Treatment Options

MANA is proud to have highly trained and specialized experts in our Pain Management Division. Our fellowship trained, board certified physicians take special care in providing excellent and compassionate care to our patients. We understand the predicament that chronic pain patients are in and we build lasting relationships with each patient. Not only do our physicians use the safest and most effective medication for pain control, they are not hesitant in employing the latest techniques to alleviate the pain. MANA physicians treat pain without causing pain. Our patients range from failed back syndrome to Fibromyalgia to complex Regional Pain Syndrome (RSD).

Our treatment options include but are not limited to:

EPIDURAL STEROID INJECTION
Long action steroid (Depo-medrol) is placed in the epidural space for discogenic pain, radiculopathy/sciatica done thru inter-laminar space.

TRANSFORAMINAL EDIPURAL STERIOD INJECTION
Medicine placed in the epidural space but through the foramen on either side for radicular pain.

CAUDAL EDIPURAL STERIOD INJECTION
Medicine placed in the epidural space through caudal opening.

FACET INJECTIONS
Injection into the facet joints or blocking the medial branch nerve, which supplies the facet joint for facet joint arthritis.

RHIZOTOMY
Ablation of a nerve using radio-frequency, usually done for facet joint pain but also done for other peripheral nerves. When block works well but for a short time, Rhizotomy is indicated.

SPINAL CORD STIMULATOR (SCS)
A version of TENS unit, which gives electrical impulses, but implanted over spinal cord dorsal column to block pain, done for neuropathic pain in limbs due to neuropathy, failed back syndrome etc.

PERIPHERAL NERVE STIMULATOR
Similar principal as SCS but done for peripheral nerve pain.

PROVOCATIVE DISCOGRAPHY
Discs are injected with dye to identify painful disc(s) by reproducing patient’s symptoms.

SYMPATHETIC NERVE BLOCK
Cervical or Lumbar sympathetic ganglion is blocked with anesthetic to relieve symptoms of upper or lower extremity reflex sympathetic dystrophy.

OCCIPITAL NERVE BLOCK
Occipital nerve is blocked to relieve headache from occipital neuralgia, which can be caused by cervical spine pathology.

BURSA INJECTIONS
Injection of steroids into bursa for acute/chronic bursitis e.g. Hip – trochenteric bursa, Shoulder – Sub-acromian bursa.

ELECTROMYOGRAPHY/NERVE CONDUCTION (EMG/NCS)
Nerve and muscles testing to identify the cause of tingling /numbness or pain, e.g. Carpal Tunnel, Ulnar neuropathy, Peripheral neuropathy (Diabetes), radiculopathy, Sciatica etc.