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Riverdale
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A trigger point is a knot or tight band of muscle that can be felt under the skin and forms when a muscle fails to relax. To help with the pain, a trigger point procedure is performed, which involves an injection a small amount of local anesthetic into a trigger point, which will reduce muscle spasm and ultimately relieve pain.

Vertebroplasty is a minimally invasive procedure used for treatment of spinal fractures caused by osteoporosis, arthritis, cancer, amongst other causes. The procedure involves injecting bone cement into the vertebrae to stabilize fractures. This treatment results in significant pain relief and improved mobility in many patients.

Lumbar epidural steroid injection is a procedure performed to relieve pain caused by irritated or inflamed nerve. The procedure consists of injecting a combination of local anesthetic and steroids to reduce pain and swelling of the affected nerve.

Caudal epidural steroid injections treat chronic back and lower extremity pain. The procedure consists of administering a combination of a steroid and a local anesthetic to the lower back via the sacral opening.

A lumbar sympathetic nerve block consists of injecting local anesthetic in the low back, where the sympathetic nerves reside. The sympathetic nerves control the sensation of pain and blood flow in the legs. A lumbar sympathetic nerve block can relieve pain from phantom limb pain, complex regional pain syndrome (CRPS), and various other sources of pain in the legs.

Occipital Nerve Block

An occipital nerve block is a procedure which consists of injecting local anesthetic, or a combination of local anesthetic and steroid into the base of the head. The procedure aids in the treatment of occipital neuralgia, in addition to other causes of headache pain.

Joint Injections

Joint injection procedures are performed to relieve joint bone due to injury, arthritis or other causes of pain. The procedure consists of injecting a combination of a local anesthetic and steroid directly into the joint.

A hypogastric plexus block consists of injection medication into a group of nerves that supply pain sensations to the pelvic organs. A hypogastric plexus block is performed for the treatment of pelvic

Ganglion Impar Block

The ilioinguinal nerve supplies sensations to the lower abdomen, groin and pelvis. If the nerve is affected it can cause pain or numbness in these areas. The procedure consists of injecting medication around the nerve.

Caudal epidural steroid injections treat chronic back and lower extremity pain. The procedure consists of administering a combination of a steroid and a local anesthetic to the lower back via the sacral opening.

The ilioinguinal nerve supplies sensations to the lower abdomen, groin and pelvis. If the nerve is affected it can cause pain or numbness in these areas. The procedure consists of injecting medication around the nerve.

Facet joint and medial branch block injections

Facet joint pain occurs when one or more of the facet joints located in the neck or back become irritated and inflamed. The procedure consists of injecting medication into the desired facet joint space. The facet joint injection procedure is typically performed as a diagnostic injection providing several hours of relief, however it has the potential of providing prolonged relief.

Regenerative Medicine and Stem Cell Therapy

Georgia Pain and Spine Solutions offers the latest, cutting-edge, innovative techniques in stem cell and regenerative medicine therapies. We offer various therapies for various orthopedic conditions and injuries.

Thoracic Epidural Steroid Injections

Thoracic epidural steroid injections are administered as a treatment to relieve pain in the mid-back, rib and shoulder blade area caused by inflamed nerves. Conditions such as herniated discs, spinal stenosis or arthritis can compress nerves causing inflammation to nerves in the thoracic pain. A combination of local anesthetic and steroids are injection into the mid back region, which will then reduce the irritation and inflammation to the affected nerves.

Stellate Ganglion Block

Stellate Ganglion injections are a common method of treatment for Complex Regional Pain Syndrome (CRPS) and shingles, which may affect the head, face, neck or arms. Stellate Ganglion injections can be used to diagnose and treat pain. The Stellate Ganglion injection blocks the sympathetic nerves which are located on either side of the neck. The Stellate Ganglion injection may decrease swelling, pain and sweating in the upper extremities.

The intercostal nerves provide sensation to the chest and rib areas. An intercostal nerve block can be utilized to treat pain from rib fractures, shingles, or previous trauma to the chest. The procedure consists of injecting a combination of a steroid and local anesthetic medication, which will help to reduce inflammation and irritation to the nerve(s), and ultimately reduce pain

Spinal Cord Stimulation

Neurostimulation therapy, or spinal cord stimulation, delivers low voltage electricity to nerves, inhibiting pain signals before they reach the brain. This creates a soothing tingling sensation (paresthesia) in the affected area. Patients control the stimulation level with a handheld device. It's an outpatient procedure, initially trialed for 3-7 days to assess effectiveness before permanent implantation.

Medication Management

Medication management is a common method of pain treatment. Meadications can help patients in pain lead a more active life. Medications work best when combined with other pain management methods, such as exercise, relaxation, and physical therapy. Medications are not indicated for every patient, and the need to be prescribed medications are based on many factors, which include the potential risk vs benefits, cost, side effects, and overall medical conditions.

Intercostal Nerve Block

The intercostal nerves provide sensation to the chest and rib areas. An intercostal nerve block can be utilized to treat pain from rib fractures, shingles, or previous trauma to the chest. The procedure consists of injecting a combination of a steroid and local anesthetic medication, which will help to reduce inflammation and irritation to the nerve(s), and ultimately reduce pain

Spinal Cord Stimulation

Neurostimulation therapy, or spinal cord stimulation, delivers low voltage electricity to nerves, inhibiting pain signals before they reach the brain. This creates a soothing tingling sensation (paresthesia) in the affected area. Patients control the stimulation level with a handheld device. It’s an outpatient procedure, initially trialed for 3-7 days to assess effectiveness before permanent implantation.

Facet joint and medial branch block injections

Facet joint pain occurs when one or more of the facet joints located in the neck or back become irritated and inflamed. The procedure consists of injecting medication into the desired facet joint space. The facet joint injection procedure is typically performed as a diagnostic injection providing several hours of relief, however it has the potential of providing prolonged relief.

Caudal Epidural Steroid Injection

Caudal epidural steroid injections treat chronic back and lower extremity pain. The procedure consists of administering a combination of a steroid and a local anesthetic to the lower back via the sacral opening.

Celiac Plexus Block

Caudal epidural steroid injections treat chronic back and lower extremity pain. The procedure
consists of administering a combination of a steroid and a local anesthetic to the lower back via
the sacral opening.

Cervical Epidural Steroid Injections

Cervical epidural steroid injection procedures are injections administered to relieve pain in the neck, shoulders and arms caused by an inflamed or irritated nerve. Conditions such as herniated discs, spinal stenosis or arthritis can compress nerves, and result in inflammation and pain. A cervical epidural steroid injection involves injecting a combination of a steroid and a local anesthetic into the
cervical spine. The injections provide a decrease in the swelling of the inflamed or compressed nerve, in addition to reducing inflammation.

Facet joint and medial branch block injections

Facet joint pain occurs when one or more of the facet joints located in the neck or back become irritated and inflamed. The procedure consists of injecting medication into the desired facet joint space. The facet joint injection procedure is typically performed as a diagnostic injection providing
several hours of relief, however it has the potential of providing prolonged relief.

Ganglion Impar Block

The ganglion impar is a group of nerve bundles which are located between the sacrum and the coccyx. This procedure is used to reduce the symptoms of chronic pelvic or rectal pain by blocking nerve impulses.

Hypogastric Plexus Block

A hypogastric plexus block consists of injection medication into a group of nerves that supply pain sensations to the pelvic organs. A hypogastric plexus block is performed for the treatment of pelvic
pain.

Trigger Point Injections

A trigger point is a knot or tight band of muscle that can be felt under the skin and forms when a
muscle fails to relax. To help with the pain, a trigger point procedure is performed, which involves an
injection a small amount of local anesthetic into a trigger point, which will reduce muscle spasm and
ultimately relieve pain.

Georgia Pain and Spine Solutions

Ilioinguinal Nerve Block

The ilioinguinal nerve supplies sensations to the lower abdomen, groin and pelvis. If the nerve is affected it can cause pain or numbness in these areas. The procedure consists of injecting medication around the nerve.

Lumbar Sympathetic block

A lumbar sympathetic nerve block consists of injecting local anesthetic in the low back, where the
sympathetic nerves reside. The sympathetic nerves control the sensation of pain and blood flow in the legs. A lumbar sympathetic nerve block can relieve pain from phantom limb pain, complex regional pain syndrome (CRPS), and various other sources of pain in the legs.

Selective Nerve Root Blocks

The selective nerve root block procedure consists of injecting  a combination of a local anesthetic and steroid at a specific nerve root/spinal nerve that exits out of the spinal cord. It can be done in the cervical (neck), thoracic (chest) and lumbar (low back) areas. The selective nerve root block procedure can be a diagnostic test (finding out which nerve is involved) or therapeutic test (providing pain relief) depending on the medications that are injected.

Intercostal Nerve Block

The intercostal nerves provide sensation to the chest and rib areas. An intercostal nerve block can
be utilized to treat pain from rib fractures, shingles, or previous trauma to the chest. The procedure consists of injecting a combination of a steroid and local anesthetic medication, which will help to reduce inflammation and irritation to the nerve(s), and ultimately reduce pain

Joint Injections

Joint injection procedures are performed to relieve joint bone due to injury, arthritis or other causes of pain. The procedure consists of injecting a combination of a local anesthetic and steroid directly into the joint.

Lumbar Epidural Steroid Injections

Lumbar epidural steroid injection is a procedure performed to relieve pain caused by irritated or inflamed nerve. The procedure consists of injecting a combination of local anesthetic and steroids to reduce pain and swelling of the affected nerve.

Vertebroplasty

Vertebroplasty is a minimally invasive procedure used for treatment of spinal fractures caused by osteoporosis, arthritis, cancer, amongst other causes. The procedure involves injecting bone cement into the vertebrae to stabilize fractures. This treatment results in significant pain relief and improved mobility in many patients.

Procedures and Services Georgia Pain and Spine Solutions

Medication Management

Medication management is a common method of pain treatment. Medications can help patients in
pain lead a more active life. Medications work best when combined with other pain management methods, such as exercise, relaxation, and physical therapy. Medications are not indicated for every patient, and the need to be prescribed medications are based on many factors, which include the potential risk vs benefits, cost, side effects, and overall medical conditions.

Occipital Nerve Block

An occipital nerve block is a procedure which consists of injecting local anesthetic, or a combination
of local anesthetic and steroid into the base of the head. The procedure aids in the treatment of occipital neuralgia, in addition to other causes of headache pain.

Radiofrequency Neuroablation

Radiofrequency neuroablation is performed to reduce pain originating from the facet joints of the spine. The procedure entails inserting an electrode in the area near the affected facet joint. The electrode heats up a small area of nerve tissue, which reduces pain signals from that specific area. A radiofrequency neurotomy can be performed on the neck, back, coccyx or sacrum areas and can provide pain relief for six months and up to a year.

Spinal Cord Stimulation

Neurostimulation therapy treatment, also called spinal cord stimulation, is the safe delivery of low
voltage electricity to the dorsal column or peripheral nerves. The implantable stimulator device
inhibits pain signals before they reach the brain and replaces them with a soothing, tingling
sensation (called paresthesia) that covers the specific area where pain is felt.
Neurostimulation therapy is an implantable, reversible system that allows patients to control their
level stimulation with a handheld device. Neurostimulation therapy is a simple outpatient procedure
and is first done on a trial basis, where a patient tries the device for three to seven days to see if
they are happy with the results. If the device successfully reduces their pain, the neurostimulator is
implanted permanently.

Stellate Ganglion Block

Stellate Ganglion injections are a common method of treatment for Complex Regional Pain
Syndrome (CRPS) and shingles, which may affect the head, face, neck or arms. Stellate Ganglion
injections can be used to diagnose and treat pain. The Stellate Ganglion injection blocks the sympathetic nerves which are located on either side of the neck. The Stellate Ganglion injection may
decrease swelling, pain and sweating in the upper extremities.

Thoracic Epidural Steroid Injections

Thoracic epidural steroid injections are administered as a treatment to relieve pain in the mid-back, rib and shoulder blade area caused by inflamed nerves. Conditions such as herniated discs, spinal stenosis or arthritis can compress nerves causing inflammation to nerves in the thoracic pain. A combination of local anesthetic and steroids are injection into the mid back region, which will then reduce the irritation and inflammation to the affected nerves.

Regenerative Medicine and Stem Cell Therapy

Georgia Pain and Spine Solutions offers the latest, cutting-edge, innovative techniques in stem cell
and regenerative medicine therapies. We offer various therapies for various orthopedic conditions
and injuries.

Stem cell and regenerative therapies include the collection and use of therapeutic stem cells to
regrow, repair, or replace damaged or diseased tissue within the musculoskeletal system, including:
shoulders, elbows, wrists, hips, knees, ankles, neck and the back.