At Allegheny Pain Management, we offer a wide range of interventional pain procedures to target and manage chronic pain. These include:

Epidural Steroid Injections (ESI)

Epidural steroid injections provide significant relief for chronic pain in the back, neck, and thoracic regions. We offer:

• Lumbar Epidural Steroid Injections (LESI)(opens in a new tab)
• Thoracic Epidural Steroid Injections (TESI)(opens in a new tab)
• Cervical Epidural Steroid Injections (CESI)(opens in a new tab)
• Transforaminal Epidural Steroid Injections (TFESI)(opens in a new tab)

These injections are particularly effective for individuals suffering from conditions like herniated discs or spinal stenosis, as they reduce inflammation and mitigate the symptoms associated with nerve root irritation.

Diagnostic Medial Branch Blocks (MMB)

Medial branch blocks are a diagnostic tool used to identify the source of pain in the facet joints. By administering an anesthetic near the small medial nerves connected to a specific facet joint, we can determine whether this joint is the source of your pain. We offer:

• Lumbar Medial Branch Blocks(opens in a new tab)
• Thoracic Medial Branch Block
• Cervical Medial Branch Block(opens in a new tab)

This procedure is essential for creating an effective, targeted treatment plan and can also provide temporary pain relief.

Radiofrequency Ablation (RFA)

Radiofrequency ablation(opens in a new tab) is an advanced treatment where heat generated by radio waves is used to target specific nerves, stopping them from sending pain signals to the brain. We offer this procedure for lumbar, sacroiliac, thoracic, cervical, and knee areas. It's a long-lasting solution for patients with chronic pain unresponsive to other treatments.

Joint Injections

Our joint injections target areas such as:

• Shoulder
• Elbow
• Wrist
• Knee
• Hip
• Ankle
• Sacroiliac joint(opens in a new tab)

These injections involve delivering anti-inflammatory medications directly into the affected joint, providing relief from pain and improving overall joint function.

Facet Joint Injections

Facet joint injections involve delivering an anesthetic and an anti-inflammatory steroid to the small joints at each segment of the spine. This treatment is ideal for patients dealing with pain resulting from inflammation or arthritis in their facet joints. It's a targeted approach that offers both diagnostic and therapeutic benefits.

Sacroiliac Joint Injections

Sacroiliac joint injections(opens in a new tab) are used for individuals suffering from lower back and leg pain caused by inflammation in the sacroiliac joint. This treatment involves administering an anesthetic and steroid directly into the affected area, offering targeted relief and improved function.

Spinal Cord Stimulation (Trials & Implantation)

Spinal cord stimulation (SCS) involves the implantation of a small device that sends electrical pulses to the spinal cord to mask pain signals before they reach the brain. This method is particularly beneficial for those with chronic pain conditions and has been shown to dramatically improve the quality of life for many patients.

Kyphoplasty

Kyphoplasty is a minimally invasive treatment designed to relieve pain from spinal compression fractures. By inserting a balloon into the fractured vertebra and then filling the space with bone cement, this procedure stabilizes the vertebra and restores a portion of lost height, resulting in reduced pain and improved mobility.

Discography

In cases where back pain persists despite conventional treatments, a discography may be performed. This diagnostic procedure involves injecting dye into the spinal disc to identify or confirm specific disc-related issues causing pain, helping to develop a precise treatment plan.

Botox for Migraines

Botox injections are a proven treatment for chronic migraines. By injecting Botox into specific areas around the head and neck, we can prevent the activation of the pain networks involved in migraines. This treatment significantly reduces the frequency and severity of migraine episodes.

Trigger Point Injections

For patients suffering from painful muscle knots or trigger points, trigger point Injections provide effective relief. By injecting a small amount of anesthetic into the trigger point, we help alleviate pain and facilitate muscle relaxation.

At Allegheny Pain Management, we continually expand our portfolio of advanced interventional pain procedures to provide our patients with innovative solutions for chronic pain management. Below are some of our cutting-edge treatments:

Basivertebral Nerve Ablation (Intracept)

Basivertebral nerve ablation, known as the Intracept procedure, is designed for patients suffering from chronic low back pain originating from the vertebral body. The treatment involves using radiofrequency energy to ablate the basivertebral nerve, thereby reducing pain signals transmitted to the brain. This minimally invasive procedure can significantly alleviate chronic pain, especially for individuals who have not found relief from conventional treatments.

Minimally Invasive Lumbar Decompression (mild®)-

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The Minimally Invasive Lumbar Decompression, or mild® procedure, focuses on relieving pressure on the spinal cord or nerves caused by lumbar spinal stenosis. Through a small incision, specific instruments are used to remove ligament tissue and reduce compression. This minimally invasive approach helps patients regain mobility and experience reduced pain without the need for traditional open surgery.

Minimally Invasive Indirect Decompression (Vertiflex)

The Vertiflex Procedure offers a minimally invasive solution for lumbar spinal stenosis. It involves inserting a small titanium spacer into the spine to open up the narrowed spinal canal, relieving pressure on the nerves. This treatment is particularly beneficial for those who prefer less invasive options and seek to quickly return to their daily activities with minimal downtime.

Intradiscal Allograft (ViaDisc)

ViaDisc is an intradiscal allograft therapy aimed at treating degenerative disc disease. This procedure involves injecting an allograft—derived from donor tissue—into the damaged disc to restore its natural structure and function. The treatment provides long-term relief from discogenic pain and helps improve overall spine stability and mobility.

Minimally Invasive Interspinous Fusion (Minuteman Procedure)

The Minuteman procedure offers a minimally invasive interspinous fusion technique to treat lumbar spine instability and related pain. This procedure involves implanting a small device between the spinous processes (the bony protrusions on the back of the spine) to stabilize the spine and reduce pain. It’s a suitable option for patients looking to avoid more extensive spinal surgeries.

Minimally Invasive Posterior Lateral Fusion (ION Facet Screws)

The Minimally Invasive Posterior Lateral Fusion using ION Facet Screws targets patients with chronic lower back pain due to spinal instability. This technique involves placing facet screws through small incisions to stabilize the affected spinal segment, offering both solid fusion and significant pain reduction. The procedure is minimally invasive, reducing recovery time and surgical risks.

Minimally Invasive Sacroiliac Joint Fusion

For patients experiencing chronic sacroiliac (SI) joint pain, minimally invasive sacroiliac joint fusion offers a promising solution. This procedure involves fusing the SI joint with small implants to stabilize it and reduce pain. It’s an ideal option for patients whose pain is resistant to other treatments and can dramatically improve their quality of life.