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Pain Alleviating Injections

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All are guided under ultrasound visualization for better accuracy and safety, and are often followed by state-of-the-art physical therapy to promote optimal joint and muscle function.


Radiofrequency Therapy 

• Radiofrequency Therapy (RF), also known as Radiofrequency Ablation provides relief for chronic spinal pain, neck, shoulder, hip and knee pain as well as certain types of headaches .   
• Pain relief and effectiveness may sometimes take time for the patient to notice the difference, however, it can last between 6 – 12 months and in some cases, years. 
• This is a non-surgical, minimally invasive alternative to surgery 
• Radiofrequency energy is used to modulate tissue in the peripheral nervous system to help manage chronic pain  













Fluoroscopic-Guided Spinal Injections

• Injects medicine into a part of the spine or in an area near a nerve root.
• Treats problems with the spine but also assists the doctor with the diagnosis.
• Types of injections include:
          • Fluoroscopic-Guided Epidural injections - used for acute and subacute painful spine
            conditions that create inflammation around spinal nerves.
          • Fluoroscopic-Guided spine joint injections - helpful for spine joint arthritis or
            spine joint trauma.

Ultrasound-Guided Joint Injections

• Provides direct visualization of various soft tissues.
• Avoids exposing the patient to the risks of radiation.
• Delivers noninvasive, nonionising imaging techniques - allows continuous
   monitoring of the needle position, facilitating safe and precise cortisone injections.
• Provides soft-tissue imaging capabilities allow a diagnostic study to be
   performed before cortisone injection.


Botox Injections for Pain

A breakthrough treatment for many multiple musculoskeletal and neurological conditions.   Including:
• Chronic migraine and daily headaches
• Chronic neck and low back pain
• Piriformis Syndrome
• Cerebral Palsy with spastic hemi or monoplegia
• Pelvic floor pain and dysfunction
• Temporomandibular and orofacial disorders/ dystonias
• Spastic, painful limb conditions related to stroke, MS, spinal cord injury,
  Parkinson’s, traumatic brain injury and Cerebral Palsy

Botulinum neurotoxin (Botox) therapy - For a thorough description, click HERE.

Because of the multiple levels of my back problems, my doctor wanted me to try an epidural injection. The injection and then the physical therapy made such a difference. I feel so successful that I can get in and out of the car and walk normally. I just keep thinking that this sure beats surgery.     ~ Kristi, patient

Additional Resources

Epidural Steroids Can Help Back Pain 
Recently the Buffalo News reported on a new study of epidural steroid injections in patients with spinal stenosis that was published in the New England Journal of Medicine (NEJM).

The physicians at Buffalo Spine and Sports Medicine stand by the procedures we offer to our patients. These procedures include epidural steroid injections which this article addressed.
We strongly feel that design of the NEJM study and conclusions drawn from it are flawed for several reasons:

1. First and foremost any and all procedures are never used as stand alone treatments in our practice, but are used to provide a window of opportunity for introduction of other treatment that aim to restore normal function.

Click here to download pdf

United Spinal, Allergan and Henry Winkler Launch ‘Open Arms’ Campaign