Neck and back pain are very common, and it leads to significant disability and cost. Low back pain is the leading cause of activity limitation and work absence, leading to a high economic burden on individuals, families, communities, industry, and governments.
Causes of back and neck pain are many, but the most common are muscular, arthritis (wear and tear) and degenerative disc disease. Treatment starts with physical therapy, heat, ice, and anti-inflammatories (such as NSAIDs, anti-inflammatory diet, arnica oil, massage, and acupuncture). At Interventional Spine of Vermont, Dr. Caballero-Manrique and Dr. Ivie offer multiple treatments for back and neck pain, including
- Trigger point injections
- Epidural steroid injections
- Radiofrequency ablation
- Facet injections
- Spinal cord stimulator implant
Epidural Steroid Injection for Neck and Back Pain
Epidural Steroid Injections have been clinically proven to relieve symptoms of neck & back pain in most people. The steroid is injected into space between vertebrae called the epidural space. Steroids relieve pain by decreasing inflammation and decreasing the production of neurotransmitters that carry pain signals to the brain. Many times, the cause of the pain (such as a disc protrusion) will improve over time and an epidural injection or two are sufficient to get you back to having a normal quality of life.
Other times, the condition that causes your sciatica does not change much over time. In this case, continuous exercise regimens, medications, and periodic injections are used to resolve or decrease your pain.
Epidural steroid injections are contraindicated in the setting of some bleeding problems, active infection, and current anticoagulation. Please let us know if you are taking anticoagulants currently or you have a bleeding disorder and we will discuss the best treatment option. Relief usually starts in 7-10 days after the injection and lasts an average of 4 months.
Radiofrequency Ablation For Neck and Back Pain
This injection results in heating the nerves that transmit pain. By doing this, the nerves stop functioning for 6 months to a year typically, resulting in significant pain relief during that time.
These injections are done after injecting an anesthetic medicine such as lidocaine to numb the nerves, so they are not painful.
Make an appointment today to discuss whether radiofrequency ablation can help with your pain.
Facet Joints Injection For Neck and Back Pain
In some patients, back pain is caused by inflammation or arthritis in the joints of the back (also called facets). Injection of an anti-inflammatory (i.e. a steroid) into the facet joints can lead to profound relief that lasts for several months.
Make an appointment today to discuss whether facet injections can help with your pain.
Spinal Cord Stimulation For Neck and Back Pain
Spinal cord stimulation is a medication-free treatment of painful conditions including neck & spine. The pain treatment is based on interruption of signals that transmit pain. Although the entirety of the science of why this treatment works is not understood, there are many studies proving that this treatment is helpful in relieving pain and improving the life of many, many patients.
Spinal cord stimulation involves insertion of a small device under your skin (usually the buttocks) which is connected to a thin wire that is placed along your spinal column. This is done in the operating room with anesthesia. Our board-certified physicians, Dr. Ivie and Dr. Caballero, can help you decide whether this is a good option for your and explain the process in detail. Spinal cord stimulation relieve pain that is persistent or recurring after back surgeries (some people call this condition post-laminectomy syndrome)
Trigger Point Injection for Neck and Back Pain
Sometimes constant or achy pain can be caused by muscle tension. The pain may be mild or severe, constant or worsened by certain postures or activities. Typically, this muscular pain can be treated with physical therapy, massage, acupuncture, topical creams, and gentle stretches.
A trigger point injection is an injection of anti-inflammatory (steroid) along with a local anesthetic in the area of maximum tenderness; it can be profoundly beneficial when used in conjunction with physical therapy to release tight muscles and relieve pain.
Make an appointment today to see if trigger point injections may be used to relieve your pain.
Botox Injection For Neck and Back Pain
Botox is no longer limited to cosmetic treatments only. Since the FDA’s approval in 1989 to treat chronic muscle contractions, Botox has been widely used to address severe neck and spine pain.
Botox Injections often used to block certain panic signals from nerves, which causes muscles to contract, resulting in chronic neck and spine pain. It is an easy procedure in which the physician will first mark the painful areas to inject the medicine.
Our physicians will use a thin needle to inject a small amount of botulinum toxin into your muscles (the nerves and triggers around the shoulders and neck). Multiple injections are needed to complete the procedure, depending on various factors, including symptoms and causes of the pain.
Besides neck and spine pain, Botox Injections can be used to treat following conditions that affect body functions.