X-ray Guided Nerve Root Blocks / Injections

• X-ray guidance improves accurate targeting of pain generator / source which improves diagnostic conclusions and treatment success and outcomes
• X-ray guidance improves safety profile of procedure by improved recognition of anatomy and risks
• IV sedation adds comfort for patient, limiting movement, resulting in limited potential for side effects
• IV sedation improves procedural patient satisfaction which improves overall compliance with treatment plan and options

Facet and Peripheral Nerve Radiofrequency Neurotomy / Rhizotomy

• Focal pain in cervical, thoracic, lumbar spine
• Facet common source of localized spine pain
• Facet injection is diagnostic procedure confirming source and predictive of rhizotomy
• Rhizotomy is long term option, with 3 – 5 year potential duration
• Peripheral nerve; occipital for headaches, intercostal for chest wall

Epidural / Transforaminal Selective Nerve Root Injection

• Radicular patterns extending away from spine; cervical, thoracic, lumbar, sacral
• Diagnostic and therapeutic
• Reduce, breakdown inflammatory response, reduce nerve root swelling
• Utilizing hypertonic saline / hyaluronidase for lysis of spinal adhesions