The services we offer include:
- Worker's compensation injuries.
- Motor vehicle injuries.
- Pain managment.
- Spine and joint injections.
- Medication management.
- Second opinions.
- Independent medical exams.
- Social Security / Disability evaluations.
We also offer the following interventional procedures:
TRIGGER POINT INJECTIONS:
Trigger point injections are injections aimed at taut bands or areas of spasm within the muscles. Taut bands can be painful and the underlying cause of pain generation. Trigger point injections are diagnostic and therapeutic. If there is significant relief after trigger point injections, certainly one can consider that the muscle spasm is a pain generator. The injection consists of anesthetic as well as anti-inflammatory medication.
CERVICAL AND LUMBAR EPIDURAL STEROID INJECTIONS:
Epidural steroid injections are a procedure to place both an antiinflammatory as well as anesthetic medication in the epidural space. The epidural space is located within the spine around the spinal cord and nerve roots. The goal of epidural injections is diagnostic and therapeutic. Epidural injections can relieve pain that is generating from disc herniations as well as irritated or pinched nerve roots. These procedures are performed under fluoroscopic guidance.
CERVICAL AND LUMBAR FACET BLOCK:
Facet blocks are performed under fluoroscopic guidance and can be diagnostic and therapeutic. Injections are performed at the facet joint or the medial branch nerve. Improvement after this type of injection would be diagnostic for facet joint related pain.
CERVICAL AND LUMBAR RADIOFREQUENCY DENERVATION:
Radiofrequency denervation (RFD) is a minimally-invasive surgical procedure used to treat central neck or back pain caused by arthritis or injury to the facet joints. This procedure is also called radiofrequency ablation. The facet joints are small joints at the back of your spine that help keep the spine straight. These joints can be damaged by:
- Normal activity
- Inflammatory diseases such as rheumatoid arthritis
- Injury or accident
The damaged facet joints can cause pain by pressing on nearby nerves. If pain caused by the damaged joints does not improve with physical therapy, medications, or both, doctors might suggest RFD. Dr. Schultz tests the nerves to determine which ones are causing pain, then treats the nerves to stop them from sending pain messages