Conditions we treat
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Shoulder pain
Tennis/Golfer’s Elbow
Hip pain
Knee pain
Nonoperative pain
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Pinched nerves
Whiplash
Herniated discs
Muscle spasms
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Pinched nerves
Herniated discs
Arthritis
Sacroiliac (SIJ) dysfunction
SI joint pain
Muscle spasms
Postlaminectomy/Failed back surgery pain
Piriformis syndrome
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Pinched nerves
Radiation injury
Crush injury
Occipital neuralgia
Groin pain
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Postoperative pain
Pelvic pain
Abdominal muscle pain
Internal abdominal pain
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Extremity pain after injuries
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Occipital neuralgia
Cervicogenic Headaches
Botox for migraine
Where is your pain?
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Occipital Neuralgia
Cervicogenic headache
Migraine
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Cervical radiculopathy
Cervical disc pain
Cervical facet joint pain
Myofascial pain
Thoracic outlet syndrome
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Rotator cuff tendinopathy
AC joint arthritis
GH joint arthritis
Adhesive capsulitis/frozen shoulder
Biceps tendinopathy
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Tennis Elbow/lateral epicondylitis
Golfer’s elbow/medial epicondylitis
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Thoracic disc pain
Vertebral compression fractures
Thoracic facet joint pain
Dorsal scapular nerve pain
Thoracic radiculopathy
Myofascial pain
Shingles
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Lumbar disc pain
Vertebral compression fractures
Lumbar radiculopathy
Lumbar facet joint pain
Sacroiliac joint pain
Piriformis syndrome
Cluneal neuralgia
Myofascial pain
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Hip joint pain
Nerve compression pain
Ilioinguinal
Iliohypogastric
Genitofemoral
Lateral femoral cutaneous
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Arthritic knee pain
Post knee replacement pain
Meniscus injury
Ligament injury
Headaches with neck pain
Did you know some headaches can come from irritation of the nerves in the back of your head called the greater occipital nerves? For some, these headaches are difficult to control and are often associated with muscle tension. Irritation of the lesser occipital nerves located behind your ear can also cause headaches on the side of your head.
Occipital nerve blocks can help to diagnose and treat these types of headaches. These procedures can be performed in a medical office by a physician or a supervised physician’s assistant. Local anesthetic type medications provide rapid relief, and if your pain significantly improves shortly after the procedure this confirms the diagnosis.
For longer term relief, options include:
Cortisone injection
PRP injection
Peripheral nerve stimulation
For others, the joints of the neck can cause headaches instead. Diagnostic injections like a third occipital nerve block can help to diagnose the problem. Options for long-term relief include:
Cortisone injection
Radiofrequency ablation
PRP injection
Peripheral nerve stimulation
Axial neck pain
Axial neck pain remains mostly localized to the neck, but can radiate to the shoulders and shoulder blades.
Your symptoms and physical exam can suggest certain diagnoses like facet joint pain, but diagnostic injections like direct facet joint injections or medial branch blocks are considered the gold standard in confirming the source of facet joint pain.
If you have a good response to a diagnostic medial branch block, options for longer term relief include:
Cortisone injection
PRP injection
Radiofrequency ablation
Peripheral nerve stimulation
Other causes of axial neck pain include:
Myofascial pain
Cervical disc pain
Referred pain
Other interventional options include trigger point injections and epidural steroid injections.
Cervical radicular pain
When nerve roots are affected by compression or chemical irritation, pain and numbness can radiate down the arms. In longstanding or severe cases, this can cause weakness and loss of muscle mass.
Injections can help treat symptoms. In cases where surgery is not an option or is not desired and can safely be deferred, spinal cord stimulation can be considered.
