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Our philosophy is to develop an individualized, multimodal approach to treating pain. Different patients will respond to different treatment modalities and we'll help you discover which is best for you. The diagram below illustrates that many patients will need overlapping treatments to control their pain. When conservative treatments fail or cannot be tolerated due to the pain, interventions can be tried. A partial list of interventional procedures offered at Northwest Pain Specialists is below.

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Multimodal Treatment Approach

Spinal Cord Stimulator

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A spinal cord stimulator (SCS) may be an option for patients suffering from chronic neck and back pain who have exhausted other conservative therapies and who are not surgical candidates.

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The purpose of a spinal cord stimulator is to provide enough low-voltage electrical stimulation to the spinal cord to mask painful signals being sent to the brain. Following a seven-day trial period, a small permanent device is implanted in the body. 

Back Pain

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  • Lumbar epidural steroid injection

  • Median branch radiofrequency ablation (RFA)

  • Facet joint injection

  • Sacroiliac joint injection

  • Sacroiliac joint RFA

  • Piriformis injection

  • Ganglion impar block

  • Coccyx injection

  • Trigger point Injections

  • Epidural blood patch

  • Spinal cord stimulator trial and implant

 

Neck Pain

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  • Cervical epidural steroid injection

  • Cervical median branch RFA

  • Trigger point Injections

  • Cervical plexus block with ultrasound

  • Cervical Spinal Cord Stimulator

  • Cervical Peripheral nerve stimulator

 

Headache

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  • Greater occipital nerve block ultrasound

  • Greater occipital nerve RFA

  • Lesser occipital nerve block and RFA

  • Supraorbital nerve block

  • Supraorbital nerve RFA

  • Temporalis muscle injection

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​​​CRPS (RSD)

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  • Upper extremity - Stellate Ganglion block

  • Lower extremity - Lumbar sympathetic block

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Visceral or Cancer Pain

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  • Celiac Plexus Block or Neurolysis for pancreatic pain

  • Hypogstric Plexus Block or Neurolysis for lower abdominal pain

  • Ganglion Impar Block or Neurolysis for rectal pain

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Rib/Thoracic Pain

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  • Costochondral Cartilage Injection

  • Thoracic Epidural Injection

  • Intercostal nerve block

  • Intercostal nerve RFA

  • Thoracic median branch RFA

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Regenerative Medicine

  • Platelet Rich Plasma

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