Pain Management

Premier Radiology provides a full range of minimally invasive pain management and diagnostic injection procedures for the treatment of acute and chronic pain. Our injections are performed by Board Certified physicians using fluoroscopy or CT guidance. Procedures we perform include:

 

SPINE INJECTIONS

Spine injection procedures are performed to both diagnose and treat different causes of back pain. There are multiple types of spinal injection procedures; the most commonly performed procedures include epidural injections, selective nerve root blocks, and facet joint injections. The type of injection you receive is determined by your doctor based on the pattern and distribution of your symptoms and the results of imaging

– Discograms

– Epidural steroid injections

– Facet joint injections

– Medial branch blocks and radiofrequency ablation

– Myelograms

– Sacroiliac joint injections

– Selective nerve root blocks

– Sympathetic plexus blocks

– Peripheral nerve blocks

– Vertebroplasty

– Spinal cord stimulator placement

 

MUSCULOSKELETAL INJECTIONS

If you have a swollen or painful joint your doctor may order an injection of steroid medication. Sometimes a local anesthetic (numbing medicine) is injected along with the steroid.

Therapeutic joint injections (shoulder, elbow, wrist, hip, knee, foot, and ankle)

– Trigger point injections

How should I prepare for a spine injection?

– Bring a copy of the order for the procedure from your referring physician, your insurance card, and photo identification.

– Bring a copy of any outside CT or MRI studies with you if they were not performed at Premier Radiology.

– Drink plenty of clear liquids but no solid food for 4 hours before the procedure. Prior to discograms you should not drink or eat for 4 hours before the procedure.

– These procedures are generally not performed during pregnancy because of the potential risk of embryo/fetal injury from x-ray exposure. Advise the technologist if you are, or may be, pregnant.

– Discontinue Coumadin (Warfarin), Plavix (Clopidogrel), Ticlid (Ticlopidine), and Pletal (Cilostazol) with permission from the prescribing physician for 5 days prior to the procedure. If you take Coumadin (warfarin), a Prothrombin time (PT) and INR will be obtained here at the clinic before the procedure. Other prescribed medications should be continued.

– Discontinue low-molecular weight heparin therapy with Lovenox (Enoxaparin), Fragmin (Dalteparin), Normiflo (Ardeparin), or Orgaran (Danapararoid) with permission from the prescribing physician for 24 hours prior to the procedure. Other prescribed medications should be continued.

– Arrange for someone to drive you home after the procedure.

How should I prepare for a joint injection?

Bring a copy of the order for the procedure from your referring physician, your insurance card, and photo identification.

Follow a regular diet. Take your usual medications. These procedures are generally not performed during pregnancy because of the potential risk of embryo/fetal injury from x-ray exposure. Advise the technologist if you are, or may be, pregnant.

Arrange for someone to drive you home after the procedure.