Interventional pain management delivers pain relief to patients using the precise guidance available through images provided by a live x-ray, CT scan or an ultrasound. When a patient has inflammation in a specific area (such as arthritis in a joint), his or her doctor may prescribe an injection to reduce the inflammation. However, for highly sensitive areas like the spine, a physician needs imaging-guidance to effectively inject the medicine. This is accomplished using interventional pain management. These procedures can be completed at the Virginia Interventional and Vascular Associates (VIVA) office or at the hospital.
How does interventional pain management work?
Pain management treatments use live X-rays, CT scans, and ultrasounds in order to ensure the delivery of medication with pinpoint accuracy. With a fine needle, a physician can inject medication directly into the exact location where inflammation is found, avoiding the need for open surgery. This accuracy is especially important when addressing pain in the lower back or spinal column, where such precision is of the utmost importance.
Where does interventional pain management help?
Interventional pain management is not applied as an ongoing medical treatment. In most cases, you will receive one to three injections over the course of treatment, as prescribed by your doctor. These injections can offer relief for conditions affecting nearly the entire body: the back, neck, shoulders, legs, wrists, knees, and elbows. Interventional pain management can also include treatment for migraines using a SphenoCath (a soft, flexible catheter).
What services are offered?
Several different procedures may be included in interventional pain management:
- Epidural spinal injections. These injections are given in the cervical, thoracic, and lumbar regions of the back. They allow for relief from debilitating pain around the neck, chest, and lower back.
- Facet injections, or facet joint injections. This type of injection involves a local anesthetic and/or steroidal medication delivered to the facet joints in the spine, providing relief in the spinal column.
- Hand and wrist injections. These injections can help aid with arthritis, carpal tunnel, tendonitis, and trigger fingers.
- Hip injections. In this area of the body, the injection applied can help with arthritis, injury, or mechanical stress, but can also aid in diagnosing the direct cause of pain.
- Nerve root block. This injection is typically used to help pain in the arm or leg by injecting the anesthetic into the nerve sheath. Sometimes this block is performed to help identify whether surgery might be helpful in treating the cause of the pain.
- Sacroiliac injections. This injection is primarily used to treat lower back pain, as well as sciatica symptoms associated with sacroiliac joint dysfunction. A local anesthetic and steroid are injected to help take away pain and decrease inflammation.
- SphenoCath. This advanced treatment delivers anesthetic through the nasal cavity, delivering a block for migraine pain without the use of needles or oral medications.
VIVA is conveniently located in both Fredericksburg and Stafford and provides interventional pain management services to patients who have a doctor’s prescription. Call (540) 654-9118 for an appointment.