Utah Pain Specialists
Utah Pain Doctors | 801-685-PAIN (685-7246)
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6750 South Highland Drive
Cottonwood Heights, Utah 84121

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MEDICAL PAIN SERVICES & PROCEDURES
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Providing Expert Medical Pain Procedures

DISCOGRAPHY Discography.pdf   Download size: 59.0 Kb
Discography is a diagnostic procedure in which x-ray dye is injected under gentle pressure into the discs of the spine. Based on the presence or absence of pain during the injection of dye, your doctor may be able to determine if the disc is responsible for your pain symptoms. After the x-ray dye is injected, an x-ray picture is taken of the discs. This image, called a "discogram" may be normal or may show tears (fissures) in the lining of the disc. Typically, a surgeon will request discography to determine which specific disc is the pain generator and to plan subsequent treatment.

EPIDURAL BLOOD PATCH Epidural Blood Patch.pdf   Download size: 59.5 Kb
An epidural blood patch is an injection of your blood into the epidural space. The epidural space is not an injection into the spinal cord itself. The spinal cord and spinal nerves are in a ?sack? containing clear fluid (cerebrospinal fluid). The area outside this ?sack? is called the epidural space.

EPIDURAL STEROID BLOCK Epidural Steroid Block.pdf   Download size: 61.7 Kb
An epidural steroid injection is an injection of an anti-inflammatory steroid (e.g., dexamethasone or triamcinolone) in the epidural space. The epidural space is not an injection into the spinal cord itself. The spinal cord and spinal nerves are in a “sack” containing clear fluid (cerebrospinal fluid). The area outside this “sack” is called the epidural space. An epidural steroid injection is not the same injection as a labor epidural, which is commonly given to women in labor.

EPIDURAL STEROID INJECTION
Please see Epidural Steroid Block

FACET JOINT INJECTION Facet Joint Injection.pdf   Download size: 60.3 Kb
A facet joint injection is an injection of an anti-inflammatory steroid (e.g., dexamethasone or triamcinolone) in the facet joints. The facet joints, also known as the zygapophysial joints, are part of the bony framework of the spine. They are small bony projections from one vertebra meeting with similar bony projections from the vertebra above or below. Sometimes, due to a variety of acute and chronic conditions, the facet joints can become inflamed. For lower back (lumbar) facet joints, the pattern of pain is usually an achiness in the low back, radiating across the lower back and slightly down the back of the buttocks and upper thighs. Usually, standing or bending backward worsens the pain. For neck (cervical) facet joints, the pattern of pain is an achiness in the neck, slight radiation across the neck and shoulders, and worsening symptoms with turning the head from side to side or looking up.

FACET RADIO FREQUENCY RHIZOTOMY PROCEDURE
Please see Radio Frequency Lesioning

INTERCOSTAL NERVE BLOCK Intercostal Nerve Block.pdf   Download size: 60.0 Kb
An intercostal nerve block is a block of nerves that lie underneath the lower edge of each rib. For certain types of injuries, e.g., rib fractures, nerve injuries to the chest wall, postoperative pain along the rib nerves ("intercostal nerves"), injection of a small amount of local anesthetic can significantly diminish pain.

INTERCOSTAL NEUROLYTIC BLOCK
Please see Intercostal Nerve Block

LUMBAR SYMPATHETIC BLOCK Lumbar Sympathetic Block.pdf   Download size: 54.2 Kb
A lumbar sympathetic block is an injection in the middle of the lower back, toward the left or right side. The "lumbar sympathetic nerves" are a small bundle of nerves that carries "sympathetic" nerve signals from the lower extremities. In some instances, certain injuries to the lower extremities can cause a burning, unusual pain called complex regional pain syndrome or reflex sympathetic dystrophy. Injecting a small amount of local anesthetic on the lumbar sympathetic nerves can identify whether or not this pain is carried by the sympathetic nervous system.

MEDIAL BRANCH BLOCK Medial Branch Block.pdf   Download size: 62.7 Kb
A medial branch block is an injection of an anti-inflammatory steroid (e.g., dexamethasone or triamcinolone) on the medial branch nerves that supply the facet joints. The facet joints, also known as the zygapophysial joints, are part of the bony framework of the spine. They are small bony projections from one vertebra meeting with similar bony projections from the vertebra above or below. Sometimes, due to a variety of acute and chronic conditions, the facet joints can become inflamed. For lower back (lumbar) facet joints, the pattern of pain is usually an achiness in the low back, radiating across the lower back and slightly down the back of the buttocks and upper thighs. Usually, standing or bending backward worsens the pain. For neck (cervical) facet joints, the pattern of pain is an achiness in the neck, slight radiation across the neck and shoulders, and worsening symptoms with turning the head from side to side or looking up.

MEDIAL BRANCH NEURAL-ABLATION
Please see Radio Frequency Lesioning

RADIO FREQUENCY LESIONING Radio Frequency Lesioning.pdf   Download size: 61.8 Kb
Radiofrequency lesioning is a procedure in which special needles are used to create lesions along selected nerves. The needles heat the nerve to 80 deg C (about the temperature of hot, not boiling, water). When this heat is applied to the nerve for about 2-3 minutes, the nerve stops carrying pain signals. The body tends to try to re-grow nerves that are blocked in this manner but that process can take up to a year or longer.

RADIO FREQUENCY RHIZOTOMY
Please see Radio Frequency Lesioning

SELECTIVE NERVE ROOT BLOCK Selective Nerve Root Block.pdf   Download size: 63.1 Kb
A selective nerve root block is an injection of an anti-inflammatory steroid (e.g., dexamethasone or triamcinolone) along a specific nerve root. Along the spine, there are several "holes" or "foramina" through which nerve roots emerge. If these foramina are partially closed from bulging disks, bone spurs, misalignment of vertebrae, etc., the nerve root can also be pinched. This typically causes a shooting or radiating pain along that nerve root. In a selective nerve root block, a small needle is placed in the foramen alongside the nerve root and the steroid dose is injected.

SPINAL CORD STIMULATION Spinal Cord Stimulation.pdf   Download size: 60.8 Kb
A spinal cord stimulator, also called a dorsal column stimulator is a device which stimulates pain-carrying nerves via small electrical wires placed in the "epidural space" just outside the spinal cord.

STELLATE GANGLION BLOCK Stellate Ganglion Block.pdf   Download size: 54.1 Kb
A stellate ganglion block is an injection in the front of the neck, toward the left or right side. The "stellate ganglion" is a small bundle of nerves that carries "sympathetic" nerve signals from the upper extremities. In some instances, certain injuries to the upper extremities can cause a burning, unusual pain called complex regional pain syndrome or reflex sympathetic dystrophy. Injecting a small amount of local anesthetic on the stellate ganglion can identify whether or not this pain is carried by the sympathetic nervous system.

VERTEBROPLASTY Vertebroplasty.pdf   Download size: 60.2 Kb
A vertebroplasty is an injection of bone cement into a fractured vertebra. Many people in their lifetime may sometimes experience a compression fracture of the vertebra, one of the many bones in the spine. These can be due to osteoporosis, traumatic injury, cancer involving the spine, or other causes. These fractures can be very painful and sometimes, progression of the fracture can affect other functions of the body, like good posture or proper breathing. A vertebroplasty, the injection of a small amount of cement through a needle into the fracture, can stabilize the fracture, significantly reduce pain, and prevent progression of the fracture in the future.

Do you experience pain? Is your life affected by your pain? For more information and to get treatment, the Utah Pain Specialists are available to schedule medical evaluations at 801-685-PAIN (685-7246).
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