Interventional Pain Management
Interventional Pain Management is a subspecialty of the medical specialty, pain management, devoted to the use of invasive techniques such as facet joint injections, nerve blocks (interrupting the flow of pain signals along specific nervous system pathways).
Low Back Pain
Low back pain (LBP) is a common problem that has an enormous clinical, social, and economic impact on our society. One estimate is that this condition affects 15% of the US population.
Facet Joint Pain
Facet joints (zygapophyseal joints) are paired synovial joints formed by the articulation of the inferior articular process of one vertebra with the superior articular process of the subjacent one. They allow the spine to move in flexion, extension, and rotation. Pain is often described as a “deep, dull ache” and may be either unilateral or bilateral. On physical examination, there may frequently be increased pain with extension, tenderness to palpation over the affected joints.
Sacroiliac Joint Pain
Like the facet joint, the SIJ is also a diarthrodial synovial joint with a capsule. Unlike the facet joint, which has a clearly defined innervation, the SIJ has a nerve supply that is not clearly defined and is probably complex.
In our office, the doctor provides a holistic approach to our patients by using Interventional pain management or special invasive techniques such as:
- facet joint injections,
- sacroiliac joint injections,
- trigger points,
- peripheral nerve blocks injections,
- intra-articular joint injections,
- Botox injections.
Dr. Stoly is well known for his ability to communicate with patients when it comes to discussing surgical options and treatment.