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Our Services and Treatments

At Gateway Spine & Pain Physicians, we believe in an interdisciplinary, team approach to treating pain. After a thorough evaluation, the patient and physician work together to develop a treatment plan. No two patients are exactly alike, and thus, each patient receives a personalized treatment plan depending on the probable diagnosis.  Diagnostic studies such as MRI, CT scan, X-rays, and EMG/NCV tests may be recommended. Treatments may include counseling, physical therapy, medications, and advanced interventional techniques. We consider the patient an active part of the treatment team.

The following is a list of commonly performed treatments.  For more information, please click on the text.  If you are interested in a procedure not listed, or if you have questions, call our office for more information.

Cervical / Thoracic / Lumbar

  • Coolief Cooled Radiofrequency (RF)
  • Interlaminar and tranforaminal epidural steroid injections
  • Intracept Procedure
  • Selective nerve root blocks
  • Interarticular facet joint injections / Medial branch nerve blocks
  • Facet joint radiofrequency medial branch nerve denervation
  • Caudal epidural steroid injections
  • Provocation discograms
  • Epidural blood patch
  • Pars defect injection
  • Tunneled epidural/intrathecal catheters for continuous infusions
  • MILD (Minimally Invasive Lumbar Decompression)
  • Kyphoplasty/Vertebroplasy
  • Vertiflex Interspinous Spacer Implantation

Musculoskeletal

  • Coolief Cooled Radiofrequency (RF)
  • Joint steroid injections (shoulder, elbow, hip, knee, etc)
  • Knee hyaluronic acid injection
  • Piriformis muscle injection
  • Sacroiliac joint injections and radiofrequency denervation
  • Bursa injections (Subtrochanteric, Scapulothoracic, Ischial, etc)
  • Trigger point injection
  • Epidural adhesiolysis
  • Shoulder, wrist, hip, knee arthrography

Nerve Blocks

  • Stellate ganglion nerve block
  • Celiac plexus nerve block
  • Lumbar sympathetic nerve block
  • Hypogastric plexus nerve block
  • Ganglion impar nerve block
  • Occipital nerve block
  • Trigeminal ganglion nerve block
  • Third occiptital nerve block
  • Suprascapular nerve block
  • Lateral femoral cutaneous nerve block
  • Ilioinguinal/Genitofemoral nerve block
  • Femoral nerve block
  • Brachial plexus block
  • Chemical neurolytic block
  • Intercostal nerve block

Neuromodulation

  • Spinal cord and peripheral nerve stimulator trials and surgical implantation
  • Intrathecal medication pump (Morphine, Hydromorphone, Baclofen) trials and surgical implantation
  • Dorsal Root Ganglion (DRG) Stimulation

Others

  • Pain medication optimization and management
  • Acupuncture
  • Psychological counseling
  • Pain coping support group