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:


Epidural Steroid Injection (ESI) – Translaminar and TransforminalPost-laminectomy pain; post-herpetic pain (shingles), radicular symptoms (leg, arm, shoulder pain); sciatica
Facet Joint/Medial Branch BlockLow 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 InjectionCRPS of upper extremity or pain due to poor circulation
Superior Hypogastric InjectionPelvic/Rectal Pain
Celiac Plexus Block/NeurolysisDistal esophageal to transverse colon pain. Commonly for pancreatic pain from cancer
Sacroiliac Joint InjectionButtock pain which may also radiate to groin
Intercostal Nerve BlockRib pain; post-herpetic neuralgia (shingles); post-mastectomy pain
Occipital Nerve BlockOccipital headaches or neuralgia
Ilioinguinal Nerve BlockGroin pain
Lumbar DiscogramDiagnostic 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 ImplantMost commonly used for failed back syndromes, but also for radiating leg pain
Intrathecal Pump Trial and ImplantMost commonly used for cancer pain or failed back surgery
Simplicity III Ablative Procedure of Sacroiliac JointNewest 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 InjectionCoccyx or perineal pain
Botox InjectionMyofascial pain without prolonged response to treatment with steroids and local anesthetic
Bursa InjectionTypically for treatment of greater trochanter bursa with lateral thigh pain
Peripheral Nerve Injection for Upper and Lower Limbs by Ultrasound GuidanceVarious Neuroma or neuralgia-type pain
Chemical Neurolysis (Alcohol or Phenol)Typically for treatment of celiac plexus
Lateral Femoral Cutaneous Nerve InjectionMeralgia Paresthetica or lateral thigh pain