Our Services

Our providers specialize in the placement of medications at specific locations of the spine, joints, peripheral nerves and soft tissues.

These are utilized to treat specific pain syndromes, or to diagnose a problem that may be causing pain. Once a diagnosis is made, we are able offer a comprehensive array of services including spinal injections, sympathetic blocks, trigger point injections and other procedures. Nearly all procedures are performed under either fluoroscopic or ultrasound guidance. We are one of the few practices that is able to offer ultrasound guidance.

Other common treatment modalities that our providers may recommend include: Traction, Bracing, TENS Unit Therapy, Acupuncture, Massage Therapy, Physical Therapy, Aqua Therapy, Nutritional and Lifestyle Recommendations, etc.

Here is the comprehensive list of procedures that Carolina Pain & Spine is able to offer:

Procedures
Indications

 

Epidural Steroid Injection (ESI) – Translaminar and Transforminal
Post-laminectomy pain; post-herpetic pain (shingles), radicular symptoms (leg, arm, shoulder pain); sciatica

 

Low back pain; facet arthritis

 

Muscle spasms and point specific muscle tenderness

 

CRPS (Complex Regional Pain Syndrome) of lower extremity or pain due to poor circulation

 

Stellate Ganglion Injection
CRPS of upper extremity or pain due to poor circulation

 

Superior Hypogastric Injection
Pelvic/Rectal Pain 

 

Celiac Plexus Block/Neurolysis
Distal esophageal to transverse colon pain. Commonly for pancreatic pain from cancer

 

Sacroiliac Joint Injection
Buttock pain which may also radiate to groin

 

Rib pain; post-herpetic neuralgia (shingles); post-mastectomy pain

 

Occipital Nerve Block
Occipital headaches or neuralgia

 

Ilioinguinal Nerve Block
Groin pain

 

Diagnostic procedure for low back pain or radiating leg pain

 

Radiofrequency and Cryoablation (Facets, Intercostal, Occipital Nerve, etc)

 

Spinal Cord Stimulator Trial and Implant
Most commonly used for failed back syndromes, but also for radiating leg pain

 

Intrathecal Pump Trial and Implant
Most commonly used for cancer pain or failed back surgery

 

Simplicity III Ablative Procedure of Sacroiliac Joint
Newest radiofrequency procedure requiring single needle ablation

 

Piriformis Injection 
Buttock pain

 

Joint Injection/Aspiration (Hip, Knee, Shoulder, Temporalmandibular Joint)
Arthritis related pain and/or fluid build up

 

Ganglion of Impar/Coccyx Injection
Coccyx or perineal pain

 

Myofascial pain without prolonged response to treatment with steroids and local anesthetic

 

Bursa Injection
Typically for treatment of greater trochanter bursa with lateral thigh pain

 

Peripheral Nerve Injection for Upper and Lower Limbs by Ultrasound Guidance
Various Neuroma or neuralgia-type pain

 

Chemical Neurolysis (Alcohol or Phenol)
Typically for treatment of celiac plexus

 

Lateral Femoral Cutaneous Nerve Injection
Meralgia Paresthetica or lateral thigh pain