Alhezam Alnary Pain Clinic

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Trigger pointinjections - An outpatient/office procedure where small amounts of local anesthetics and anti-inflammatory medications are injected in the area of themuscle where you have pain or tenderness. These areas are called trigger pointsbecause they produce pain when stimulated. Trigger Point Injections areperformed if you have myofascial pain which is pain in a specific muscle ormuscle group.

Sacroiliac Joint Injection - The sacroiliac facet joints are a smalljoint in the area of the low back and buttocks where the pelvis joins with thespine. If the joints become painful they may cause pain in the low back,buttocks, abdomen, groin or legs. A sacroiliac joint injection serves severalpurposes. First, by placing numbing medicine into the joint, the amount ofimmediate pain relief experienced will help confirm whether or not the joint isthe source of pain. Also, the temporary relief of the numbing medicine maybetter allow the physician to treat that joint. Also, time release cortisone(steroid) will help to reduce any inflammation that may exist within thejoint(s).

Facet Nerve Block - An injection of anti-inflammatory and anestheticmedication in and around the facet joint area to reduce the swelling around thenerve. This is performed if your doctor suspects that your neck or lower backpain may be caused in part by the small facet joints of the spine (Facet jointsare located on the side of your spine, away from the spinal cord.).

Epidural Injection - An outpatient/office procedure which involvesplacement of anti-inflammatory agents into the epidural space to reduce discand nerve inflammation, producing relief.

Transforaminal Epidural Injection: A Transforaminal EpiduralInjection is performed to relieve low back and radiating leg pain. Thetransforaminal approach is a very selective injection around a specific nerveroot. The foraminae are small openings between your vertebrae through which thenerve roots exit the spinal canal and enter the body. By injecting medicationaround a specific nerve root, the doctor can determine if this nerve root iscausing the problem. This type of epidural injection is used most often fordiagnostic purposes, and it is commonly used in the neck. The medicationinjected can help reduce swelling and inflammation caused by spinal conditionssuch as spi