Interventional Pain Treatments
- Facet Injections
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
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.
- Sacroilliac Injections
Sacroiliac (SI) Joint Injections are an injection into the sacroiliac joint which can alleviate SI joint and hip pain along with sciatic type pain.
- Myofascial Injections
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.
- Spinal Decompression
Spinal Decompression is a manual therapy to reduce the pressures upon the intervertebral discs of the spine.
- Bursa and/or Tendon Injections
This is an injection that bathes the surrounding tissue that reduces swelling, inflammation and pain.
- Diagnostic Knee, Shoulder & Ankle Therapy
VisionScope® is a minimally-invasive, arthroscopic imaging technology that allows our physicians to clearly view and evaluate your joint condition right in the office. The procedure takes no more than 10 minutes, real-time results are discussed and the best course-of-action can be planned and scheduled. In-office diagnosis can eliminate additional procedures, such as MRI or surgery, thereby reducing multiple appointments. Most importantly, the healing process can begin immediately.
- 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.
- Amnion (Stem Cell) Therapy
Amnion therapy takes advantage of the body’s ability to repair itself. With Valley Pain Centers amnion therapy, our Board Certified Physician’s inject amnion allograft (tissue graft) into the affected area. These growth factors stimulate the release of the body’s own stem cells & have anti-inflammatory properties, similar to corticosteroids.
While steroids provide a decrease of inflammation and pain, stem cells actually restore degenerated tissue while providing pain relief. The growth factors in our amnion allograft injections replace damaged cells in your body. Additionally, they contain hyaluronic acid, which lubricates joints and tendons, easing the pain and helping restore mobility.
Bone Marrow Concentrate
Bone Marrow Concentrate (BMC) Therapy is regenerative therapy that can help accelerate healing in moderate to severe tendon injuries and osteoarthritis. BMC uses regenerative cells in the patient's bone marrow that can be withdrawn from the hip bone and used in the procedure. The bone marrow is removed and placed in a centrifuge where it spins to make a powerful concentrate. These cells can replicate themselves into various tissue types. Learn more about our knee, shoulder, and hip pain treatment options.
- 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.
Stem Cell Therapy
What is Stem Cell Therapy?
Valley Pain Centers Physicians use amnion allograft (tissue graft) in our Stem Cell Therapy. It contains natural factors, called growth factors, for site specific use to modulate inflammation, reduce scar tissue formation, and enhance healing. Growth factors are powerful agents that our bodies produce to signal cells to come to the target site, help the site to heal, and help your own cells regenerate the damaged tissue.
There have been 226 different growth factors, specialized cytokines and enzyme inhibitors identified in our amnion allograft therapy. All of the amniotic membrane tissue is donated by healthy consenting mothers undergoing scheduled Cesarean sections during normal, healthy childbirth. All tissue donors are tested for infectious diseases, similar to the testing done for blood donation. The amniotic membrane then undergoes a validated proprietary process to thoroughly cleanse and preserve the tissue.
How does Stem Cell Therapy Work?
Stem Cell Therapy takes advantage of the body’s ability to repair itself. With Valley Pain Centers Stem Cell Therapy, our Board Certified Physicians inject amnion allograft into the affected area. These growth factors stimulate the release of the body’s own stem cells and have anti-inflammatory properties, similar to corticosteroids.
While steroids provide a decrease of inflammation and pain, stem cells actually restore degenerated tissue while providing pain relief. The growth factors in our amnion allograft injections replace damaged cells in your body. Additionally, they contain hyaluronic acid, which lubricates joints and tendons, easing pain and helping to restore mobility.
Is Stem Cell Therapy right for Me?
Conservative treatments, including injection therapy and rest usually will help heal inflammation resulting from an injury. If additional treatment is needed, your doctor may recommend Stem Cell Therapy which contains naturally occurring agents for site specific use to modulate inflammation, reduce scar tissue formation and enhance healing. You also may choose Stem Cell Therapy if you’re seeking a non-steroidal option or if you’ve reached the limit of steroid injections. Talk to one of our Board Certified Physicians to find out if you’re a candidate.
How do I care for my treatment site & what happens after my treatment?
The treatment site might appear red and be tender to the touch. Your Valley Pain Centers Doctor will prescribe an alternating cooling and heating device to help increase blood flow and stimulate stem cell growth. Initially, the procedure may cause some localized soreness and discomfort, this may last 2-3 days. Your Doctor may also prescribe some rehabilitation exercises or recommend physical therapy and will schedule a follow up appointment approximately 4 weeks after treatment.
*Some fees may apply depending on insurance plan.
Bone Marrow Concentrate
What is Bone Marrow Concentrate?
Bone Marrow Concentrate (BMC) is utilized where there is damage, pain, and functional loss as a surgical alternative. BMC is similar to the ACP (Autologous Conditioned Plasma) therapy, except the treatment uses bone marrow withdrawn from one of your body's larger bones. The bone marrow is often taken from the pelvic bone but it can also be taken from the heel, the femur, or the humerus.
What is the process?
The area where the bone marrow is to be harvested is cleaned and numbed. Then, a specially designed bone marrow aspirate system is used to withdraw bone marrow. The marrow cells are then spun into concentrates containing nothing but your body's own bone marrow cells. The platelet-rich concentrate is then used by your doctor, sometimes in combination with a bone graft at the site of your orthopedic injury or diseased joint.
What are the benefits?
When BMC therapy is used, your body's healing processes are jump-started at the cellular level. Since your body's own cells are used for treatment, the risk of adverse reaction is minimal.
MUA (Manipulation Under Anesthesia).
Manipulation Under Anesthesia (MUA) is a beneficial, non-invasive procedure to relieve pain associated with acute and chronic neck pain, back pain, joint pain, and migraines. It is performed on only those patients who have little or no response to any other treatment and meet all the requirements to be considered a candidate for the procedure. It is especially effective for people with conditions caused by long-term disabilities due to accidents or injuries that are not relieved through conservative treatment.
MUA uses a combination of specific short lever manipulations, passive stretches, and specific muscle, joint, and tendon movements to break up fibrous adhesions and scar tissue around joints, the spine, and surrounding tissue. MUA can be an alternative for patients facing invasive surgery.
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.