- Pain Management Clinic is a physician-owned interventional pain management center under the medical direction of Sherif Algendy, MD, an interventional pain anesthesiologist.
Minimally Invasive Procedures : Injections
Non-Surgical Pain Relief in MA
At Bay State Pain Associates, Our highly trained, board-certified pain doctor inject a combination of local anesthetic and anti-inflammatory medication at the source of your pain, providing rapid relief that can last for weeks, months, or even longer for some patients. Repeat injections can be administered if your doctor approves it.
Our interventional pain management doctor are here with one goal: To relieve chronic pain and help our patients return to being their former active selves. Instead of relying on medication, we intervene in a much more effective manner using a vast array of therapies such as pain management injections, to help relieve pain. We aim to improve one’s quality of life and help to regain function and mobility.
Pain relief from these injections may occur within a few hours or may take 1 to 2 weeks to take effect, such as in RFA. Initially, there may be some restriction of physical activity, following which, routine activities may be resumed. These treatment injections are commonly used in combination with physical therapy to strengthen the surrounding muscles and restore mobility.
Other types of injections may also be considered depending on the condition being treated.
Types of Spinal Injections
The types of spinal injections are mostly categorized by where the injection is delivered: facet joints, sacroiliac joints, or into the epidural space in the spine.
Therapeutic injections are usually used to treat neck or back pain stemming from a facet joint, spinal nerve, and/or an intervertebral disc. Select from the following links to learn more about minimally invasive techniques and procedures for neck and back in use at Bay State Pain Associates.
deposit the medication, typically steroids, in the epidural space of the spine.This injection is common for lower back pain but may also help with upper back and neck pain. When injected, steroidal medication is injected into the epidural space around the spinal cord. The medication reduces inflammation and pain.
Facet joint injections
—treat pain stemming from a specific facet joint.
Medial branch blocks
deposit medication around the medial branches of spinal nerves. The medial branch is a nerve that sends pain signals to the brain from an arthritic facet joint.
An injection directed around the medial branch can relieve neck pain and also be used to treat headaches stemming from the neck. An injection into the facet joints can be used to confirm an arthritis diagnosis or treat the pain from spinal osteoarthritis.
Selective nerve root block injections
are another common pain management injection. These injections deliver an anesthetic close to particular nerves, in an effort to interrupt nerve signals before they can get to the brain, where they would register as pain. These injections are used to treat pain caused by inflamed nerves and can be used to help identify the source of your pain.
target a specific spinal nerve and deposit medication around the nerve at the point where it exits the intervertebral foramen (bony opening between adjacent vertebrae).
Sacroiliac (SI) joint injections
treat pain originating from the SI joint, which connects the spine to the pelvis.
Sacroiliac Joint Steroid Injection designed to diagnose and treat pain and inflammation from sacroiliac joint dysfunction.
- Joint injections
deliver medication into the joints for quick relief of pain and inflammation.
Epidural Steroid Injections for Back Pain and Leg Pain
Epidural injections of cortisone may reduce the inflammation and/or swelling of the nerves in the epidural space resulting in decreased pain, tingling and numbness. The procedure involves inserting a needle of a long lasting steroid (cortisone) through the skin and deeper tissues into the epidural space. The epidural space is the area surrounding the spinal cord and the nerves coming out of it. One or more injections may be needed to relieve symptoms.
Lumbar epidural steroid injections work to reduce low back pain and leg pain.
Trigger point injections can help relax knots of muscles that may be causing pain in other parts of the body (for example, a trigger point in the neck is a common cause of tension headaches).
Cervical Epidural Steroid Injection
A cervical epidural steroid injection delivers steroids into the epidural space surrounding spinal nerve roots to help alleviate pain in the upper spine/neck.