Services

Back and Spine Treatment Options and Info – Click the link Below

Knee & Joint Treatment Programs and Info – Click Link Below

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»BREAKTHROUGH TREATMENTS FOR DEPRESSION & PAIN«

Refractory Depression, CRPS/RSD, and Neuropathic Pain Patients  - We are now offering Ketamine Infusion Therapy! Call Today for more information! Click on the following link for more information regarding Ketamine Infusion Therapy: Therapeutic Ketamine Infusion Brochure

Suffering from Joint Pain? Call today to learn more about Platelet Rich Plasma (PRP) Injections! Click on the following link for more information regarding our Joint Clinic: Joint Clinic Brochure

CLEVELAND BACK AND SPINE TREATMENT OPTIONS

Epidural Steroid Injections

These procedures are typically performed for leg and back pain, or neck and arm pain caused by spinal nerve irritation/injury, disc pain, or joint pain.  It involves injecting a steroid-containing solution into the space of the spine outside of the protective lining of the spinal cord, known as the epidural space. This does multiple things: 

  • -washes away the inflammatory mediators (chemicals that cause inflammation to continue)
  • -coats the structures with potent anti-inflammatory steroid which decreases inflammation and irritation
  • -softens and degrades scar tissue

Transforaminal Epidural Steroid Injection

Also known as a TFESI, or nerve root block, this epidural steroid injection involves injecting steroid into the epidural space for a direct anti-inflammatory effect on inflamed or irritated spinal nerves.  The skin overlying the injection site is sterilely prepared and numbed with local anesthetic.  Using flouroscopy (live x-ray), a needle is carefully guided toward the epidural space, corresponding to a specific spinal nerve.  Location is confirmed with contrast dye and flouroscopic imaging before the therapeutic steroid solution is slowly injected to complete the procedure.

Facet Block

This is also known as a Median Branch Block.  It is a technique used to diagnose pain associated with arthritis of the joints in the posterior aspect of the spine.  Between each pair of vertebrae, there are two joints on the back side of the spine that develop arthritis with age, much like the hands and knees.  By specifically blocking the individual small nerves that go to the joints, one can assume the pain is coming from the joints if the pain is largely better after the block.  Once two successful facet blocks have been performed, we can denervate the tips of the nerves and provide pain relief for 6 months, by a procedure that can be repeated when necessary.  It can be performed in the neck, mid back and low back.

Facet/Median Branch Radio-frequency Ablation 

This is the ultimate goal of performing facet blocks and offers the greatest chance of long-lasting relief. Once two successful blocks have been performed, the tips of the nerves can be burned using electrically generated heat produced at the tip of a needle.  Once the tips of the needles are appropriately positioned, heat is generated to a temperature of 80 degrees Celsius.  This destroys the tips of the nerves in a small, specific area, hereby decreasing the pain signal to the facet joints.  This can be done in an outpatient setting, much like the blocks.  These nerves tend to regrow in about 6-12 months, at which time the procedure can be repeated as needed for long-term pain management.  This procedure can be performed in the neck, mid back, and low back.

Sacroiliac Joint Injections

The Sacroiliac Joint is the largest joint of the body, located where the spine (upper body) connects with the ilium (lower body).  These joints transfer the weight to the legs.  They are sensitive to change in gait, leg length, and posture.  As a result they often become inflamed and very painful when one has an issue involving other parts of the body, and continue to cause pain once the initial problem has resolved.  Physical Therapy and Chiropractic care can provide great relief.  However, when these methods fail, steroid injections into the joint can help tremendously, especially in conjunction with rehabilitation.

Sympathetic Nerve/Ganglion Blocks

Sympathetic Nerve Blocks act on the autonomic nervous system - the fight or flight system.  The sympathetic nervous system is capable of transmitting pain impulses and therefore, in certain conditions, hyperactivity of this system can mediate and exacerbate pain.  The conditions include complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy (RSD), and chronic pain, including pelvic pain.  By blocking these collections of nerve cells, or ganglions, we can potentially reset the pain pathway and achieve significant pain relief.  These are safe injections performed at our clinic, using flouroscopic imaging to ensure accurate and safe needle location.

 

Other Procedures Available

  • -Piriformis Muscle Injection
  • -Bursa Injections
  • -Trigger Point Injections
  • -Major Joint Injections (e.g. Knee, Shoulder, Hip, Elbow, Wrist)
  • -Sympathetic Ganglion Blocks and Ablations
  • -Peripheral Nerve Blocks
  • -Occipital Nerve Blocks

Now Accepting New Patients!

Call Today to Schedule a Prompt Appointment

440-944-1414

Most Insurance Plans Accepted

Appointments often scheduled within one week!

2 Comments on “Services

  1. I would like some information on depression & pain treatments including cost. i have very bad arthritis & treatment resistant depression.

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