Spine

Overview Your spine is made up of many structures including bones called vertebrae.  Subluxation occurs when a vertebra shifts forward out of position.  This bone misalignment can compress nerves that exit the spinal canal causing a variety of symptoms.   Causes Subluxation can be caused by …

Overview Trigger point injection is an outpatient procedure designed to reduce or relieve the pain of trigger points. Trigger points are small tender knots in the muscle or connective fascia tissue that surrounds muscles. The injection procedure takes only a few minutes to complete.   Prepar…

Overview Nerves and blood vessels can be compressed in the space between your clavicle (collar bone) and your top rib.  This space is called the “thoracic outlet” and the disorders caused by this compression are collectively called thoracic outlet syndrome.   Causes Many conditions cause tho…

Overview Your spinal nerves travel exit your spinal canal through openings called foramen.  Any narrowing of these openings can compress your nerves, a condition known as spinal stenosis.  It usually occurs in the cervical (neck) or lumbar (low back) spine.   Causes Spinal stenosis has many …

Overview Spinal cord stimulation (SCS) relieves chronic pain of the back, arms and legs.  It uses electrical pulses to prevent pain signals from traveling through spinal nerves to the brain.  SCS candidates are patients who suffer from nerve-related pain that has not been relieved with other trea…

Overview Your sacroiliac joints (often called “SI” joints) are where your hips meet your spine. These joints don’t have much flexibility but do move slightly as you move your body.  Injured or damaged SI joints cause pain.   Causes Sacroiliac joints hurt when tiny nerves become irritated. Th…

Overview Radiofrequency ablation (RFA) uses heat from radio waves to treat the nerves in painful facet joints in your lumbar spine (low back).   It is used when physical therapy, medications, or other treatments have not relieved the pain.   Preparation To begin, you lie on your stomach and …

Overview Radiofrequency ablation (RFA) uses heat from radio waves to treat the nerves in painful facet joints in your cervical spine (neck).   It is used when physical therapy, medications, or other treatments have not relieved the pain.   Preparation To begin, you lie on your stomach and ar…

Overview Percutaneous disc nucleoplasty, often called “perc disc”, is a minimally-invasive outpatient procedure that corrects herniated discs.  A small needle and radiofrequency technology reduces the disc herniation and relieves pain in most patients.   Cannula Inserted After anesthetic is …

Overview Unexplained pain or symptoms may be caused by a pinched nerve.  Spinal nerve roots exit your spinal canal through small openings.  Many other joints have similarly small spaces in which the nerve flows.  If these nerve spaces get narrowed, the structures can compress or pinch the nerve. …