Pain has a way of hindering almost every aspect of your life. Thus, pain management is an essential part of treating injuries or medical conditions that cause you pain. Our expert orthopaedic surgeons and pain specialists at Elmhurst Orthopaedics are not only devoted to treating your injuries and medical conditions but are also devoted to giving you relief from your pain.
Non-surgical treatments for pain management is an important part of the services that we offer at Elmhurst Orthopaedics. Some significant non-surgical pain management treatments that we frequently use are:
Trigger Point Injections
Trigger point injections are a pain relief solution for chronic and acute muscle pain. During this procedure, your orthopaedic or pain management provider uses a small needle to inject a saline solution, an anesthetic, or a steroid into the trigger point, your muscle, to deactivate it. The needle inserted into the trigger point is intended to provide pain relief from tension, or knots, in your muscles. This procedure will also provide your orthopaedic physician with important diagnostic information about your pain, and it will help the development of your comprehensive personalized treatment plan.
Epidural Steroid Injections
Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. They have been used for low back problems for over 60 years and are still an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit. Your Elmhurst Pain Management Physician will administer an injection (usually into your radicular or the lumbar region of your lower back.) We have also found these epidural steroid injections to ease neck (cervical) pain and in the mid spine (thoracic) region.
These are the most common epidural injections we provide:
- Cervical Epidural Steroid Injections
- Lumbar Epidural Steroid Injections
- Sacroiliac Epidural Steroid Injections
Facet Joint Injections
Facet joints are small joints at each segment of the spine that provide stability and help guide motion. The facet joints can become painful due to arthritis of the spine, a back injury, or mechanical stress to the back.
A cervical, thoracic or lumbar facet joint injection involves your Elmhurstpain management physician injecting a small amount of local anesthetic (numbing agent) and/or steroid medication, which can anesthetize the facet joints and block the pain. The pain relief from a facet joint injection is intended to help a patient better tolerate a physical therapy adn rehabilitate his or her injured back condition.
Facet joint injections usually have two goals: to help diagnose the cause and location of pain and also to provide pain relief:
- Diagnostic goals:
By placing numbing medicine into the facet joint, the amount of immediate pain relief experienced by the patient will help determine if the facet joint is a source of pain. If complete pain relief is achieved while the facet joint is numb, it means that joint is likely a source of pain.
- Pain relief goals:
Along with the numbing medication, a facet joint injection also includes injecting time-release steroid (cortisone) into the facet joint to reduce inflammation, which can sometimes provide longer-term pain relief.
Lumbar Sympathetic Blocks
A lumbar sympathetic block is a procedure during which your pain management physician will inject a local anesthetic into the sympathetic nerves located on either side of your lumbar spine. This procedure is intended to alleviate nerve pain in your lower back. After the procedure, you may experience numbness, and it may take more than one injection to treat your pain.
Medial Branch Blocks
Medial branch nerves are the nerves that exit your facet joints and carry signals to the brain from your spine. Like a lumbar sympathetic block, your pain management physician will inject a local anesthetic into the medial branch nerves that are exiting the painful facet joint that is causing you pain. While this procedure is a pain management technique, if you experience relief from a medial branch block, your orthopaedic physician will also get confirmation that the facet joint that the local anesthetic was put into is the source of your pain.
This diagnostic procedure can tell your orthopaedic physician at Elmhurst Orthopaedics which discs are the source of your back pain. By injecting fluid into your discs, your pain management physician increases the pressure in the discs, and if you feel pain, your orthopaedic surgeon will be able to better determine whether or not your discs are diseased or injured.
Pain Management Team at Elmhurst Orthopaedics
When persistent pain disrupts your quality of life, our medical team at Elmhurst Orthopaedics is here to provide you with high-quality personalized care to ensure your long-term health. Our expert orthopaedic surgeons and pain specialists will provide you with an accurate diagnosis and a personalized comprehensive treatment plan, using surgical treatment as a last-resort option.
To determine what treatment is needed for your orthopaedic pain and discomfort, please contact us at 630.834.0491 or make an appointment online with one of our board certified orthopaedic and pain management physicians.