Interventional Pain Management

Interventional therapy can alleviate chronic pain by blocking the transmission of pain signals to the brain. Interventional pain management involves special procedures such as an injection of local anesthetic, steroid, or narcotic around nerves, tendons, joints or muscles, nerve blocks and spinal cord stimulation to treat and manage pain. In some cases of extreme pain, drugs are often given in smaller doses through the catheter directly into the spinal cord. Even though interventional procedures for treating pain seem simple, extreme care should be taken when conducting these procedures. These procedures should be performed by well-trained and experienced Specialists. Dr. Bayran is fellowship trained in Interventional Pain procedures.

Cervical Epidural Steroid Injection

A cervical epidural steroid injection places powerful anti-inflammatory medication directly into the epidural space of the spine in the neck region.

Discography

Discography is performed under X-ray guidance, the needle is placed inside the suspected disc and a contrast dye is injected. This test is used to determine whether the disc is the source of pain in patients with neck or back pain.

Lumbar Epidural Steroid Injection

A lumbar epidural steroid injection places powerful anti-inflammatory medication directly into the epidural space of the spine in the lower back region.

Radiofrequency lesioning

This technique uses electrical impulses to interrupt nerve conduction and the transfer of pain signals for 6 to 12 months. During the procedure, a special needle is directed into the involved nerve tissue with the guidance of an X-ray. The needle tip is then heated for 90-120 seconds so that the nerve gets cauterized and destroyed thereby reducing the pain.