
Robert Moghim MD
Anchor Healthcare
Interventional Pain Procedures – What are these?
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Interventional pain procedures and minimally invasive surgeries provide targeted treatment for chronic pain, often reducing the need for long term medications or major surgery.
These treatments include injections, nerve blocks, ablations, minimally invasive spine procedures, neuromodulation implants, and regenerative medicine therapies. Injections and nerve blocks are often the first step in pain management.
Epidural steroid injections, joint injections, and nerve blocks help diagnose and treat pain sources by reducing inflammation and temporarily blocking pain signals. For example, genicular nerve blocks target knee pain, supracapular nerve blocks address shoulder pain, and medial branch blocks help with spine related pain.
Radiofrequency ablation, RFA, offers longer-lasting relief by disrupting pain signals from specific nerves. This is often used for chronic back, neck, or joint pain when nerve blocks provide temporary relief. Studies show that RFA can reduce pain for six months to a year or longer. For patients needing longer-term solutions, minimally invasive surgical procedures may be an option.
SI joint fusion can stabilize the sacroiliac joint when other treatments fail, and interspinous fusion devices help relieve spinal stenosis while preserving mobility. Endoscopic spine procedures allow surgeons to remove herniated discs or decompress nerves with minimal tissue damage, leading to faster recovery times.
Neuromodulation implants, such as spinal cord stimulation, SCS, dorsal root ganglion, DRG stimulation, and peripheral nerve stimulation, PNS, provide long-term pain relief by altering how pain signals are processed by the nervous system.
These therapies have shown success in treating post laminectomy syndrome, CRPS, diabetic neuropathy, and nerve-related pain after surgeries like knee or shoulder replacement.