Operating Room Procedures

Epidural Steroid Injections

A epidural steroid injection (EIS) may be performed  to relieve neck, back, arm and leg pain caused by spinal stenosis ( a narrowing of the spinal column), spondylosysis (stress fractures)  disc herniation or other conditions. During this minimally invasive procedure, medication is injected into the spinal nerve through the epidural space (the area between the protective covering of the spinal cord and vertebrae). While the effects of an epidural steroid injection is temporary-lasting anywhere from several days to several years-the goal is to help patients resume their daily routine and begin a physical therapy program, if recommended.

Selective Nerve Root Blocks

If a nerve root becomes compressed, it may cause inflammation and pain. When an imaging study does not clearly show which nerve is responsible for the pain, the selective nerve root block (SNRB) procedure may be used to identify the source. In addition to this diagnostic function, a selective nerve root block may provide therapeutic relief of low back pain and/or leg pain, and also can teat far lateral disc herniation (a disc that ruptures outside the spinal canal).

Facet Joint Injections

Facet joints are small joints, located at each segment of the spine, that provide stability and enable the vertebrae to bend and twist. Degeneration of these lubricated connections can occur from everyday wear and tear, arthritis of the spine, a back injury or other stress to the back, and can cause pain in the spinal cord. Injection of a steroid medication into the cervical (neck), thoracic (upper back) or lumbar (lower back) region anesthetizes the facet joints and block the pain. Pain relief from this procedure is intended to help a patient better tolerate physical therapy during rehabilitation for a back condition or injury.

Radiofrequency Neurotomy

During a radiofrequency neurotomy, radio waves are sent, via injection, to interrupt pain signals between the brain and the affected nerve. Dr. Pappas  delivers heat -generated waves, using image-guided technology to directly target and block the nerve. Up to 50 percent of patients with facet or sacroiliac joint pain experience relief, lasting between 3 and 18 months, after the injection.