Our Treatments
Patient Education
Individualized and Compassionate Treatment
Chronic pain is a multifaceted and complex syndrome that adversely affects a person’s physical, emotional, socioeconomic, and spiritual well-being. Oftentimes, chronic pain cannot be effectively treated by medications alone. A comprehensive effort is needed to maximize one’s results. At Las Vegas Spine and Pain Center, we successfully treat many types of pain through our comprehensive care plans, which are tailored to each individual patient. Our approach is safe, minimally invasive, and clinically proven to be effective. Learn more about some of the services we perform through our educational videos.
More than 21% of adult Americans suffer from moderate or severe chronic pain. Pain is the second most common reason that people visit doctors, exceeded only by colds and upper respiratory infections. However, The National Institute of Health claims that 40 million Americans are still unable to find relief from their chronic pain.
Treatments
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Coordinated Physical Therapy
Coordinated Physical Therapy
Our providers will determine if physical therapy in a good option and work with physical therapists whose programs are covered under the patient’s insurance. Not all physical therapy facilities take all insurances, however. Facilities will only accept our patients if their insurance is accepted. If the insurance procedures are confirmed, a physical therapist will design a therapy regimen based on the patient’s diagnosis. Throughout the patient’s physical therapy treatment, the facility will send over the progress notes to our providers, which are then analyzed. Based on the patient’s development, treatment can be controlled to best fit his or her needs.
Celiac Plexus Block
Discography
The material inside the disc is extremely caustic, and if the disc tears, this material may leak out. It can cause pain and inflammation to the outer part of the annulus as well as the surrounding nerves of the spinal cord. If the disc tear goes untreated, it can become worse and become a disc bulge or disc herniation, causing more pain.
Discography is a diagnostic procedure that can help identify disc tears that may be causing back pain. A thin needle being inserted into the disc and an x-ray contrast dye being injected into the disc. If there are tears, the dye will show up on the screen, and will help determine the best course of treatment for your back pain.
Sacroiliac Joint Injection
Damage to the sacroiliac joint can cause referred sciatic pain and general lower back pain. At Las Vegas Spine and Pain Clinic, the pain management doctors use sacroiliac joint injections both to diagnose and treat pain. An injection consisting of a local anesthetic and a steroid will be injected into the joint. If the patient experiences pain relief, a series of injections may be recommend by the pain doctors to provide long-term results.
Epidural Steroid Injection
While an epidural steroid injection will not solve the cause of the pain problem (disc damage, arthritis, spinal stenosis, etc.), it can provide pain relief to help the patient increase function and get back to daily activities. At Las Vegas Spine and Pain Center, an epidural steroid injection can be performed in our state-of-the-art procedure center. The injection consists of a local anesthetic and a steroid, providing both short and long-term pain relief.
Facet or Medial Branch
The difference between the two injections is merely the placement of the medication. In a facet injection, the medication is injected into the actual facet joint. A medial branch block is where the injection takes place outside the joint space but near the nerves that supply the joint, called the medial branch. Both a facet injection and medial branch block consist of a local anesthetic and possibly a steroid, depending on the treatment plan determined by your pain specialist at Las Vegas Spine and Pain Center.
Ganglion of Impar Block
A ganglion of impar block procedure is an injection of a local anesthetic into this nerve cluster and can be performed by a pain management specialist at Las Vegas Spine and Pain Center. A series of injections is often needed, but most patients will notice a significant reduction in pain symptoms.
Hypogastric Plexus Block
The hypogastric plexus is a collection of nerves that is located in front of the fifth lumbar and first sacral vertebral bodies. This means that the plexus is located near the lower part of your abdomen in the upper front of your pelvis. When these nerves become inflamed, this can cause severe pain in the area of the bladder and low intestines. Additionally, it can cause pain in the area of the uterus and ovaries in females and in the prostate and testicles in males.
At Las Vegas Spine and Pain Center, the pain management doctors can administer an injection of local anesthetic and possibly a steroid to relieve pain symptoms. Many patients will require a series of injections, but will generally see long-term relief from pain.
Ilioinguinal Nerve Block
Because ilioinguinal nerve pain is difficult to diagnose and treat, the nerve block may be used as both diagnostic and therapeutic. The pain management specialist at Las Vegas Spine and Pain Center will administer an injection of local anesthetic and steroid into the area around the ilioinguinal nerve. If the patient experiences pain relief, further measures may be discussed, including nerve ablation and peripheral nerve stimulation.
Lumbar Sympathetic Block
The pain management specialists at Las Vegas Spine and Pain Center may recommend a lumbar sympathetic block as a diagnostic or testing procedure. An injection of local anesthetic will be injected near the sympathetic nerves, and if the patient experiences pain relief in the immediate time following the injection, the pain specialists at Las Vegas Spine and Pain may recommend a series of injections to provide long-term pain management.
Neurology
Neurology is a medical specialty that addresses a wide range of neurological conditions that affect the brain, spinal cord, and nerves. Our providers have over 25 years of experience treating all Neurological Disorders. With our providers being Fellowship Trained in Stroke and Neurocritical Care they can handle a wide range of services from headaches to Neurorehabilitation and Neurodegenerative Disorders.
Occipital Nerve Block
The pain management experts at Las Vegas Spine and Pain Center may use an occipital nerve block as both a diagnosis and treatment. This procedure, performed in the state-of-the-art procedure center at Las Vegas Spine and Pain Center, consists of an injection of local anesthetic into the area surrounding the occipital nerves. If the patient experiences relief from pain, a series of injections may be recommended to provide long-term pain relief. Additionally, if pain is severe, occipital nerve stimulation may be recommended to manage pain more thoroughly.
Piriformis Muscle Injection
In general, piriformis syndrome is treated conservatively and comprehensively at Las Vegas Spine and Pain Center. Treatment is intended to restore the normal pathway of the sciatic nerve by rehabilitating the muscle surrounding it while also relieving pain symptoms.
The pain management team at Las Vegas Spine and Pain Center may recommend a combination of injections, physical therapy, and exercise to treat pain. Injections will temporarily paralyze the piriformis muscle, thereby relieving the pressure on the sciatic nerve. The patient will also participate in physical therapy to improve flexibility and strength of the pelvic, abdominal, and lower extremities. Generally, six to eight weeks of injections and physical therapy will cause considerable reduction in sciatic pain symptoms.
Piriformis Muscle Injection
In general, piriformis syndrome is treated conservatively and comprehensively at Las Vegas Spine and Pain Center. Treatment is intended to restore the normal pathway of the sciatic nerve by rehabilitating the muscle surrounding it while also relieving pain symptoms.
The pain management team at Las Vegas Spine and Pain Center may recommend a combination of injections, physical therapy, and exercise to treat pain. Injections will temporarily paralyze the piriformis muscle, thereby relieving the pressure on the sciatic nerve. The patient will also participate in physical therapy to improve flexibility and strength of the pelvic, abdominal, and lower extremities. Generally, six to eight weeks of injections and physical therapy will cause considerable reduction in sciatic pain symptoms.
Selective Nerve Block
A nerve block is an injection consisting of local anesthetic and a steroid that will be injected under x-ray guidance at the state-of-the-art procedure center at Las Vegas Spine and Pain Center. The block may be diagnostic in nature to assist a surgeon in determining where treatment will be most effective, and a block can be a treatment for pain relief. If the patient experiences pain relief following the nerve block, a series of injections may be recommended for long-term pain relief.
Spinal Cord Stimulation
In spinal cord stimulation, electrodes are placed along the spine and interrupt the pain signals that travel to the brain. Severe pain is replaced with paresthesia, a pleasant tingling sensation.
Stellate Ganglion Block
A stellate ganglion block may also be used as a diagnostic test to determine whether blood flow can be improved for patients with vascular disease and resulting poor circulation. At Las Vegas Spine and Pain Center, the pain management doctors will administer a stellate ganglion block consisting of a local anesthetic and steroid in their state-of-the-art, onsite procedure center.
Suprascapular Nerve Block
The pain management doctors at Las Vegas Spine and Pain Center may recommend other treatments in combination with a suprascapular nerve block, including physical therapy and exercise.
A suprascapular nerve block injection is made up of a local anesthetic and steroid, and can be administered by a pain management doctor at the onsite procedure center at Las Vegas Spine and Pain Clinic. If a patient experiences pain relief following the procedure, a series of injections may be scheduled to provide long-term pain relief.
Trigger Point Injections
A trigger point injection can be administered by a pain management doctor at Las Vegas Spine and Pain and consists of a local anesthetic and possibly a steroid. These injections have been shown to be one of the most effective treatments for trigger points, as the injections not only provide nearly instant pain relief, but can also provide long-term relief from trigger point pain.
Facet joint radiofrequency neurotomy
One of the best ways to treat facet joint syndrome, a painful condition in which arthritis develops, is with radiofrequency neurotomy. This procedure is utilized to reduce back and neck pain, often resulting from facet joint syndrome, bone spurs, or osteoarthritis. During this minimally invasive procedure, radio waves are sent to the affected nerves through small needles inserted into the skin around the spine.
During the procedure, a Las Vegas Spine and Pain physician ill place an intravenous (IV) line into the patent’s arm to deliver medication that will alleviate any discomfort during the procedure. The physician will use a fluoroscope to position the needles in the accurate areas, targeting affected nerve tissue.
Vertebroplasty/Kyphoplasty
A vertebroplasty is essentially used for the same purpose as a kyphoplasty- minus the balloon. A needle is placed through the skin and into the bone, injecting into the affected area of the spine. Using an x-ray imaging device, the doctor injects a cement material into the spaces between each spine bone to prevent another collapse and further complications.
Hip, shoulder, and other joint injections
Joint injections are also used to alleviate patients’ pain. Numbing medication is used as well as time-release cortisone and injected into the joints. This medication combination can reduce inflammation and provide long-term pain relief.
Diagnostic and therapeutic joint injections can essentially be used at any joint of the body. If a patient complains of pain in the hip, shoulder, or any of the spinal joints, joint injection therapy may be beneficial based on an initial evaluation by your Las Vegas Spine and Pain physician.
Infusion Therapy
Vertiflex
The Vertiflex Procedure uses a small implant that creates a space for nerves in the spinal canal. This is a new, safe, and effective option for lumbar spinal stenosis. The Vertiflex Procedure is a simple and safe, minimally invasive treatment clinincally proven for effective, long-term relief from the pain associated with lumbar spinal stenosis.
If you have been living with leg and back pain from lumbar spinal stenosis, you know the suffering it can cause, how it can limit your mobility, and the impact it can have on your daily life. Now, there is a clinincally proven, minimally invasive solution that may help. Here at Las Vegas Spine and Pain Center our Vertiflex Procedures have the potential to life the burden of pain, offering a long-term solution that can help patients get back to enjoying their day-to-day life again.