Interventional Procedures

When it comes to treating chronic pain, there are many studies to support the use of interventional, or noninvasive, procedures. By using methodology such as injections, ablations, chiropractic care and other noninvasive modalities, surgery (and a prolonged recovery time) can often be avoided.

When pain management with medications is unsuccessful, interventional nerve blocks can be used to treat certain types of acute and chronic pain. In nerve blocks, a combination anesthetic and steroid solution is injected into nervous tissue to reduce inflammation and block the transmission of pain signals to the brain1.

Adhesiolysis, also commonly known as lysis of adhesions (LoA), refers to the process of cutting away internal scar tissue (adhesions) that commonly form after trauma, infection, inflammation or surgical procedures1. Surgery is perhaps the most common cause of adhesions, which form adjacent to a site of incision as part of the healing process. Adhesiolysis is performed to restore normal function of affected tissues and relieve any pain associated with the development of adhesions1.

The sacroiliac (SI) joint connects the spine with the pelvis, and is a significant source for low back, buttock, groin and lower extremity pain. Dysfunction of the joint has been estimated to affect between 15–38% of the general population1. The most common painful condition of the sacroiliac joint is known as sacroiliac joint dysfunction, which is often caused by direct impact to the buttocks, motor vehicles accidents, or via ballet or ice skating injuries2. It can also be caused by arthritis, infection, or simply as the result of age-associated degeneration. With SI joint dysfunction there is a structural change within the joint with the nearby pelvic and/or sacral bones that induces pain in nearby cartilage or ligaments1.

Interventional nerve blocks have become an important therapy in the treatment of certain types of acute and chronic pain, particularly where management with medications is unsuccessful. With nerve blocks, medication consisting of an anesthetic and a steroid is injected directly into a nerve to reduce inflammation and block the transmission of pain signals to the brain1.

The spinal disc has long been implicated as a cause of back pain based on clinical and other research1, and an estimated 40% of chronic lumbosacral spinal pain may be caused by intervertebral (spinal) discs2.

Discography is a minimally invasive, relatively painless diagnostic procedure used when clinical evaluation suggests a patient’s back or Neck Pain is originating from a disc and other sources of pain have been ruled out3. It allows the doctor to visualize a disc suspected of causing acute or chronic back pain.

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