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Common Treatments

Listed below are some of the more common treatments performed by the pain management physicians at Tallahassee Neurological Clinic:

Transforaminal Epidural Injection
A transforaminal epidural injection is performed to relieve low back and radiating leg pain. The transforaminal approach is a very selective injection around a specific nerve root. The foraminae are the small openings between your vertebrae through which the nerve roots exit the spinal canal and enter the body. By injecting medication around a specific nerve root, the doctor can determine if this nerve root is causing the problem. This type of epidural injection can be used for diagnostic purposes. The medication injected can help reduce swelling and inflammation caused by spinal conditions such as spinal stenosis, radiculopathy, sciatica, and herniated discs. Many patients get significant relief from only one or two injections. In some cases, it may be necessary to repeat the procedure.

Lumbar Sympathetic Block
This treatment involves an injection of local anesthetic around a group of nerves (the sympathetic nerves) in your lower back. It may be done if you have complex regional pain syndrome (CRPS), a complex disease causing chronic pain.

Stellate Ganglion Block
This procedure is an injection of anesthetic medication around the collection of nerves (the sympathetic nerves) at the neck that affect your upper limbs. This may be done to decrease pain as well as to increase the circulation and blood supply to the affected limb. A stellate ganglion block may be performed for people who have circulation problems or the following nerve injuries: Complex Regional Pain Syndrome (CRPS), Causalgia, Herpes Zoster, and Phantom Limb Pain.

Facet Block
A facet block is an injection of a steroid and anesthetic medication in and around the facet joint to reduce inflammation. This is performed if your doctor suspects that your neck or lower back pain may be caused in part by the small facet joints of the spine. (Facet joints are located on the side of your spine, away from the spinal cord.)

Sacroiliac Joint Injection
The sacroiliac facet joints are the small joints in the area of your low back and buttocks where your pelvis joins with your spine. If your joints become painful, they may cause pain in your low back, buttocks, abdomen, groin, or legs.


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