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TREATMENTS

In addition to traditional approaches, Pain Institute of Long Island specialists offer a wide range of advanced treatment protocols that are evidence-based and have proven successful. We’re confident that we can create a customized treatment regimen for your unique needs.

COOLIEF*

CORNERLOC

CYROABLATION

DRG STIMULATION

NEVRO HF10

INTRACEPT

KYPHOPLASTY

MEDTRONIC EVOLVE

MILD PROCEDURE

MLS® LASER THERAPY

SPRINT PNS SYSTEM

VERTIFLEX

ADDITIONAL TREATMENTS

BIACUPLASTY

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This innovative treatment uses water-cooled radiofrequency ablation to treat the disc-related and discogenic discomfort commonly associated with a bulging or herniated disc in the mid-back area. Biacuplasty is a good alternative to spinal fusion surgery in many cases. The gentle energy burst not only eases the discomfort, but also assists in healing the damaged collagen. Most patients begin feeling relief just a few days after the procedure.

CELIAC PLEXUS BLOCK

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These injections into the celiac plexus – a nerve group surrounding the aorta – relieve abdominal pain due to pancreatitis, cancer, and other conditions. The injection is made right onto the nerve block that inhibits pain transmissions to the brain, providing relief. This procedure usually takes less than thirty minutes and typically does not require general anesthetic. After a brief series of injections, many patients experience little to no abdominal pain for several years after.

CERVICAL EPIDURAL INJECTIONS

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A pinched or inflamed nerve in the cervical spine – usually caused by stenosis, arthritis, or some other condition – can trigger intense pain in the neck, arms, and shoulders. Our pain relief specialists use cervical epidural injections to decrease pain and reduce the inflammation and swelling that causes the pain.

CERVICAL MEDIAL BRANCH BLOCKS

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This diagnostic procedure pinpoints the source of pain and helps provide patients with optimal relief. Our specialists focus on the small fact joints in various parts of the spine. These joints easily injured due to whiplash, sports injuries, and other mild to moderate trauma. A branch block is used to identify the precise nerve that’s been damaged, resulting in pain. This minimally-invasive procedure only requires a local anesthetic.

GANGLION BLOCK

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Our pain relief specialists will inject a small dose of a mild analgesic directly onto the neck’s stellate ganglion (cervicothoracic ganglion), providing patients who have endured chronic pain in their hands, shoulders, or arms with long-lasting relief.

GENICULAR NERVE ABLATION

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Genicular Neurotomy is an option for those who either want to avoid knee surgery, or those who are not pleased with results from previous procedures. This nonsurgical procedure involves no steroids or other medicine. Instead, the doctor uses a series of radio waves to relieve pain due to conditions like chronic knee osteoarthritis.

INTERCOSTAL NERVE BLOCK

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The intercostal nerves send pain signals from the abdomen and upper chest to the brain. After the pain signals are blocked and the inflammation in the area is reduced, severe discomfort begins to dissipate almost immediately. This procedure is ideal for postsurgical patients and those struggling with cancer pain, fractured ribs, or neuropathic pain.

INTRATHECAL PUMP

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Our pain specialists can use a pump to deliver medication to directly to the intrathecal space, which surround the spinal cord. This procedure is used as an alternative to oral medication and can achieve the same or better results with a much lower dosage. Patients experience far fewer medication side effects with this procedure.

The outpatient procedure is completely reversible and gives the patient control over meidcation levels through the use of a specialized programmer.

JOINT INJECTIONS

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Joint injections often have tremendous diagnostic, therapeutic, and analytical value. With joint injections, our board-certified specialists can inject a fluid or dye to assess the damage to joints or nerves, send corticosteroids to the affected area to reduce inflammation, or even inject another specialized fluid to determine the extent of nerve healing and other variables.

LUMBAR EPIDURAL INJECTIONS

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Patients who are suffering from disc herniation, stenosis or spondylolysis and therefore have arm, neck, leg, or back pain are good candidates for this minimally-invasive procedure. Each lumbar epidural injection (LEI) usually contains both a numbing agent that acts as an anesthetic and a corticosteroid to reduce inflammation. Even though these injections do not shrink the herniated disc, many patients experience long-term pain relief without the need for surgery or opioid medications, because the injected fluid washes away the proteins which trigger inflammation. 

LUMBAR SYMPATHETIC BLOCK

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Lumbar Sympathetic Block (LSB), a nonsurgical therapy, is used to treat chronic pain in the legs, buttocks, or legs. With this innovative therapy, a tiny amount of anesthetic is applied directly to the lumbar spine to impede pain signals.

LSB is particularly effective when treating complex regional pain syndrome, neuropathic pain, and cancer pain.

OCCIPITAL NERVE BLOCK

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Chronic and severe headaches that appear in the same location may be an indicative sign of damage to the occipital nerve, located in the back of the head underneath the scalp. This minimally-invasive procedure inhibits transmissions from the occipital nerves, significantly decreasing symptoms that come with severe headaches.

PLATELET-RICH PLASMA (PRP) INJECTIONS

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Using your body’s natural healing process, PRP (platelet rich plasma) therapy is a concentration of your own plasma that is injected into the damaged ligaments, tendons, and joints to promote tissue repair and accelerate healing. PRP therapy is used in the treatment of spinal conditions, arthritis, and orthopaedic ligament/tendon sprains and tears, and myofascial pain.

RADIOFREQUENCY ABLATION

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This non-surgical treatment is ideal for patients with arthtirtic spines and nerve-related leg or back pain. Rhizotomy uses just the right amount of heat to ablate inflamed nerve endings to stop pain transmisison signals. Our pain specialists use a fluoroscope to place tiny electrodes in the proper location, gently applying soothing energy directly. 

SACROILIAC INJECTION

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Sacroiliac Injections are used to diagnose and treat sciatica. In particularly complex cases, the doctor may use two separate injections. To diagnose, our specialists use lidocaine or another local anesthetic along with a specialized dye. To treat sciatica, our specialists use a corticosteroid to reduce inflammation and pain. If necessary, this procedure can be repeated up to three or four times a year. The pain relief from each injection generally lasts between three and twelve months.

TRIGGER POINT INJECTIONS

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Trigger Point Injections are a simple, nonsurgical procedure that provides relief to affected joints and other pain centers. Small and tender knots often develop in the muscles or surrounding tissue for a variety of reasons, including mild trauma. Trigger Point Injections will help to relax the muscle affected.

VISCOSUPPLEMENTATION

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Hyaluronan injections are used to treat knee pain caused by osteoarthritis. Most healthy joints in the body contain hyaluronic acid, but osteoarthritic joints lack this fluid.Viscosupplementation increases range of motion, reduces pain, and slows down the progress of osteoarthritis. For most patients, one injection provides at least three months of pain relief.