Once the source of your pain is identified, our specialists will work with you to choose the treatment that will provide you the best balance of immediate and lasting relief with minimal side effects. At The Offices of Roland Reinhart, M.D., we consider the whole person before deciding on the best course of action. What kind of lifestyle would you lead if you were not hindered by pain? What are your particular sensitivities? What other medical conditions do you have, and are you undergoing treatment for those? After learning more about you, some of the options we offer our patients include:
Trigger Point Injections: Decreases or eliminates muscle spasm. A long-acting steroid is injected, along with a local anesthetic, into the affected muscle group. The steroid helps to provide long-term reduction of inflammation and pain.
Joint Injections: Decreases pain and inflammation that occurs in joints such as hips, knees, and shoulders. A local anesthetic numbs the area while the long-acting steroid reduces inflammation.
Epidural Steroid Injections: Epidural injections go into the space surrounding the spine. There are four types of epidural steroid injections, defined by the location on the spine: lumbar, thoracic, cervical and caudal. Epidural injections can be used to treat a variety of pain conditions, since they work to reduce inflammation. This relieves conditions like pinched or irritated nerves and bulging disks.
IDET (Intradiscal Electrothermal Annuloplasty) Knifeless Spine Surgery: Knifeless spine surgery has been used extensively for nearly 20 years to treat chronic back pain that is a result of degenerative disk disease or certain types of herniated (bulging) disks. This is done by inserting a small catheter into the affected disks and applying heat. This procedure is done on an outpatient basis and allows multiple locations on the spine to be treated in a single visit.
Cold Laser Therapy: This procedure uses specific wavelengths of light to reduce pain, swelling, and spasms in the affected area. A small, hand-held device rests on the skin for a few minutes as the laser light penetrates to the source of pain. The laser light stimulates the body’s healing ability and reduces pain.
Programmable Infusion Pump: This tiny device is implanted under a patient’s skin and can be programmed to deliver precise doses of medication on a prescribed schedule, to ensure the patient gets continual pain relief with the lowest dosage of medicine possible. The infusion pump can be programmed to deliver a medication directly into the spinal space nearest the source of pain that will relax muscles and prevent spasms.
Nerve Blocks: By injecting medication in a specific place, a group of nerves that are causing pain can be temporarily or permanently numbed. In some cases, a nerve block can provide relief while an injury heals; in other cases, it can be used to stop pain without surgery. Nerve blocks can also be used as a trial, to learn whether a permanent solution like surgery would be effective in treating a specific pain condition.