back pain relief
Sympathetic nerves run on the front surface of the spinal column and not inside the spinal canal, like the nerves that provide sensation and strength to the legs. These nerves are part of the autonomic nervous system, which controls functions such as blood flow and temperature regulation to the arms and legs, sweating, heart rate, digestion, and blood pressure, among others.
A sympathetic nerve block involves using fluoroscopic guidance (x-ray) to inject numbing medicine around the sympathetic nerves in the low back or neck to temporarily ‘switch the nerves off’ in hopes of reducing or eliminating pain. If pain is substantially improved after the block, then a diagnosis of sympathetically mediated pain is established.
The therapeutic effects of the anesthetic may occur for a more extended period than would be normally expected. The goal is to reset the sympathetic tone to a healthy state of regulation. If the initial block is successful, then additional blocks may be performed if the pain continues to decrease sequentially.
Sympathetic nerve blocks are helpful in treating back pain, complex regional pain syndrome (CRPS), neuropathy, peripheral vascular disease, and neurological symptoms due to trauma.
Joint injections can pinpoint and alleviate pain caused by irritation or injury to the affected joint(s). Under ultrasound or using fluoroscopic guidance (x-ray imaging), a pain specialist injects a local anesthetic into the affected joint. If this anesthetic relieves the patient’s pain, the diagnosis is confirmed. A corticosteroid medication, a robust and long-acting medicine reduces inflammation and provides pain relief over an extended period, is also injected.
How It Helps. Joint injections are helpful in treating pain and inflammation in the shoulders, elbows, wrists, hips, knees, ankles, hands, and feet.
Our physicians participate with many health insurance plans. Covered procedures will vary with each insurance company. Our staff will check your individual insurance plan at the time of appointment scheduling to make certain we participate in it.
Please note that physician participation status may not reflect the participation of the facilities. Provider participation with insurance does not guarantee coverage.
Bogdan Pain Management consists of board-certified physicians. Led by Dr. Sergey Bogdan, him and his colleagues specialize in interventional pain management and use same-day procedures to treat chronic pain conditions.
We are proud to say that we have accreditation with the American Association for Accreditation of Ambulatory Surgery Facilities. This is an honor bestowed upon only those facilities that pass through the rigorous process of proving compliance in accordance with the state, HIPAA and OSHA regulations, and is generally only awarded to large facilities and hospitals.
Our staff consists of highly trained and experienced employees that offer a professional but friendly atmosphere. They include knowledgeable managers who can answer insurance and billing questions, front desk receptionists, certified Medical Assistants, Registered X-Ray Technicians, and Registered Nurses, all with years of experience in this specialized field. These professionals all excel in providing the exceptional care our patients have come to expect.