Huntsville Pain Management
Here at Huntsville Pain Management we have many options to manage your pain besides medications. We always start with the least expensive options first.

Intramuscular Stimulation (IMS or Dry Needling) is a option that can be done at every office visit. IMS is preformed with a acupuncture needle. Although we use a acupuncture needle the procedure is very different. Acupuncture stays on the surface of your skin. IMS goes into the muscle and touches bone. This stimulates an electric impulse which triggers your own bodys natural pain medication and stimulates the muscle to relax. In turn this release tension and pressure on the areas that hurt and increase your range of motion. We have found great relief with this specific procedure for patients. 
Our next option will be in office trigger point injections or ultrasound guided joint injections. These injections are "test" procedures. They are not meant to last long but to confirm where your pain is generated. 

We perform the following X-ray Guided Procedures:

Epidural Steroid Injections
Epidural steroid Injections use an anesthetic and steroid medication injected into the patient's epidural space around the spinal cord to relieve or diagnose a specific spinal condition. This injection is indicated to relieve pain in the back or neck and radicular symptoms caused by pinched nerves in the cervical spine, thoracic, lumbar or caudal spine. 

Facet Joint Injections
The facet joints, found on both sides of the back of spine, can become painfully irritated or inflamed. A facet joint injection performed under x-ray guidance may help diagnose the source of a patient's pain. It can also relieve pain and inflammation.

Lumbar Sympathetic Block
This procedure is preformed to relieve leg pain caused by complex regional pain syndromes, which may develop after an injury to a joint or limb. Usually a series of injections are needed to treat the problem. 

Medial Branch Block
This 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. If the temporary injection relieves the patients pain, the physician may inject a more long-lasting anesthetic. 

Radiofrequency Ablation (Cervical, Thoracic, Lumbar, Sacroiliac Joint, Knee & Hip)
This minimally-invasive procedure 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.
A radiofrequency electrode is inserted through the cannula. The physician tests the electrode's position by administering a weak electric current. If the stimulation recreates the pain without any other muscular effects, the electrode is positioned correctly. The physician uses the electrode to heat and cauterize the nerce. This disrupts its ability to communicate with the brain, blocking the pain signals. This treatment call eliminate pain for 6-24 months. 

Stellate Ganglion Block
This injection can both diagnose and treat pain coming from the sympathetic nerves. It is a common treatment for shingles and complex regional pain syndromes affecting the head, face, neck, or arms. Usually a series of these injections is needed to treat the problem. 

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