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Interventional Spine Care

Interventional Spine CarePatients who have chronic spine or back-related pain may be referred to our interventional spine specialist, Fred Newton, MD, for nonsurgical treatment. Procedures such as therapeutic injections, in-office radiofrequency ablation and implantation of spinal cord stimulator trials can provide patients with pain relief or pain reduction for an extended period of time. Our office is equipped with a state-of-the-art fluoroscopy suite, where these procedures are performed.

arrow Therapeutic spine injections
  Dr. Newton, a board-certified physiatrist with a subspecialty certification in pain medicine, administers injections, usually of a local anesthetic and/or a steroid. These typically are given in the area that is believed to be the source of the pain, such as a muscle or facet joint, or around the nerves of the spine (an epidural or nerve root injection). Epidural steroid injections deliver anti-inflammatory steroid medication to affected nerves. The injections can provide significant relief and may allow the patient to participate in more aggressive rehabilitation. In some cases, they may enable the patient to postpone or avoid surgical treatment altogether. Epidural steroid injections are more effective than anti-inflammatory medications taken by mouth, and they may also have fewer medication side effects.
arrow In-office radiofrequency ablation for arthritic neck, thoracic pain or low-back pain
  Patients with chronic pain from degeneration of joints often can get up to a year or more of pain relief from this procedure, which decreases pain signals by directing an electrical current from a radio wave into an area of nerve tissue. The procedure can be done in the office under mild sedation.
arrow Implantation of spinal cord stimulator trials
  Another option for patients with chronic nerve-related pain that has not responded to conservative treatments is a spinal cord stimulator, which disrupts pain signals by directing electrical impulses through a small wire to the spinal cord. We can implant a “trial” of this device in the office to determine if the stimulator will help reduce the pain experienced by the  patient. If the trial is helpful, then a permanent stimulator can be implanted.