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Surgery isn't the only option...

At some time in their lives most people suffer from serious back, neck, hip or leg pain. At Collier Spine Institute, we specialize in providing successful conservative alternatives to surgery. We offer a broad range of services including rehabilitation programs and diagnostic and therapeutic procedures that help to alleviate your pain, thus improving overall function and restoring quality of life.

Back pain or injury is often the result of a combination of factors unique to each patient. Age, profession, overall health and activity level can impact diagnosis and outcome. Our medical providers offer experience and specialized training in performing medical examinations and utilizing the proper diagnostic tools to pinpoint the cause of your problem. A comprehensive treatment program is then specifically tailored to meet each patient's needs.

The Collier Spine Institute offers patients access to a broad range of diagnostic and treatment resources including:

 

Fluoroscopically guided epidural spinal injections

This procedure is done using a visually aided computer system and XRay technology which increases the successful delivery of medication to the affected area.  Injections can be given to relieve pain symptoms associated with a disease or disorder.  Steroidal or pain blocking medication is delivered to the exact location where pain is occurring.  Flouroscopic technology can aid in the accurate placement of the injection needle. 

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Selective Nerve Root Blocks

Similar to epidural injections, however, instead of using medication to cover all of the nerve roots, selective blocks cover just one or two nerve roots.  Medication is injected into the area around specific spinal nerves to specify which nerve is suspected of causing pain.

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Facet Block

Facet joints are small joints at each segment of the spine that provide stability and help guide motion.  These joints can become painful due to a back injury or arthritis.  A Facet Joint injection can be done in the cervical (neck), thoracic (mid back) or lumbar (low back) areas.  A steroid is injected into the area to anesthetize the joints and block the pain.  These injections can be used to help diagnose the cause and location of pain and also to provide pain relief.

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Radiofrequency Ablation

This procedure is used to reduce pain.  An electrical current produced by a radio wave is used to heat up a small area of nerve tissue and decrease pain signals from that specific area.  Patients with chronic (long-standing) low back and neck pain related to the degeneration of joints from arthritis are good candidates for this procedure.

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Trigger Point Injections

Trigger Point Injections are used to treat painful areas of muscle that contain “trigger points”, or knots of muscle that form when muscles do not relax.  Many times these knots can be felt under the skin.  In this procedure, a small needle is inserted into the trigger point.  The injection contains a local anesthetic that may also have corticosteroid added.  Trigger Point Injections are used to treat many muscle groups, including those in the arms, legs, lower back and neck.  Additionally these injections may be used to treat tension headaches and myofascial pain syndrome. 

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Sacroiliac Injections

The sacroiliac joint is a joint in your lower back and buttocks region.  When this joint becomes painful, it can cause pain in its immediate area or pain can be referred, or felt, in the groin, abdomen, hip, buttock or leg.  An injection can be done in this area in which numbing medication is injected into the joint to relieve the pain and also act as confirmation that this joint is the source of the pain being experienced.  Time release cortisone can also be used to reduce any inflammation and provide longer term pain relief.

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Diagnostic Discography

Discography, or discogram, is a diagnostic test to help identify the source of pain a patient is experiencing.  Information is gathered by assessing the patient’s pain response during the test.  It allows the physician to pinpoint the source of pain originating in the intervertebral discs.  This procedure may be used on patients who have not responded to medications and/or conservative treatments, such as physical therapy, and for potential surgical candidates.

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Sympathetic Nerve Blocks

The sympathetic nerves run on the front surface of the spinal column and not in the spinal canal with the nerves that provide sensation and strength to your legs.  These nerves control functions such as blood flow and temperature regulation to the arms and legs, sweating, heart rate, digestion and blood pressure.  If regulation of the sympathetic nervous system is altered, various pain states can occur.  Numbing medicine is injected around the sympathetic nerves in the low back or neck.  In doing this, the sympathetic nervous system in this area is temporarily turned off in hopes of eliminating pain.  If the initial block is successful then additional blocks may be repeated if the pain continues to sequentially diminish.

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Spinal Cord Stimulators

Spinal cord stimulation can be a good choice of pain management for those patients who have had a failed back surgery or have nerve related pain or numbness.  In spinal cord stimulation therapy, electrical pulses are used to block the nerve impulses responsible for pain reaching the brain.  A small transmitter is implanted under the skin with wires running from a power source to the spinal column.  Low-level electric impulses are generated to block the pain pathway from the spine to the brain. 

Spinal cord stimulation can be a good choice of pain management for those who have had a failed back surgery or nerve related pain or numbness.  It has also been known to help with the pain from post-herpetic neuralgia, multiple sclerosis, peripheral vascular disease, spinal cord injury and phantom limb pain.

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Epidural Lysis of Adhesions

This procedure is used to remove excessive scarring in the epidural space.  The epidural space is a thin area between the inside of the spine and the protective layer around the spinal cord.  Scar tissue can restrict the natural movement of nerves causing inflammation and pain.  This procedure can benefit people who have had prior neck or back surgery but still have persistent pain. 

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Massage Therapy

We offer therapeutic Medical Massage, mostly covered by health insurance.  Medical Massage is result oriented and the treatment is specifically directed to resolve conditions that have been diagnosed and prescribed by a Physician. Our skilled massage therapist will use a variety of modalities or procedures during the session to treat your pain.

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Please Note: This website and the articles contained herein are intended for your information only and are not to be construed as medical advice.
If you have any concern about your health, please contact your physician.

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