Medial Branch Block A Media Branch Block is a diagnostic procedure is performed to identify a painful facet joint. The facet joints are the joints between the vertebrae in the spine. They allow the spine to bend, flex and twist. Preparation In preparation for the procedure, the patient is positioned on his stomach. The physician injects a local anesthetic. This ...

Lumbar Transforaminal Epidural Steroid Injection This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete. Preparation In preparation for ...

Lumbar Radiofrequency Neurotomy This minimally-invasive procedure, also called radiofrequency (RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic. Preparation In preparation for the procedure, you lie on your stomach. You are given medicicine to make you feel relaxed. The skin ...

Lumbar Epidural Steroid Injection This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions. This procedure is a very common spinal pain treatment used at Alabama Pain Physicians. Patient Positioning The patient lies face down. A cushion under the stomach area provides comfort and flexes ...

Discography This diagnostic procedure, also called discogram, is used to determine whether back pain is caused by one or more spinal discs. The procedure involves pressurizing suspect discs with an injection of sterile liquid to induce pain. Discography helps the specialist plan a course of treatment. IV Inserted In preparation for the procedure, the patient lies on the side or ...

Cervical Facet Radiofrequency Neurotomy During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn't respond to medications or to physical therapy. Preparation In preparation for the procedure, you lie on your stomach. You are given medicine to make ...

Cervical Epidural Steroid Injection This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves. Patient Sedated The procedure is performed with the patient lying down. ...

Caudal Epidural Steroid Injection Caudal Epidural Steroid Injection is an outpatient procedure. It is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete. Preparation In preparation for the procedure, the patient lies face down. A cushion is placed ...