Next to my hands I consider needles and hypodermic needles some of my most important tools in my bag. Injections can be important for both diagnostic and therapeutic reasons. Diagnostic injections can be helpful in determining pain coming from nerves, ligaments, tendons, muscles, joints, connections of these or from a combination of these. Then we can usually use therapeutic injections containing local anesthetics, botulinum toxin or in some instances steroids to provide different degrees of relief.
We can also use regenerative injection techniques such as Platelet Rich Plasma to help in the repair of soft tissue such as ligaments and tendons that have not healed properly or are causing chronic pain. Referrals may be made to broaden the team to Interventional Specialists that have further expertise in spinal injections such as epidurals, facet joint injections, nerve root injections or radio frequency ablations.
Commonly Performed Injection Procedures:
- Trigger Point Injections – injections into various muscles around the head and neck as well as middle and lower back
- Ligament and Tendon Injections – injections from all peripheral joints and peripheral spinal areas. Shoulder, Elbow, Wrist, Pelvis, Spine, SI, Hip, Knee, Ankle
- Peripheral Nerve Blocks – Occipital, Trigeminal, Sphenopalatine, Suprascapular
- Joint and Bursa Injections – Knee, Shoulder, Hip
- Botulinum Toxin – Botox™ and Xeomin™ for Chronic Migraine and Cervical Dystonia
- Platelet Rich Plasma (PRP) – for ligaments and tendons that connect our bones, joints and muscles.