We Don't Guess. We Find the Source and Treat It.

Think of this like getting a fire hose right to the source of the flames. When a nerve in your neck or back is irritated and swollen — from a disc pressing on it, a bone spur, or just plain inflammation — an epidural block delivers numbing medicine and steroid directly to that area. It calms the irritation down, which reduces the pain. Done with live X-ray guidance so it lands exactly where it needs to.

Your spine has small joints running along the back of it called facet joints. When those joints get worn down or inflamed — from arthritis, injury, or just years of use — they can cause serious neck or back pain. A medial branch block is a precise injection of numbing medicine near the nerves that carry pain signals from those joints. If it takes your pain away, even temporarily, that tells us those joints are the problem. It's both a test and a treatment in one.

Once we've confirmed through a medial branch block that your facet joints are the culprit, this is the next step. Using a small needle and controlled heat, we interrupt the nerve signal carrying pain from those joints — almost like turning off a circuit breaker that's been tripped. The nerves aren't destroyed permanently, but the relief can last many months before they slowly grow back. Most patients say it's one of the most effective things we do.

Your discs are the cushions between your vertebrae — think of them like jelly donuts stacked on top of each other. When one of those cushions cracks or breaks down on the inside, it can cause significant pain that's hard to pinpoint on a regular MRI. A discogram is a test where we inject a small amount of dye into the disc to see how it responds — and more importantly, whether it reproduces your pain. It's one of the most accurate ways to confirm whether a disc is truly the source of your problem before considering further treatment.

Your spinal cord sends nerve roots out through small openings in your spine, one at each level. When one of those nerve roots gets pinched or inflamed — from a herniated disc, bone spur, or narrowing of the spine — it can send pain, burning, or numbness shooting down your arm or leg. A selective nerve root block targets one specific nerve root at a time with numbing medicine and steroid. It helps us identify exactly which level is causing your symptoms and provides relief at the same time.

When pain has been going on for a long time and other treatments haven't given you enough relief, spinal cord stimulation is worth a real conversation. A small device is placed near the spinal cord that sends gentle electrical pulses to interrupt pain signals before they reach the brain — similar to how noise-canceling headphones work, but for pain. There's a trial period first so you can see how well it works for you before anything permanent is done. It's not for everyone, but for the right patient it can be life-changing.

The stellate ganglion is a cluster of nerves in the neck that's part of your body's sympathetic nervous system — the system that controls things like blood vessel tone, sweating, and certain pain responses. When this system gets overactive, it can cause pain, swelling, and sensitivity in the arm, hand, or face. An injection directly into this nerve cluster can calm that system down. It can be both a diagnostic test and a treatment, and in some cases it's also being studied for other sympathetically driven conditions.

A wide range of joint, soft tissue, and nerve injections — all performed under live ultrasound so the needle lands exactly where it needs to go. Available for joints from the knee to the knuckle, soft tissue problems like plantar fasciitis, and peripheral nerve blocks throughout the body.