Botox Injection

Botox Cosmetics is a nonsurgical treatment designed to reduce fine lines and wrinkles that appear on the face over time. Also known as Botulinum Toxin Type A, Botox is a muscle paralyzing neurotoxin, when injected into a predetermined area, the Botox will temporarily relax the muscle and smooth facial creases.
Botox injections may also help prevent chronic migraines. To treat chronic migraines is given at intervals of about 12 weeks as multiple injections around the head and neck to try to dull future headaches or symptoms.
Your doctor uses a thin needle to inject tiny amounts of botulinum toxin in to your skin or muscles. The number of injections needed depends on the factors, including the extent of the are being treated. Botox injections usually begin to work a few days after procedure and the affect will last up to 3 months or more.


Joint Injections

Joint Injections are done under live X-Ray  (Flouroscopy) to confirm correct needle placement and medication. The most common thing you may feel is soreness or aching in the injection site

Steroid Injection:

The medication injected into the joint is usually a steroid, which is meant to reduce inflammation and or swelling of tissue in the joint space. This may reduce pain and other symptoms caused by inflammation or irritation of the joint. The actual injection only takes a few minutes. The local anesthetic wears off in a few hours. The steroid injection starts working in about1 to 3 days and its effect can last for several days to a few months.


Viscosupplementation Injection: This is a medical procedure during which lubricating fluid is injected into a joint. This is most commonly used to treat symptoms of symptoms of knee osteoarthritis.


Pain Treatment

Our pain clinic specializes in the treatment of patients with the following types of pain

  • Pain related to bulging and herniated discs
  • Chronic neck pain, low back and extremity pain including after surgery
  • Degenerative arthritic related pain of neck, middle back and low back.
  • Arthritic pain of knee joints
  • Elderly patients with pain and complex medical problems

Common Types of Interventional Pain Procedures Under Fluoroscopy

  • Epidurals: Cervical, Thoracic, Lumbar, Caudal and Transforaminal
  • Cervical, Thoracic, and Lumbar facets, Medial Branch Radiofrequency Ablations
  • Sacroiliac Joint Injections
  • Spinal Cord Stimulator Trial
  • Intrathecal Pump Trial
  • Other procedures including CT-Guided Celiac Plexus, Trigger Point Injections, Occipital Nerve Blocks and Intercostal Nerve Blocks
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Clinic procedures are done mostly under local anesthetics. Interventional procedures may be done under local or sedation. To decrease patient anxiety and discomfort, conscious sedation will be provided by trained anesthesia personnel.


Types of Chronic Pain Treated

Chronic pain is persistent pain that has a duration of more than 3 months or longer, even after an initial injury or after surgery. Having pain in these two areas may affect with everyday activities. Both can be treated with medications, injections, physical therapy and braces.
Back pain:
The human back is composed of a complex structure of muscles, ligaments, tendons, disks, and bones. Problems with any of these components can lead to pain. Back pain can range from a dull, constant ache to a sudden sharp pain that makes it hard to move. There are 3 types of back pain: upper back pain, middle back pain and lower back pain.
Neck pain:
Most problems with the cervical spine develop over time or also be caused by an injury. Various problems in the neck can compress a nerve root or the spinal cord and cause pain or pinched nerve symptoms. The bones, ligaments, and muscles of your neck support your head and allow motion. Any abnormalities, inflammation, or injuries can cause stiffness.

  • Chronic Low Back Pain and Neck Pain
  • Post-lumbar Laminectomy Pain Syndrome (Failed Back)
  • Post-Surgical Laminectomy Pain (Neck)
  • Fibromyalgia/Myofascial pain Syndrome
  • Osteoarthritis of Shoulder, Knee and Other Joints
  • Cancer Pain
  • Post Herpetic Neuralgia
  • Spinal Stenosis
  • Degenerative Disc Disease
  • Bursitis Pain of Major Joints
  • Headaches (Migraines, Tension, Occipital Neuralgia)
  • Sciatic Pain
  • Pain from Herniated and Bulging Discs
  • Phantom Limb Pain
  • Interstitial Cystitis and Pelvic Pain
  • Sacroiliac Joint Pain

Treatment Modalities

  • Physical Therapy
  • TENS Unit
  • Braces
  • Pain Medication
  • Trigger Point Injections
  • Nerve Blocks
  • Knee Joint Injections including Gel-One, Synvisc one, Orthovisc and Monovisc
  • Hip and Shoulder Joint Injections
  • Injections for Bursitis
  • Intercostal Nerve Blocks
  • Occipital Nerve Blocks
  • Interventional Pain Procedures
  • Epidurals (Cervical, Thoracic, Lumbar, Caudal and Transforaminal)
  • Facet Joints (Cervical, Thoracic, Lumbar)
  • Radiofrequency Ablations (Cervical, Thoracic, Lumbar)
  • Sacroiliac Joint Injections
  • Trial of Spinal Cord Stimulator
  • Trial of Intrathecal Pump