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 |
| Facet Joint/Medial Branch Block | Low back pain; facet arthritis |
| Trigger Point Injection (TPI) | Muscle spasms and point specific muscle tenderness |
| Lumbar Sympathetic Injection (LSB) | 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 |
| Intercostal Nerve Block | Rib pain; post-herpetic neuralgia (shingles); post-mastectomy pain |
| Occipital Nerve Block | Occipital headaches or neuralgia |
| Ilioinguinal Nerve Block | Groin pain |
| Lumbar Discogram | Diagnostic procedure for low back pain or radiating leg pain |
| Radiofrequency and Cryoablation (Facets, Intercostal, Occipital Nerve, etc) | Nerve destruction procedures for various pain syndromes |
| 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 |
| Botox Injection | 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 |