Alternate Interventions Alternate Interventions

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Our Services

Interventional Pain Management is the discipline of medicine devoted to the diagnosis and treatment of pain related disorders principally with the application of interventional techniques in managing sub acute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. The specialists at Oklahoma Pain Physicians offer a wide range of services to meet the patient’s needs.

Types of pain treated:

  • Spine Pain
  • Neck Pain
  • Mid-Back Pain
  • Vertebral Compression Fractures
  • Degenerative Disc Disease (DDD)
  • Bulging or Herniated Discs
  • Radiculitis
  • Spinal Stenosis
  • Spondylosis

Headaches

  • Migranes
  • Chronic Daily Headaches
  • Cluster Headaches
  • Tension Headaches
  • Occipital Neuralgia
  • Facial Pain

Advanced Interventions

  • Spinal Cord Stimulation
  • Occipital and Facial Stimulation
  • Vertebroplasty/Kyphoplasty
  • Sympathetic Blocks
  • Lysis of Adhesions (Racz Procedure)
  • Head and Neck Procedures
  • Abdominal Pain Interventions
  • Peripheral Nerve Blocks
  • Botox Injections
  • Disc Denervation and Decompression
  • Neuro-Destructive Procedures
  • Minimally Invasive Lumbar Decompression
  • Percutaneous Disc Decompression

Pain Syndromes

  • Failed Back Surgery Syndrome (FBSS)
  • Post-Laminectomy Syndrome
  • Complex Regional Pain Syndrome (CRPS)
  • Reflex Symapthetic Dystrophy (RSD)
  • Post-Herpetic Neuralgia and Shingles
  • Neuropathy and Neuritis
  • Neurogenic Claudication

Common Interventions

  • Epidural Steroid Injection
  • Facet Injections/Medial Branch Blocks
  • Sacroiliac Joint
  • Joint Injections
  • Radio-frequency Ablation

Others

  • Cancer Pain
  • Joint Pain: Hip, Knee, Shoulder
  • Word related injuries

Treatment Descriptions

Epidural Steroid Injections (ESIs) are frequently used to treat radicular pain that radiates from the spine down an irritated spinal nerve root. Irritation of a spinal nerve in the low back, called lumbar radiculitis, causes pain that typically travels down a leg. Cervical radiculitis describes pain that travels down an arm.

Conditions commonly treated with ESIs are:
  • Degenerative Disc Disease (DDD)
  • Spinal Stenosis
  • Herniated Discs
  • Spondylysis
  • Sciatica
  • Radiculitis & Radiculopathy

Radiofrequency Ablation is a procedure that uses heat to create a lesion on a painful nerve to decrease the pain perception by the brain. 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 also reported reduction in the use of pain medications (Bayer, 2005).

Conditions commonly treated by radiofrequency ablation are:
  • Back Pain
  • Neck Pain
  • Headaches

Spinal Cord Stimulation (SCS) is a procedure that uses ground breaking technology that works by introducing an electrical current into the epidural space near the source of chronic pain impulses. The SCS lead is a soft, thin wire with electrical leads on its tip and is placed through a needle into the epidural space. The trial stimulator is typically worn 5-7 days while the lead is taped to the patient’s back and connected to a stimulating device. If the trial successfully relieves the pain, the patient can undergo a permanent SCS if desired.

Conditions commonly treated with SCS are:
  • Failed Back Surgery Syndrome
  • Spinal Stenosis
  • Sciatica or Lumbar Radiculitis
  • Complex Regional Pain Syndrome (RPS)
  • Peripheral Neuropathy
  • Central Sensitization
  • Chronic Headaches
  • Cervical Radiculitis
  • Facial Pain

Vertebroplasty / Kyphoplasty is a procedure to treat compression fractures that involves injecting acrylic cement with a biopsy needle into the fractured painful vertebra. The needle is placed with x-ray guidance and the cement is injected. The acrylic cement quickly dries and forms a support structure within the vertebra that provides stabilization and strength. The needle makes a small puncture in the skin that is easily covered with a small bandage after the procedure.


Minimally Invasive Lumbar Decompression (MILD) is a procedure that restores space in the spinal canal while maintaining the structural stability of the spine. Tissue and bone sections which pinch or damage spinal nerves are the only portions removed. The MILD procedure is different than a major surgery because it is performed with a local anesthetic and light to mild sedation. There is less recovery time needed and patients are not required to have sutures because the point of entry for the procedure is only the diameter of a pencil.