Interventional Pain Management

Interventional Pain Management in Denver, Englewood, Littleton, Lakewood CO

 

Overview

pain-procedure

 

Procedures (click to learn more):

 

 

 

 

 

 

 

 

 

Interventional Pain Management at Denver Pain Relief Centers includes a set of procedures designed to assist acute or chronic pain patients cope with their pain levels. Our procedures are offered by Board Certified Denver pain doctors with minimally invasive methods.

 

Interventional pain management involves procedures that are performed in a minimally invasive manner by the board-certified physicians at Denver Pain Relief Centers. Some of the procedures have existed for decades, while some of the more revolutionary ones have only been available for the last few years.

 

All of the procedures are performed as an outpatient, with low risk and generally take less than an hour. The procedures are either performed with local numbing or IV sedation, none of them require general anesthesia.
Most of the procedures are performed under image guidance using either ultrasound or fluoroscopy, which is a real-time form of x-ray. This allows the Denver pain doctors to achieve the highest level of accuracy possible and provide the best outcomes imaginable.

 

Epidural Steroid Injections

 

Epidural steroid injections are one of the more common types of procedures offered, having been started over 50 years ago. They are excellent for conditions involving nerve compression such as sciatica or spinal stenosis. The procedure involves placing steroid medication around the area of nerve pinching. This can provide weeks to months of continuous pain relief in over 75% of patients. There are three different types of epidural steroid injection’s, and they each have a particular indication.

 

Lumbar Transforaminal Epidural

 

Back or Neck Pain Procedures

 

When a person is suffering from neck or back pain due to arthritis, there are three procedures available. The first is known as a facet joint injection, where steroid medicine is placed into the thumbnail sized joints on either side of the spine. This can provide weeks to months of relief.

 

A medial branch block involves placing numbing medicine and steroid around the joint and relieving pain while blocking the small sensory nerves. If pain relief from either of these procedures wears off, they can either be repeated or a radiofrequency ablation can be performed. The procedure, also known as radiofrequency lesioning, involves the application of thermal energy to the area and provides relief anywhere from 12 to 18 months. It has truly been a revolutionary addition to the management of chronic back and neck pain.

 

Lumbar_Radiofrequency_Ablation

 

Joint Injections

 

Joint injections for the hip, knee, shoulder, elbow and ankle may be exceptionally helpful for both acute and chronic extremity pain. The gold standard type of injection involves cortisone which may provide weeks to months of relief. The next option is Viscosupplementation, which involves hyaluronic acid injections. The tradename for this is Synvisc and has been shown to help 80% of patients on average from 6 to 12 months.

 

These injections are generally covered by insurance. The newest options for extremity pain relief include platelet rich plasma therapy along with stem cell procedure’s. These are not covered by insurance, and have been shown to also be over 80% effective for longer-term relief. Most of these injections with cortisone, hyaluronic acid or regenerative medicine help patients delay or avoid the need for potentially risky surgery.

 

knee injection

 

Occipital Nerve Block

 

One of the best procedures for those suffering from chronic migraines is an occipital nerve block. This is an outpatient procedure involving injection of numbing medicine and cortisone in the back of the neck around the area of the occipital nerves. The procedure helps to reduce both the frequency and severity of migraines nicely. For facial pain due to trigeminal neuralgia,  sphenopalatine ganglion block has been an excellent treatment option.

 

Plexus Blocks for Pelvic and Abdominal Pain

 

For those suffering from chronic abdominal or pelvic pain, there are various procedures that can be exceptionally helpful. Celiac plexus block’s or superior hypogastric plexus blocks can provide months of pain relief and reduce the need for opioid medication.

 

Kyphoplasty

 

For a vertebral compression fractures due to osteoporosis or malignancy, a kyphoplasty procedure helps stabilize the issue and provide relief in over 90% of patients immediately.

 

Pain Pumps and Spinal Cord Implants

 

For those patients suffering from chronic pain that has no surgical indication, there are two last resort procedures available at Denver pain relief centers. These include spinal cord stimulator implant’s and also intrathecal morphine pain pumps. Each of these has specific indications, and both have been shown to be significantly effective and over 75% of those suffering from chronic pain.

 

Spinal_Cord_Stimulator3

At Denver Pain Relief Centers, the physicians are experts in over 30 interventional pain management options. Most insurance is accepted, call us today to obtain relief for you or your loved ones!

 

 

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