Living with chronic pain can be a daily struggle, and long-term medication use comes with its own set of challenges. For some patients, an interventional procedure from a trained pain management specialist may offer lasting relief.
SLUCare offers a range of advanced, targeted treatments, administered by anesthesiologists who are fellowship-trained in interventional pain management techniques. Our team offers solutions for many common forms of pain: back and neck pain, arm and leg pain, upper and lower extremity joint pain, headaches, facial pain, abdominal pain, pelvic pain and more.
Our specialists will discuss your specific pain generators and their effect on your quality of life, then develop a multi-modal treatment plan to target the source of pain and effectively ease symptoms.
A mixture of local anesthetic and anti-inflammatory medication is injected into the epidural space around your spinal cord and spinal nerves, reducing inflammation and pain transmission.
Used to treat: neck, mid-back, lower back pain and radiating pain
The region around an irritated nerve root is isolated and injected with an anti-inflammatory medication.
Used to treat: symptoms of a herniated disc, sciatica, or swelling/irritation of the nerve roots
A small amount of anesthetic and/or anti-inflammatory medication is injected around the joints of your spine.
Used to treat: neck, back, or leg pain caused by inflammation, irritation, or arthritis of the facet joints
Heat is used to create a lesion on a painful nerve to prolong the numbing effects and pain relief.
Used to treat: back pain, neck pain, headaches, joint pain
A pacemaker-sized stimulator device is surgically implanted under the skin. It electrically activates a pain-inhibiting process and causes a tingling sensation that masks pain. The stimulator sends pulsed electrical signals to the spinal cord to control chronic pain.
Used to treat: neck pain, arm pain, lower back pain, leg pain, abdominal pain, pelvic pain, limb pain
An intrathecal pump is a specialized device that is surgically implanted under the skin. The pump delivers concentrated amounts of pain-relieving medications into the spinal fluid area through a small catheter (tubing).
Used to treat: lower back pain, cancer pain
These are minimally invasive procedures for vertebral compression fractures that occur in the bones that make up the spinal column. The fractures are most common in people with bone-thinning conditions, like osteoporosis. In vertebroplasty, physicians inject a special cement mixture through a needle into the fractured bone. In kyphoplasty, a balloon is first inserted through the needle into the fractured bone to create a cavity or space to restrict where the cement goes.
Used to treat: vertebral compression fractures
An injection of steroid into the joints in the lower back.
Used to treat: lower back pain from inflammation and/or swelling of the joint tissue
Injection temporarily eliminates pain by stopping muscle spasms, helping to determine if piriformis muscle contractures are involved in the cause of the pain.
Used to treat: buttock and sciatica-type pains
An injection of anesthetic into different nerves to reset the sympathetic nervous system and relieve pain.
Used to treat: abdominal pain, pelvic pain, nerve pain, reflex sympathetic dystrophy or complex regional pain syndrome of the limbs
Injection of a steroid and anesthetic around the ganglion impar nerves in the lower spine to block pain impulses.
Used to treat: chronic rectal, tailbone and pelvic pain
Injection of a local anesthetic into a tight band of muscles (called a trigger point) to alleviate pain.
Used to treat: extremely painful areas of muscle, specifically in the arms, legs, lower back, and neck
Injection of a local anesthetic between the two ribs where the intercostal nerve is located, temporarily blocking or disrupting painful nerve impulses.
Used to treat: upper back, chest, flank and rib pain
Geoffrey Panjeton, MD
Yuri Chaves Martins, MD
SSM Health Pain Care at St. Mary's Hospital
1031 Bellevue Ave., Suite 310
St. Louis, MO 63117