973 232 5391

Medial Branch Nerve Blocks

Medial branch nerves are small nerves that feed out from the facet joints in the spine and carry pain signals from the facet joints to the brain. A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint.


A Discogram is an invasive diagnostic test that uses x-rays to examine the intervertebral discs of your spine. A special dye is injected into the injured disc or series of discs. The dye makes the disc visible on a fluoroscope monitor and x-ray film.

Cervical epidural

Cervical epidural steroid injection procedures are injections administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine. Conditions such as herniated discs, spinal stenosis or arthritis can compress and pinch nerves, causing inflammation and pain

Spinal Cord Stimulator Trial and Implantation

To make sure the patient will benefit from SCS, a temporary system is implanted and tried for a few days or a week. For the SCS trial, leads are placed beneath the skin and attached to a small generator the patient carries. The generator is similar to a pager or cell phone.

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Radiofrequency Neurolysis of Facet Joint Nerve

Radiofrequency is a means of interrupting pain signals. An electrical current produced by radio waves is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area supplied by that nerve. The nerve facet joint is the target for RFA. Clinical data shows that radiofrequency ablation can effectively provide lasting pain relief.

Epidural Steroid Injections All Levels

Steroid injections are potent anti-inflammatory agents injected directly into the epidural space located close to the affected nerve roots. The epidural space is the area surrounding the spinal cord and nerve roots. These injections are most effective in the presence of nerve root compression.

Caudal Epidural adhesiolysis

Caudal Epidural adhesiolysis is a catheterization procedure used to treat chronic back pain by eliminating from the epidural space fibrous tissue that can prevent direct application of drugs to nerves or other tissues. A 16-guage RK needle followed by the advancement of a Racz catheter enters the epidural space either caudally, using an interlaminar approach, or by a transforaminal approach. Under radiographic control utilizing nonionic contrast medium, local anesthetic and steroid are injected into the epidural space through the catheter. Lysis of adhesions is then carried out by slow and intermittent injections of hypertonic saline. Catheter manipulation and hypertonic saline both aid in adhesion disruption.

Botox for chronic migrains

Reduced symptoms are possible for those who suffer from chronic pain. NJ residents who want improved health and mobility should visit Advanced Pain Management

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Advanced Pain Management ,
55 Morris Ave, Suite 204
Springfield, NJ 07081

Phone : 973 232 5391