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SERVICES & TREATMENTS

A variety of services are utilized to treat specific pain syndromes, or to diagnose a problem that may be causing pain.

A variety of services are utilized to treat specific pain syndromes, or to diagnose a problem that may be causing pain.

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

Once a diagnosis is made, we’re 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.

General Conditions We Treat

We develop individualized treatment plans for all of our patients. You can view more information about these conditions and treatment options here.

  • Low Back Pain

  • Neck Pain

  • Discogenic and Radiculopathy Pain

  • Sciatica and Nerve pain

  • Neuropathic Pain

  • Peripheral Neuropathy

  • Shingles

  • Complex Regional Pain Syndrome/RSD/CRPS

  • Facet Pain

  • Post-surgical Pain

  • Cancer Pain

  • Shingles

  • Complex Regional Pain Syndrome/RSD/CRPS

  • Facet Pain

  • Post-surgical Pain

  • Cancer Pain

Here is the comprehensive list of procedures that Carolina Pain & Spine is able to offer and the conditions they may treat:

MILD (Minimally Invasive Lumbar Decompression)

LSS: Lumbar Spinal Stenosis with neurogenic claudication

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