Injections

At Northwest Pain Care we use fluoroscopy and advanced fluoroscopic techniques when performing all spinal injections, providing the utmost effectiveness and safety for our patients. Placement of steroids into the epidural space, a space just outside the spinal space, through which the nerves travel, can help with acute disc herniation pain, sciatica, pain from spinal stenosis and discogenic pain. There are 3 types of epidural steroid injections.

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Intrathecal (Spinal) Drug Delivery

Medications can be placed at the source of the pain at a very low dose, providing better pain relief and fewer side effects. To reset the pain receptors, a patient is tapered off of oral medications and undergoes a drug “holiday” for a few weeks. A small catheter (tube) is placed into the spine through a small needle. The catheter tip is placed at the level of the pain.

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Spinal Cord Stimulation

Spinal Cord stimulation is a procedure for certain types of chronic pain when less invasive options have failed and is one of the few therapies that can be tried prior to anything permanent being done through a minimally invasive trial. By placing specialized wires into the spine through a small needle, the spinal cord can be stimulated. It is thought that this stimulation can interrupt chronic pain signals from reaching the brain.

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Balloon Kyphoplasty

Back fractures are very painful and can lead to significant permanent spine deformities. These fractures are usually due to osteoporosis. In order to preserve a normal and healthy spine, ask your doctor to refer you to Northwest Pain Care as soon as a fracture occurs. We can also help with treatment of osteoporosis.

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Cancer Pain

We strive to provide the best possible cancer pain treatment by working hand in hand with your oncologist. Our goal is to make you more comfortable with fewer side effects during this trying time. We provide medication management, advanced nerve blocks, and spinal drug delivery to optimize pain relief. One of the most common and effective ways to treat cancer pain is with an intrathecal (spinal) catheter and pump.

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Stabilink

Stabilink is a device that is placed between the spinous processes at a level with degenerative disc disease, spondylolisthesis(“slip”), with or without secondary spinal stenosis. Degenerative disc disease, spondylolisthesis and spinal stenosis are leading causes of pain in the back and legs. These degenerative processes lead to progressive disability. The procedure can be performed at one or two spinal levels.

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Vertiflex Indirect Spinal Decompression

Vertiflex is a device that is placed between the spinous processes that acts as an extension blocker. It is indicated for mild to moderate spinal stenosis. This includes central stenosis, foraminal stenosis, and lateral recess stenosis. The typical symptoms of lumbar spinal stenosis are the inability to walk very far without stopping, the inability to stand in one place for very long without moving, and the need to bend over to walk further. Affected individuals typically bend over and hold on to a cart, which “opens up” the spinal canal and allows them to walk further. These symptoms are often referred to as neurogenic claudication. Typically, this type of pain and discomfort goes away or improves dramatically when flexing/bending forward.

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Minimally Invasive Sacroiliac Joint Fusion

Sacroiliac joint dysfunction is a common cause of back pain. Sacroiliac joint pain(SIJ pain) can mimic discogenic or radicular low back pain. Patients with SIJ pain often report low back, groin, and/or buttock pain. 15-30% of all cases of low back pain are thought to originate from the sacroiliac joint. It is also thought that up to 75% of lumbar fusion patients will develop significant sacroiliac joint degeneration after 5 years. While sacroiliac joint injections and physical therapy sometimes provide long term benefit, often the relief from these interventions is short term. Traditional open joint surgeries require large incisions, significant bone harvesting, significant hospital stays and long recovery times. There are now minimally invasive options to provide long term benefit from sacroiliac joint dysfunction.

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Peripheral Nerve Stimulation

Peripheral nerve stimulation can be used for pain emanating from any named peripheral nerve. Common problems that can be treated with peripheral nerve stimulation are occipital neuralgia (pain in the back of the head), chronic knee pain before or after knee surgery, chronic groin pain after hernia surgery, chronic chest wall pain after shingles or thoracic surgery, chronic shoulder pain before or after surgery, chronic back pain/buttock pain, as well as other chronic pain associated with peripheral nerves.

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Procedures
Est. 2011