Spine Procedures

Please scroll through this page to view the various spine treatment options available at Spine & Sports Medical Group. 


Botox Injections 

Botox is a neurotoxin that in small controlled doses can act as a muscle-relaxing agent. In spine care, Botox is used to treat muscle spasms and can be very effective for some patients. 


A discogram, aka dikogram, is an enhanced X-ray exam in which a dye is injected into injured or painful intervertebral discs. The dye makes the discs become clearly visible on the CT scan. The injection also increases the pressure in the discs and helps determine which disc(s) are causing pain and which have structural damage. 


EMG stands for Electromyography and NCS stands for Nerve Conduction Study. These two tests examine the integrity and function of your nerves to make sure there is no injury to the nerves from a compression in the arms or legs (carpal tunnel, cubital tunnel, pronator teres syndrom, tarsal tunnel, nerve laceration). These tests are also very useful to determine whether you may have a nerve injury from nerve compression in your neck or back from a slipped disc or from a bony overgrowth.

For detailed information about this procedure please visit: AAOS Online Services Fact Sheet - Elecrodiagnostic Testing

Epidural Injection

An epidural injection places anti-inflammatory medicine into the epidural space to decrease inflammation of the nerve roots, hopefully reducing back pain or leg pain. The epidural injection may help the injury to heal by reducing inflammation. It may provide permanent relief or provide a period of pain relief for several months while the injury/cause of pain is healing. 

For detailed information about this treatment please visit: AAOS Online Services Fact Sheet - Spinal Injections

Facet Injection

Facet joints are small stabilizing joints located between and behind adjacent vertebrae. A facet injection delivers a combination of long-lasting corticosteroid and anesthetic to the facet joints. It can relieve neck or back pain caused by inflamed facet joints. The exact causes of facet joint pain are not clear, but facet joints can become inflamed due to spinal stenosis, spondylolysis, sciatica, herniated disc, and post operative pain. 

The relief from a facet injection is usually temporary: the goal is to allow you to resume normal activities. 

For detailed information about this treatment please visit: AAOS Online Services Fact Sheet - Spinal Injections

Facet Rhizotomy (Radiofrequency Neurotomy)

Facet Rhizotomy, or Radiofrequency Neurotomy, is a type of injection procedure in which a small electric current is used to cut the nerves serving the painful facet joints. The idea is to disrupt the signal to the brain, thereby reducing or eliminating pain. It is a short and minimally invasive procedure, requiring only local anesthetics. 

For detailed information about this treatment please visit : Mayo Clinic Health Information- Radiofrequency Neurotomy


A minimally invasive procedure in which a catheter is inserted (under a flouroscope) into the epidural space and small amounts of disc material are evaporated in order to decompress the disc. Nucleoplasty is most useful in patients with nerve root irritation due to small disc bulges or contained ruptures.

Sacroiliac Injection & Piriformis Injection

The sacroiliac or SI joint is the large joint between the sacrum at the base of the spine and the ilium of the pelvis. There are two (right and left) and when one becomes painful, it can cause pain in its immediate region or it can refer pain into your groin, abdomen, hip, buttock or leg. 

A sacroiliac joint injection may reduce inflammation (if present) and provide long term relief. It can also help determine the source of pain, that is, if the pain is reduced or goes away after after injection, it's a good indication the SI joint was the source of pain.

Likewise, piriformis muscle injections are both diagnostic and therapeutic. The piriformis muscle begins in the pelvis and connects to the sacrum. Because it sits on top of the sciatic nerve, pain in the piriformis muscle can cause symptoms of sciatica. Piriformis injections can help pinpoint the source of pain and can relieve back pain if the piriformis is indeed the culprit.

Shockwave Orthotripsy

SWT, also known as Extracorporeal Shockwave Treatment (ESWT), is a non-invasive (no incisions) treatment that involves the delivery of acoustical energy, or sound waves, to affected areas of the body to trigger the body’s own natural repair mechanisms and stimulate healing.

Spinal Cord Stimulator

A spinal cord stimulator (SCS), aka dorsal column stimulator, is an implantable medical device used to treat chronic neurological pain. The device generates an electric impulse, producing a tingling sensation that alters the perception of pain. The device is implanted into the epidural space.

Studies have shown SCS can help relieve some chronic pain disorders including failed back syndrome and peripheral neuropathy. 

Trigger Point Injection

A trigger point is a painful knot or tight band of muscle that forms when muscle fails to relax. The knot can often be felt under the skin and may twitch involuntarily when touched. A trigger point can irritate surrounding nerves as well as cause referred pain (pain felt in another part of the body).

In a trigger point injection (TPI), an anesthetic such as lidocaine is injected into the affected area to render the trigger point inactive and relieve pain. TPI can be used to treat fibromyalgia and to alleviate myofascial pain syndrome (chronic pain involving tissue that surrounds muscle).