St. Luke's Spine and Pain Associates

Procedures

Scope of Services

Your treatment plan is individualized to meet your specific needs. Some of the advanced medical treatments and surgical procedures listed below may be offered depending on the nature of your pain.

Spine

Q & A with
Dr. Scott Loev
Dr. Jeffrey Berger

Drs. Loev and Berger
answer frequently
asked questions
about
pain medicine.

Minimally Invasive Lumbar Decompression (MILD)

The MILD procedure is a minimally invasive approach to reduce pain and improve mobility in lumbar spinal stenosis patients. It is an image-guided procedure, performed using fluoroscopy.
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Epidural Injections

An epidural injection places anti-inflammatory medicine into the epidural space to stop inflammation of the nerve roots, therefore reducing the pain in the affected area.
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Cervical Thoracic and Lumbosacral Nerve Root Blocks

A selective nerve root block serves to prove which nerve is causing the pain by placing temporary numbing medicine and provides information allowing for proper treatment, which may include limited surgery at a specific location. The procedure serves both diagnostic and therapeutic purposes.
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Caudal Epidural Injections

This injection places anti-inflammatory medicine into the epidural space to stop nerve root inflammation, therefore reducing hip, buttock and leg pain.
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Spinal Cord and Peripheral Nerve Stimulation

Neurostimulation works by intercepting pain signals before they reach the brain. To do this, a small system is implanted within the body. A trial is performed before permenant implantation to determine if this is the right system for the patient. This system, similar to a cardiac pacemaker, is used to replace pain with a different feeling. Some people describe this feeling as a gentle massaging sensation or, in some cases, simply the absence of pain.
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Sacroiliac Joint Injections

This injection helps to confirm or deny the joint as a source of the pain; allows a physical therapist to treat the joint; and reduces any presumed inflammation within the joint. The procedure serves both diagnostic and therapeutic purposes.
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Discography

A discography confirms or denies the disc(s) as a source of your pain. It uses a small needle to inject contrast dye into your disc.
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Cervical, Thoracic and Lumbar Medial Branch (Facet) Radiofrequency Neurotomy (Rhizotomy)

A medial branch neurotomy is a non-surgical procedure which cauterizes the nerves (through very localized heating) that allow you to feel pain caused by your facet joints.
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Sympathetic Blocks

This is the injection of a local anesthetic around a group of nerves in your neck and low back. The purpose of this injection is to calm down or “block” the hyperactivity of the sympathetic nerves.
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Head & Neck

Occipital Nerve Block

This is an injection of a small amount of local anesthetic and a small amount of steroid into the area of the occipital nerve where you are experiencing pain and tenderness associated with a headache.
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Cervical, Thoracic and Lumbar Medial Branch Radiofrequency Neurotomy (Rhizotomy)

A medial branch neurotomy is a non-surgical procedure which cauterizes the nerves (through very localized heating) that allow you to feel pain caused by your facet joints.
Learn more.

Stellate Injections

The injection blocks the Sympathetic Nerves, which may in turn reduce pain, swelling, color, and sweating changes in the upper extremity and may improve mobility.
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Diagnostic Medial Branch Block (Cervical/Thoracic/Lumbar)

This is a diagnostic procedure where the nerves that supply sensation to the joints are “blocked” or “numbed.”
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Hip

Hip Joint Injections

This injection helps to confirm or deny the joint as a source of the pain; allows a physical therapist or chiropractor to treat the hip joint; and reduces any presumed inflammation within the hip joint.
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Chest

Intercostal Nerve Blocks

The intercostal nerves below each rib can be injected to see if they are the source of pain and if relief can be obtained.
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Post-Shingles Pain Patch

For post herpetic neuralgia, we are applying a patch in our office that can provide up to three months of pain relief. 
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