even surgery. The procedure involves placing thin wires called leads along the spinal cord. A small stimulator delivers tiny pulses of mild electric current through the leads to specific nerves on the spinal cord. These impulses mask pain signals traveling to the brain, providing pain relief and minimizing the need for pain medication.
Facet Joint Injections
The facet joints are all along the back of the spine, at each level, a pair of small facet joints connect the vertebrae—the bony building blocks of the spine, holding the spine together, and providing support. They allow the spine to bend and twist. Like a knee or hip, facet joints have cartilage between the bones and a fluid-filled capsule to allow for smooth movement. When damaged, facet joints can cause debilitating pain in the neck or back.
An injection may be done to help diagnose the facet joints as the source of the patient’s pain, as well as to provide pain relief. Here, a steroid and/or a local anesthetic is injected locally into the facet joint or blocking the specific nerves that innervate the facet joint using x-ray guidance with a fluoroscope.
Knee Pain Gel Injections
Knee Pain Gel Injections at Monmouth Pain consist of a gel-like fluid called hyaluronic acid is injected into the knee joint. Hyaluronic acid is a naturally occurring substance found in the synovial fluid surrounding joints. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. Adding hyaluronic acid to the arthritic joint will facilitate movement and reduce pain.
Sacroiliac Join Injections
A sacroiliac joint injection is performed to relieve the pain associated with sacroiliac joint dysfunction. The injection consists of anti-inflammatory medication and a local anesthetic which provides pain relief by reducing inflammation within the joint.
Injecting a local anesthetic and a steroid into the coccyx joint can help reduce focal pain.
Trigger Point Injections
Shoulder Joint Injection Therapy
The procedure involves injecting a local anesthetic and a steroid medication specifically and directly into the joint space or into or around the tendon or ligament of the shoulder. This medication reduces inflammation which in turn reduces pain and increases function. A moving x-ray called fluoroscopy is used for almost all of our joint injections to ensure greater specificity.
Knee Joint Injection Therapy
The procedure involves injecting a local anesthetic and a steroid medication specifically and directly into the joint space or into or around the tendon or ligament of the knee. This medication reduces inflammation which in turn reduces pain and increases function. A moving x-ray called fluoroscopy is used for almost all of our joint injections to ensure greater specificity.
Hand, Wrist, Ankle, Foot, Hip, Elbow Injection Therapy
The procedure involves injecting a local anesthetic and a steroid medication specifically and directly into the joint space or into or around the tendon or ligament. This medication reduces inflammation which in turn reduces pain and increases function. A moving x-ray called fluoroscopy is used for almost all of our joint injections to ensure greater specificity.
Our pain management and sports medicine team works to get to the root cause of the problem to get you the results you are looking for. From the initial consultation to the ordering of MRIs and other diagnostic testing and imaging, to the treatment and management of your pain condition, our doctors are focused on taking your pain level down and getting you moving the way you want to.