For the safety of our patients and staff, facemasks are required while in our facilities. If you are ill, or have been recently exposed to someone who is ill, please call 260-432-1800 to reschedule your appointment. We appreciate your understanding and cooperation.

Procedural Therapy

With our experienced physicians and our specialized equipment, we can perform a variety of in-office procedures to reduce your back and joint pain. Most procedures are performed under live fluoroscopy (x-ray) to help the physician guide the needle to exactly the right position.

When other common treatments fail to relieve your pain, the following procedures offer the hope to start fully living again.

A referral IS REQUIRED for these services.

Provider showing back anatomy to patient photo

Services Include:

Epidural Steroid Injection

An epidural steroid injection is an injection of anti-inflammatory medicine or corticosteroid into the epidural space around the spinal nerves in your back. These injections may help with back pain or radiating pain.

Caudal Epidural

A caudal epidural is a type of steroid injection administered to the low back. They can relieve nerve pain and inflammation often caused by disk herniation, spinal stenosis, or radiculopathy (radiating) pain.

Selective Nerve Root Block

A selective nerve root block is a type of steroid injection which introduces steroid near the foramina, which are openings where nerve roots exit your spine, to reduce inflammation and irritation at the nerve. These injections are used typically to treat radiating or radiculopathy pain.

Facet Joint Steroid Injection

A facet joint injection is an injection of steroid or anti-inflammatory medication into the small joints between the vertebrae in the spine. These joints give the spine flexibility and allow movement of the back, such as twisting and bending.

Medial Branch Block

A medial branch block is an injection of a strong local anesthetic (numbing agent) on the medial branch nerves that supply the facet joints. This procedure is a diagnostic test, meaning any pain relief is expected to be temporary. With the appropriate short-term response, this helps your provider decide if you are a candidate for another procedure called a medial branch radiofrequency neurotomy (ablation), which provides longer term pain relief.

Radiofrequency Ablation

Radiofrequency Ablation (RFA) or radiofrequency neurotomy is a minimally invasive procedure that uses heat to destroy small nerves from the facet joints or sacroiliac joints. The heat is directed at the nerve that is causing pain, so nearby healthy nerves are not damaged during the procedure.

Stellate Ganglion Block

A stellate ganglion are nerves within the sympathetic nervous system located in your neck. A stellate ganglion block is an injection of anesthetic (numbing agent) and steroid (anti-inflammatory) into these nerves to relieve head, neck, back, arm and chest pain as well as improve circulation and blood flow to the arm. Used most often to treat symptoms of complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy (RSD).

Lumbar Sympathetic Nerve Block

A lumbar sympathetic nerve block is an injection of anesthetic (numbing agent) and steroid (anti-inflammatory) into the sympathetic nerves of the low back to relieve lower back or leg pain. Used most often to treat symptoms of complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy (RSD).

Discogram

A discogram is an imaging test used to evaluate back pain either prior to surgery or when other conservative treatments have failed to identify the specific area causing pain. During the discogram, dye is injected into the soft center of your disks (the areas between your vertebrae) to visualize areas of wear and tear or cracks in the disks and possibly reproduce your back pain.

Intra-articular Joint Injection

Intra-articular joint injection is a steroid or anti-inflammatory injection within the joint space. This type of injection may be done in any joint of the body, such as the shoulder, elbow, hip, sacroiliac (SI), or knee. The steroid works to reduce inflammation and irritation occurring within the joint space which often improves your pain symptoms.

Genicular Nerve Block

A genicular nerve block is an injection of a strong local anesthetic (numbing agent) on the genicular nerves that supply the knee joint. This procedure is a diagnostic test, meaning any pain relief is expected to be temporary. With the appropriate short-term response, this helps your provider decide if you are a candidate for another procedure called a genicular nerve neurotomy (ablation), which provides longer term pain relief.

Genicular Nerve Ablation

Genicular nerve ablation or radiofrequency neurotomy is a minimally invasive procedure that uses heat to destroy small genicular nerves that surround the knee joint. The heat is directed at the nerve that is causing pain, so nearby healthy nerves are not damaged during the procedure.

Trigger Point Injection

Trigger points are areas of painful tightness in muscles that occur after reoccurring spasms in the muscle. An injection of numbing medicine and steroid may help the muscle relax and alleviate pain.

Viscosupplementation Injection

Viscosupplementation is an injection of a gel-like fluid called hyaluronic acid. Hyaluronic acid is a naturally occurring substance found in the fluid surrounding the knee joint. Patients with osteoarthritis in the knee joint may have a decreased amount of hyaluronic acid present. Viscosupplementation may improve function and reduce pain.

Life-changing results for
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Referred Patients

If you have been referred to our office from another provider only to have an injection, we look forward to taking care of you!

Please understand we actively work on processing the referral immediately after we receive it. Our office expedites creating your chart, completing benefits and prior authorization procedures BEFORE we call you to schedule. For this reason, please allow us five business days to complete this process. If you do not hear from us after the five business days, please contact us at 260-432-1800, option 6, to check on the status of scheduling your procedure. Once again, we look forward to serving you!

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Frequently Asked Questions

Ready to make real progress?

Have a referral? Get in contact with us today to start your journey to healing with procedural therapy.