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Interventional Pain Management

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Pain Management Services San Antonio

interventional pain management services

Interventional Pain Management Conditions

Pain is one of the most prevalent medical problems in today’s society. Unfortunately, based on recent studies it is also one of the most under-treated medical complaints. Chronic neck and back pain is an agonizing reality to millions of Americans.

Traditional methods of treatment include pain medications, chiropractic manipulation, physical therapy or surgery. But did you know that there are new, effective methods of pain relief now available? INTERVENTIONAL PAIN MANAGEMENT offers a full range of treatments for chronic pain management.

UNDERSTANDING CONDITIONS

Spine Anatomylink

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Spine Anatomy

It is critically important to understand spine anatomy and physiology to evaluate sources of back pain. Small bones starting from the skull down to the tail bone connect together at facet joints and compressible discs that allow for spine movement. The discs act as shock absorbers whenever we walk or jump or pick up heavy loads. Very quick, large loads can herniate discs usually at the posterior, or back, location of the discs. When these discs herniate, they begin to compress the spinal nerves that exit the holes, or foramens, of the spinal column. Patients will feel this as shooting pains, numbness, tingling, and sometimes weakness. Discogenic pain causes about 10% of all low back pain. As we get older, normal wear and tear and arthritis causes drying out of the discs, also called disc dessication and degeneration.

About Herniated Discs
About Lumbar Radiculopathy (Sciatica)
About Spinal Stenosis
Myofascial pain, and others
About Arthritislink

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What Is Arthritis?

Arthritis is a disease that involves inflammation of the joints. Arthritis in its late stages can be extremely painful and debilitating.
According to statistics from the Centers for Disease Control and Prevention, 50% of adults over 65 years old have been diagnosed with some form of arthritis.

There are many types of arthritis, such as rheumatoid and psoriatric arthritis, with osteoarthritis as the most common type.
Osteoarthritis is a condition that is caused by gradual wearing down and load on the joints. Excessive weight, high impacts, and obesity can accelerate this wear and tear, especially on weight-bearing joints, such as the hips and the knees.
Rheumatoid arthritis is not caused by wearing down of the joints, but is caused by an auto-immune disorder that causes the body to attack its own tissues.

There is no cure for arthritis, however, there are medications, procedures, and treatments that can alleviate pain caused by this disease.
Treatments for most arthritis are usually conservative and minimally invasive.
The first line of treatment for most forms of arthritis includes non-steroidal anti-inflammatory medications otherwise known as NSAIDs. Examples include ibuprofen and naproxen.
These medications can alleviate the chronic inflammation and pain that is associated with arthritis. Care should be taken not to take excessive amounts of these medications, as they may cause gastrointestinal and kidney related issues.
Consistent exercise is advisable, as movement helps keep the joints flexible and moving more fluidly. Walking, yoga, and water aerobics are among the best for those who suffer from arthritis as these activities are low-impact.
Arthritis therapy sessions with a physical therapist can help immensely, as the therapist can help devise an exercise and stretching regimen specific to the patient’s abilities and pain level.
Speaking with a physician about accommodations that can be made specifically for your condition can be helpful. For example, a physician can make a recommendation to purchase special grips for objects if a patient suffers from arthritis of the hand.
Many arthritis patients have seen an improvement in their pain through joint injections. These consist of a corticosteroid that is intended to reduce inflammation and pain in the joint, also known commonly as a “cortisone” injection. These injections aim to improve a patient’s range of motion and quality of life.

Back pain can also be caused by arthritis, as the back has multiple joints. Medial branch blocks have shown success for those who are suffering from back and neck pain due to arthritis. Facet joint arthritis is one of the leading causes of low back pain in adults.
A medial branch block decreases inflammation and irritation in the joints of the spine, and often, relief from pain is immediate. Medial branch blocks may be performed multiple times at the discretion of the treating physician.
In severe cases, the only relief a patient may be offered is through full joint replacement. While knee and hip replacements are the most common, medical technology has advanced to include shoulder joint replacements, elbow joint replacements, and finger joint replacements. Our doctors at Tri-City Pain Associates are skilled in state of the art joint and nerve blocks that can help delay joint replacement or help decrease pain post-replacement. The patient may be returned to a pain-free lifestyle and resume the activities that they have had to abstain from due to arthritis pain.
At Interventional Pain Management, our goal is to relieve your arthritis pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

About Bulging Discs link

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What Are Bulging Discs?

Bulging discs and herniated discs occur due to excessive load and pressure on spine discs. Compression of the gelatinous material causes its contents to push out to either side, which can press on the nearby nerve roots and cause shooting pains, numbness, tingling, electricity, or fire like feelings into the arms and legs.

Intervertebral discs act as shock absorbers and help prevent bone on bone movement. The vertebrae, stacked on top of each other with discs in between, create the spine and provide nerve protection. Discs have three roles: to connect and form the spine, to absorb weight placed on the spine, and to allow for movement.

Most herniated and bulging discs occur in the lower back due to higher loads at this area. They can occur in the neck and upper back as well. The majority of bulging discs do not cause symptoms or pain. When symptoms do present, an MRI or CT scan can show your physician where the herniation is located.
Most bulging discs will not require treatment, but for those that do, there are many options.

Conservative care can include:
• Over-the-counter anti-inflammatory/pain relief medications
• Short-term prescription pain relief from opiate medications
• Steroid injections for inflammation
• Physical therapy to help strengthen and improve stability
• Acupuncture
• Chiropractic traction
• Rest

Surgical treatment is generally not necessary. Once a physician can identify the underlying cause for the bulging disc, it can be treated with epidural steroid injections if conservative care fails.
This procedure is the most common and gold standard for treating herniations, alleviating pain and pressure.
At Tri-City Pain Associates, our goal is to relieve your bulging disc pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

About Cancer Pain link

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What Is Cancer Pain?

Cancer is a devastating diagnosis that affects all aspects of a person’s life and can progress extremely rapidly. Many people with cancer eventually experience pain due to their condition, as tumors can invade neighboring tissues and press on nearby nerves. Approximately 20% of patients with newly diagnosed malignancies complain of pain.

Thirty percent of patients undergoing cancer treatment complain of pain, and up to 90% of those with advanced cancer experience pain.
Cancer pain can vary from sharp and severe to dull and constant aches. It can vary in location and progressiveness depending on type of cancer.
Regardless of the type of pain, a diagnosis of cancer does not mean you have to suffer with suffering or debilitating pain. The physicians at Tri-City Pain Associates understand the devastating effects cancer-related pain can have on your life.
Pathology
Cancer pain can be caused by many different sources.
Pain can occur when a tumor presses on nerves or expands inside organs and tissues. Pain also can arise from boney destructive lytic lesions.

Unfortunately, the radiation and chemotherapeutic treatments that are used to treat cancer can also cause severe and neuropathic pain.
Treatment
The treatment for pain due to cancer is specific to an individual.
It is important for you and your pain physician to develop a treatment regimen that will be most beneficial and successful for you.
Some of the commonly used pain treatments include:
• Pharmacotherapy: NSAIDs (eg: Ibuprofen), opioid type medications, muscle relaxants, and membrane-stabilizing medications can be very effective in treating cancer pain.
• Nerve blocks: Nerve blocks and neurodestructive procedures can help relieve pain conditions due to cancer.
• Transcutaneous electrical nerve stimulation (TENS): This is a technique that relieves pain by applying mild electric current to the skin at the site of the pain. The electric impulses interfere with normal pain sensations and alter perceptions that were previously painful.
• Biofeedback: This is a treatment that teaches a patient to become aware of processes that are normally thought to be involuntary inside of the body (such as blood pressure, temperature, and heart rate control). This method enables you to gain conscious control of these processes, which can influence and improve your level of pain. A better awareness of one’s body teaches one to effectively relax, and this can help to relieve pain.
• Massage: Gentle focal rubbing of the tender areas may help relieve muscle spasms or contractions and improve associated discomfort. Massage can also help patients relax, decreasing stress and tension.
• Radiation therapy and surgery: These can also have palliative outcomes for cancer patients.

At Tri-City Pain Associates, our goal is to relieve your cancer pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

Complex Regional Pain Syndromelink

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Complex regional pain syndrome (CRPS), originally called Reflex Sympathetic Dystrophy (RSD), is a chronic pain condition that usually affects the extremities. More women are affected than men and the disease is most common between the ages of 40-60.

Pathology

There are two types of CRPS depending on initial event. Type I – CRPS I is a condition of persistent pain and swelling that occurs because of trauma to an area and produces vasomotor disorders. This is the most common form. Type II – CRPS II occurs after a direct and specific nerve injury and is much less common. The two main symptoms seen in patients with CRPS are allodynia (pain from a non-painful stimulus) and hyperalgesia (increased pain from a stimulus). Other symptoms seen are swelling, skin color changes, changes in hair growth, muscle atrophy, and limited range of motion. Allodynia and hyperalgesia are thought to be a development involving both the peripheral nervous system (PNS) and the central nervous system (CNS). Local tissue injury and inflammation activate the PNS, which sends signals through the spinal cord and to the brain. There is an increase in the excitability of neurons within the CNS so that normal inputs from the PNS begin to produce abnormal responses.Low-threshold sensory fibers activated by light touch excites neurons in the spinal cord that normally only respond to noxious (painful), or more severe, stimuli. As a result, an input that would normally produce a harmless sensation now produces significant pain.CRPS is most frequently seen after trauma to an arm or leg. Major traumas including car accidents, penetrating wounds, and crush injuries. Other traumas can include surgery, infection, and fractures, all of which can lead to complex regional pain syndrome.

Treatment

At Tri-City Pain Associates, we are experts in treating complex regional pain syndrome (CRPS). Some treatments include:
• Sympathetic Nerve Blocks:  The procedure involves inserting a small needle through the skin to the locations of the sympathetic nervous system. When the nerves are blocked, pain relief can be dramatic for some individuals. A change in sensation and pain will be noticed within just a few minutes. Procedures that focus on the face and upper extremities include the stellate ganglion block and brachial plexus nerve block. Lumbar sympathetic nerve blocks are commonly performed for CRPS in the lower extremities.
• Infusions Techniques: The procedure involves inserting a small catheter through a needle into the epidural space or directly next to affected nerves. Local anesthetic and other medicines are often given through the catheter for extended time periods. When the nerves are blocked continuously with an infusion, pain relief can be dramatic and long-lasting.
• Spinal Cord Stimulation: This method involves tiny electrodes being placed within the epidural space close to the spinal cord. The electrodes release a small electrical current to the spinal cord that inhibits pain transmission, thereby providing pain relief. A recent study noted that: ‘Ten consecutive active duty United States military personnel with newly diagnosed complex regional pain syndrome underwent early intervention with spinal cord stimulation with favorable results, including decreased pain scores and decreased opioid intake” (Verdolin 2007).
• Peripheral Nerve Stimulation: This method involves tiny electrodes being placed close to the affected nerves. The electrodes release a small electrical current that inhibits pain transmission and provides pain relief.
• Medical management: Important, pharmacological treatments for medical management of CRPS can be membrane stabilizing drugs, NSAIDs, or opiate-like medications.
• Physical therapy: In order to decrease or prevent functional limitations, physical therapy and occupational therapy are recommended as well as medical treatments.
• Physical therapy focuses on exercising the affected limbs, improving range of motion and strength.
• Biofeedback: Patients learn to have a better awareness and familiarity with their body. As they learn to relax their body, pain relief is obtained. The psychological component of treatment can work with medical therapies to improve function and decrease the severity of the disease.
• Others: Living with a chronic pain condition can be extremely difficult. People with CRPS have an exceptionally difficult time because others do not understand the amount of pain that they experience. Tri-City Pain Associates are aware of the emotional hardship that you face and can help you relax and de-stress by offering you coping techniques.

At Tri-City Pain Associates, our goal is to relieve your pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

About Fibromyalgia link

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What is Fibromyalgia?

Fibromyalgia is a chronic pain disorder characterized by multiple tender points on the body and widespread pain, fatigue, and weakness. The tender points are found in specific locations around the neck, back, and upper and lower extremities. Light pressure at these points causes pain. A common finding is central sensitization, where non-painful stimuli are perceived as painful and other painful stimuli are much more painful than normal. Fibromyalgia is most commonly seen in women ages 30 to 50. It is associated with anxiety, depression, and sleep disorders. Constipation, diarrhea, and abdominal pain associated with irritable bowel syndrome (IBS) are also typical in people with fibromyalgia. People generally experience pain in specific locations of the body when pressure is applied. These locations are commonly the back of the head (occiput), upper back, neck, elbows, hips, and knees. The pain generally persists for weeks to months and is often accompanied by stiffness. Signs of inflammation, diagnostic tests, and lab markers are almost always negative.

Fibromyalgia is also associated with headaches and associated facial pain that may be related to the tenderness they are experiencing in their neck and shoulders. Fibromyalgia can also predispose someone to an increased sensitivity to noises, bright lights, odors, and touch, similar to experiences during a severe migraine headache. The American College of Rheumatology has established general classification guidelines for the diagnosis of fibromyalgia. The diagnosis is made clinically based upon a history of multiple areas of aches or pain for at least three months and patients who have a minimum of 11 of 18 locations on the body that are abnormally tender under relatively mild pressure. If the patient has a history associated with fibromyalgia, but has less than the 11 tender spots, or is tender in non-fibromyalgia locations, then this is considered “myofascial pain syndrome” and is managed and treated similar to fibromyalgia.

At Tri-City Pain Associates, our goal is to relieve your pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

About Migraines link

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What Are Migraine Headaches?

Almost 25 million Americans suffer from migraine headaches. Despite being so prevalent, migraine headaches are not completely understood. They might result from the relationship between the brainstem’s interactions with the trigeminal nerve, which causes a chemical imbalance. Migraine specialists often hear alarming descriptions of pain and discomfort from sufferers of migraine headaches, from throbbing sensations to vice-like grips of head pain.
Considered the most severe form of headaches, migraines are caused by the enlargement of blood vessels, which releases pain-causing chemicals. An “aura,” or sensory warning, sometimes precedes a migraine attack. Migraines cost more than $20 billion in direct expenses, including medical bills, and indirect expenses, such as missed workdays.

Migraine treatments are based on identifying triggers and using preventive therapies.

Although the exact cause of migraines is still being researched, it is understood to be a combination of genetics and environment. Low serotonin levels, a mood chemical in the brain, can trigger a migraine by dilating blood vessels in the brain and causing increased pressure in the cranium. Low serotonin may also trigger a release of hormones and chemicals that can cause pain directly. These internal processes do not always occur unprovoked. Stress, bright lights, caffeine, alcohol, and odors are common external migraine triggers. Women are three times more likely than men to suffer from migraines. Estrogen has been found to trigger attacks and increase pain.
The attention and resources put toward migraine treatments is a result of their intense accompanying symptoms. Prior to a migraine attack, an aura may alert patients. Visual sensations, such as seeing shapes, have been reported to precede migraines, as well as tingling sensations and speech problems. During the attack, severe head pain generally occurs on one side of the head, but can be felt on both. Sensitivity to light and odors often induces nausea, which can cause vomiting. Lightheadedness, which can lead to fainting, occurs in some cases. Without treatment, migraine headaches usually last four to 72 hours.

Migraine treatment varies depending on the patient and symptoms. Avoiding certain environments and identifying triggers is most important. For example, those who experience migraines when exposed to bright lights may be instructed to wear protective eyewear in the sun and consciously avoid staring into artificial light. Other common preventive lifestyle changes include avoiding certain odors and beverages or adjusting sleeping conditions.
These preemptive strategies can help eliminate migraines altogether. Your physician can prescribe preventative drugs that can also help fight off migraines. Cardiovascular drugs, such as beta-blockers and antidepressants, can prevent attacks. Once migraines hit, there are number of pain management options. Anti-nausea medications, opiates, and pain relievers treat specific symptoms to reduce the discomfort of migraines. Like many internal ailments, healthy living is one of the most effective treatments. Avoiding too much stress, exercising, and eating properly will reduce the chance of migraines and dismiss the need for more complicated, expensive treatment options.

At Tri-City Pain Associates, we have physicians who are experts in migraine management, including medications, nerve blocks, and botox.

Headache Journal

If you have headaches, create a headache journal to document what you are experiencing. This record can be extremely useful during your next visit with one of our doctors, and it takes the pressure off of you to remember and describe your exact symptoms. Use your journal to document the details of your headaches, possible causes, what migraine treatment you attempted (medication, herbal remedies, dark room, etc.), and the effects of that treatment.

At Tri-City Pain Associates, our goal is to relieve your migraine pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

About Pelvis painlink

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Chronic Pelvic Pain

Living with chronic pelvic pain is life changing. It is a rather difficult and many times embarrassing pain to tell your doctor about, let alone your family, friends, and sometimes even partner. Let’s face it. It’s not as simple as back pain or migraine headaches to just bring up in conversation. Mum’s the word. The reality is, many gynecologists and pain medicine specialists do not have the training or experience to carefully approach such a topic. Many times young women with pelvic pain are cast aside as having psychological disorders, depression, and “it’s all in your head”. Intimacy is difficult, tensing spousal relations. Depression and anxiety builds, and life just gets harder.

There is no doubt, there are psychological factors that are concurrent with pelvic pain. Sometimes a history of abuse as a child, depression, anxiety, and high stress situations can evoke pelvic pain. Women may have vaginal spasm and strange menstrual periods. Anatomical considerations such as endometriosis, prior surgery, ovarian cysts, fibroids, and inflammation in the surrounding areas can all cause chronic pelvic pain.

There are numerous therapies that can be offered to a person, man or woman, suffering from chronic pelvic pain. Imaging, such as an MRI of the abdomen and pelvis, can rule out significant pathology such as cancer, fibroids, or endometriosis. Certain medications work better vaginally or rectally for pelvic pain, rather than traditional oral route. Certain psychological conditions should be addressed with cognitive behavior therapy, anti-depressants, and anti-anxiolytics. There are specific nerve blocks that work very well for pelvic pain, despite the very difficult innervation of the pelvis.

We have an experienced team of experts at Tri-City Pain Associates that can lead the way in helping patients live with chronic pain.

At Tri-City Pain Associates, our goal is to relieve your pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

CERVICAL PROCEDURES

Cervical Transforaminal Injections
Cervical Radiofrequency Rhizotomy
Discograms
Stellate Ganglion/Sympathetic Blocks
Discographylink

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What is discography?

Discography is a procedure whereby your pain doctor can determine whether specific discs of the spine are contributing to a patient’s spine pain. Low back pain and neck pain are extremely common in the population, with nearly 80% of people experiencing a significant amount of either at least once during their lifetime. It is also one of the leading causes of physician visits and work-related disability.
MRI or CT scans may not demonstrate a disc that may be a source of pain. In circumstances of on-going low back pain, neck pain, arm or leg pain, discography may be used to determine the source of the pain generator. It is especially helpful when other conservative diagnostic methods and treatments have not been helpful.

Discography

Standard sterile prepping and draping is needed for discography before starting the procedure. Local anesthesia is used to numb the skin in a small area before a slightly larger needle is inserted. This needle is then placed just adjacent to the outer disc layer. Contrast is injected at these locations and should elicit a response that is identical to the pain that you usually have. If so, the source of your pain has been located. The procedure takes about 30 minutes. Usually, a CT scan is done after the procedure to determine the exact locations of the problem discs.

Risks of Discography

All procedures and medications have risks. Discography is considered minimally invasive and low-risk. Infection, or discitis, can be almost always avoided with antibiotics and typical sterile conditions. Other risks are bleeding, pain, and headache.

Outcomes with Discography

Discography is a helpful diagnostic tool to help your pain doctor determine and then treat your source of pain. If you are suffering from chronic back and neck pain that has not been alleviated by typical medications and procedures, contact Tri-City Pain Associates today to see if you can benefit from their cutting-edge treatments.

At Tri-City Pain Associates, our goal is to relieve your pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

THORACIC & LUMBAR PROCEDURES

Lumbar Epidural Steroid Injectionlink

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What is a Lumbar Epidural Steroid Injection?

Lumbar Epidural steroid injections (ESIs) are a frequently-used treatment for pain syndromes that radiate from the back to the lower extremities. This is termed radiculopathy, and occurs due to an irritated nerve root (radiculitis).

Conditions commonly treated with an ESI:

• Degenerative disc disease
• Spinal stenosis
• Herniated discs
• Sciatica
• Radiculitis
• Radiculopathy

Recent studies have confirmed that epidural steroid injections help reduce bilateral radicular pain and improve standing and walking in patients with degenerative lumbar spinal stenosis.
Procedure – Epidural Steroid Injection

Risks of Epidural Steroid Injection

Epidural steroid injections (ESIs) are considered an appropriate non-surgical treatment for many patients who suffer from back and neck pain. Although ESIs are considered safe and are one of the most commonly performed procedures in the world, there are risks associated with the procedure. The major risks associated with this procedure involve bleeding, infection, post-dural puncture headache, and nerve damage.
The other risks of epidural steroid injections may be directly related to the medications injected. Some of the potential side effects of corticosteroids include elevated blood sugar, weight gain, arthritis, stomach ulcers, and transient decrease in immune system function. All patients before receiving an ESI should be assessed by their physician for risks associated with the procedure.
Patients with an allergy to any anesthetic, are on blood thinning medications, have an active infection, or are pregnant should consult with their pain physician before receiving the procedure.

Outcomes of Epidural Steroid Injection

The amount and duration of pain relief vary from person to person and is dependent on many other factors, including underlying pathology and activity level. Some can have relief that lasts for years while others have short-term relief. It is important to discuss with your physician your response to epidural steroids in order to plan future treatment options.
A recent study that compared the risks and efficacy between surgical alternatives versus lumbar epidural steroid injections (ESIs) was conducted, and it was discovered that ESIs are superior to surgery when weighing risk, cost, and outcomes.

At Tri-City Pain Associates, our goal is to relieve your pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

Thoracic Epidural Steroid Injection
Thoracic Transforaminal Epidural Steroid Injections
Diagnostic Medial Branch Nerve Injections
Thoracic Radiofrequency Rhizotomy
Vertebroplasty
Percutaneous Disc Decompression
Facet Joint Injections
Dekompressor Discectomy
Sacroiliac Joint Steroid Injection
Lumbar Sympathetic Block
Celiac Plexus Block
Hypogastric Plexus Block
Percutaneous Lysis of Adhesions (mechanical and chemical)
RACZ Caudal Neurolysis

STIMULATORS

Implantation, Programming and Management
Pyriformis Injection
Spinal Cord Stimulators trials and implantations, cervical and lumbar areaslink
Spinal Cord Stimulators Programming and Management
Intrathecal Pump Implant

OTHER

Peripheral nerve blocks (Suprascapular, Occipital, Ilio-inguinal, Intercoastal, Supratrochlear, Supraorbital, Infraorbital, Mental, Genitofemoral, etc.)
All joint and bursa injections (Hip/Shoulder/Knee/Sacroiliac, etc.)
Botox and Myobloc Injections For Pain
Gassarian Ganglion Blockade
Scar Neuroma Injections
Occipital Nerve Blocks
Piriformis Block
Neck Pain Treatment
San Antonio Back Pain Treatment
General Pain Management
Medial Branch Blocks

Radiofrequency Ablation link

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What is Radiofrequency Ablation?

Radiofrequency ablation (RFA) is the end procedure performed after a successful diagnostic medial branch block. It results in long term, 1-2 year on average, pain relief of irritated spine nerves. It uses a specialized device to disrupt nerve conduction via heat generation, usually at the medial branches of facet joints.
This pain relief technique can be used by those with back pain, neck pain, muscle pain, and multiple other pain syndromes.
A probe is inserted through a needle, and controlled delivery of heat is placed along a painful nerve.
The facet joints of the spine are a moveable connection that connects one vertebra to another and allow us to bend and move. Facets are innervated by the medial branch nerve, which provide sensation to the joint. The joints may become arthritic or damaged causing extreme pain with activity.

Procedure Description

Radiofrequency ablation is a procedure that creates a nerve lesion produced by localized heat. When the lesion is placed over a painful nerve, pain signals are interrupted and pain perception by the brain is decreased.
The procedure is performed in an outpatient setting. The treatment is done with local anesthesia along with IV sedation when needed. Before the procedure begins your physician starts by cleaning the skin over the injection site and injecting a local anesthetic to numb your skin.
Another needle is placed through the numb tissue, and the entire procedure is performed using fluoroscopic (X-ray) guidance. When the needle is in the correct location, an electrode is introduced into the center of the needle. Stimulation is initiated first with sensory stimulation and then with motor stimulation. When the correct needle position is verified, local anesthetic and sometimes a steroid medication are injected. Since stimulation is carried out first and fluoroscopic guidance used, there should be no decreased sensation to the back muscles or skin, or change to motor function of the extremities or back.

Benefits of Radiofrequency Ablation

In a recent clinical research study for patients treated with radiofrequency therapy, 21% had complete pain relief, and 65% reported mild to moderate pain relief. The majority of the respondents reported reduction in the use of pain medications.
None of the patients developed significant infection, bleeding, hematoma formation, or numbness as complications to their therapy.
RFA has been used for many years, and the technique continues to improve with better efficacy and fewer risks.
Patients can experience significant pain relief with a minimally-invasive procedure that does not require a long hospital stay.

Risks

As with any medical procedure, there are risks and potential complications. Although complications rarely occur, patients need to know what complications can occur. In general, the risks are low and complications are rare. Potential complications that may occur include: bleeding, infection, worsening of pain symptoms, discomfort at the point of injection, and rarely motor nerve damage. Radiofrequency therapy averages 1-2 years of relief.

Conclusions

Radiofrequency treatment is an extremely safe, well-tolerated method selected to treat many causes of chronic pain. If your pain responds well to an initial treatment, a follow-up treatment may be helpful.
In a large study, 92.5% achieved excellent or good pain-relief by radiofrequency thermo-coagulation for the symptoms of trigeminal neuralgia. A series of 100 patients suffering from trigeminal neuralgia were treated by radiofrequency thermo-coagulation. The study concluded that RFA is the treatment of choice for trigeminal neuralgia when medical treatment is no longer effective or the side effects of medications contraindicate their usage.
If you are suffering from back, neck, facial, or other painful conditions, contact Tri-City Pain Associates to see if you can benefit from this state-of-the-art treatment. We are happy to offer this treatment to the San Antonio area.

At Tri-City Pain Associates, our goal is to relieve your pain and improve function to increase your quality of life.
Give us a call today at 1-844-789-PAIN (7246).

Eleven Convenient Locations to Better Serve You!

Medical Center
2020 Babcock Rd., Suite 24 San Antonio, TX 78229
Northeast Office
3338 Oakwell Ct., Ste. 205 San Antonio, TX 78218
Stone Oak Office
110 Stone Oak Loop San Antonio, TX 78258
Southwest Office
94 Briggs Street Suite 500 San Antonio, TX 78224
Seguin Office
634 E. Court Street Seguin, TX 78155
Northtown Professional Plaza
6999 McPherson Rd suite 108 Laredo, TX 78041
New Braunfels Office
717 Generations Drive New Braunfels, TX 78130
Austin Office
3809 S. 2nd Bldg. Suite B100 Austin, TX 78704
Austin Office
9701 Brodie Ln # 206 Austin, TX 78748
Corpus Christi Office
2222 Morgan Ave, Ste. 110 Corpus Christi, TX 78405
Carrollton- Now Open
4333 North Josey Lane, Plaza 2, Ste. 204 Carrollton, TX 75010