Spine Center       
of Excellence 

Injection Therapy

At Montvale Health Associates, we exhaust all non-surgical treatment options before moving on to surgery.

Often our experts will recommend injections to treat back pain or spine disorders. Injections can treat conditions or alleviate symptoms so that the patient can participate in other rehabilitation treatments.

Caudal Steroid Injection

Steroid injections help reduce pain and inflammation in targeted areas. A caudal steroid injection reduces irritation on the nerve roots around the tailbone. A florescent dye is first injected into the area to allow the physician to see contrast and determine the exact location of the painful area.

Conditions treated:

  • Spinal stenosis
  • Foraminal stenosis
  • Cervical radiculopathy (Pinched Nerve)
  • Lumbar radiculopathy (Sciatica)
  • Herniated disc
  • Bulging disc
  • Torn disc
  • Facet Joint Syndrome
  • Arthritis

Lumbar Epidural Steroid Injection

A lumbar epidural steroid injection is used to reduce pain in the lower back caused by inflammation and swelling of nerves that run in and out of the epidural space, or the outer most layer of the spinal canal.

Conditions treated:

  • Herniated disc
  • Bulging disc
  • Torn disc
  • Degenerative disc disease
  • Arthritis
  • Cervical radiculopathy (Pinched Nerve)

Cervical Epidural Steroid Injection

The cervical area of the spine includes the vertebrae in the neck. A cervical epidural steroid injection is used to alleviate pain associated with certain conditions due to damaged nerves in the cervical epidural space. The pain is caused by swelling of the nerves in this area.

Conditions treated:

  • Herniated disc
  • Bulging disc
  • Torn disc
  • Degenerative disc disease
  • Arthritis
  • Cervical radiculopathy (Pinched Nerve)

Homeopathic Trigger Point Injection

Trigger points are essentially knots that may form in a patient’s muscle fibers. These knots are capable of causing tension, muscle spasms, and severe pain. Discomfort stemming from trigger points is often found in areas away from the actual trigger point itself, since the pain may be transferred through nerve pathways to different locales in the body.

Trigger points may be effectively treated with homeopathic injection therapy, during which a therapeutic solution comprised of several homeopathic remedies is introduced to the body. These injections differ from traditional therapies in that they do not treat the symptoms of a patient’s musculoskeletal condition directly. Instead, they revive the body’s natural healing processes so that it may fight off pain and inflammation naturally.

Epidural Blood Patch

Post epidural puncture headache, commonly known as a spinal headache, can occur after certain regional anesthetic and diagnostic procedures. Spinal headache can occur when the fluid filled sac that surrounds the brain, spinal cord and its branches are punctured. Typically, these headaches are resolved within several days of conservative treatment, but if you don’t feel relief quickly, our experts at Montvale Health Associates may recommend an epidural blood patch.

An epidural blood patch is performed with the patient lying on his or her side in a comfortable position. The lower back is prepped in the area of the original procedure and local anesthetic is injected into the skin. A sterile needle is placed into the epidural space, in an area adjacent to the original sac puncture.

Blood is then withdrawn under strict sterile conditions from a vein in the patient’s forearm or hand and is injected into the epidural space. The blood clots and acts as a patch against further leakage of spinal fluid through the puncture.

Lumbar Sympathetic Ganglion Block

This procedure relieves pain by blocking the nerves that are acting via the sympathetic system in the lower back. Our physicians will locate the affected area using fluoroscopy and instill a local anesthetic. Once the area is numb, a small needle will be placed from which Marcaine (long acting anesthetic) is injected.

Conditions treated:

  • Herniated disc
  • Bulging disc
  • Torn disc
  • Degenerative disc disease
  • Arthritis
  • Cervical radiculopathy (Pinched Nerve)

Stellate Ganglion Block

The stellate ganglion is a group of nerves located in the seventh cervical vertebra. The stellate ganglion block reduces pain down to your arms by injecting a local anesthetic to the sympathetic nerve tissue located on either side of the voicebox.

Conditions treated:

  • Shingles
  • Postherpetic neuralgia
  • Local nerve pain
  • Traumatic injury

Sacroiliac Joint Steroid Injection

The sacroiliac joint is a large joint located in the lower back. Inflammation in this joint can cause pain particularly when sitting. A sacroiliac joint steroid injection is used to treat the pain by reducing the inflammation in the tissue surrounding the joint.

Conditions treated:

  • Traumatic injury
  • Arthritis

Epidural Adhesiolysis

Epidural adhesiolysis is used to remove scar tissue on nerves within the epidural space, the space that contains the spinal cord. These nerves can become inflamed by rubbing against other tissues and cause pain. The procedure reduces pain by injecting anti-inflammatory steroids to the area.

Conditions treated:

  • Arthritis
  • Traumatic injury
  • Lumber spine surgery

Facet Joint Injection

Facet joints, located on both sides of each vertebra, allow for flexibility and movement of the spine and thusly allowing us to bend. A facet joint injection is used to alleviate pain associated with swelling and inflammation of these facet joints.

Conditions treated:

  • Arthritis
  • Traumatic injury

Branch Nerve Injection

This procedure is used to relieve pain associated with damaged branch nerves that originate in the facet joint. When these nerves become damaged they often swell, causing the pain.

Conditions treated:

  • Arthritis
  • Traumatic injury
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