All Treatments
Basivertebral Nerve Ablation (Intracept Procedure)
Basivertebral Nerve Ablation, also referred to as the Intracept Procedure, is a minimally invasive outpatient procedure used to help relieve or eliminate low back pain by using radiofrequency energy to target the basivertebral nerve.
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Botox Injections
Botulinum toxin type A, also referred to as “Botox”, is a toxin produced by a bacterium named clostridium botulinum. When this toxin is injected, it can be used therapeutically to help relieve muscle pain or migraine pain for a period of time.
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Bracing
Bracing is the practice of providing supportive equipment to help offload painful areas of the body or to provide assistance with movement of the affected area.
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Cervical Epidural Steroid Injection (CESI)
There are three types of epidural steroid injections: lumbar, cervical and transforaminal. These treatments involve an injection of corticosteroids (similar to cortisone) into the space just outside the covering (the dura) of the spinal cord in your lower back. Because the injection is outside (epi) the dura, it is called an epidural injection.
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Cervical Medial Branch/Facet Joint Injections
Facet joint injections or medial branch blocks are performed to diagnose pain being caused by the facet joints in your neck and will not relieve pain caused by intervertebral discs, spinal nerves, or muscles, which can continue to cause pain after the procedure.
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DRG Stimulation
Dorsal Root Ganglion (DRG) Stimulation (neuromodulation) is a treatment that controls pain by using electrical current to disrupt and reduce painful nerve signals.
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EMG/NCS
EMG (electromyography) and NCS (nerve conduction study) are two tests that can be used to diagnose muscle soreness and weakness. They help determine whether the underlying cause of the problem is muscle related or nerve related.
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Epidural Steroid Injections
There are three types of epidural steroid injections: lumbar, cervical and transforaminal. These treatments involve an injection of corticosteroids (similar to cortisone) into the space just outside the covering (the dura) of the spinal cord in your lower back. Because the injection is outside (epi) the dura, it is called an epidural injection.
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GT Bursa Injections
GT Bursa injections are used to treat trochanteric bursitis which is a common pain condition that frequently presents as pain in the lateral hip and may radiate down the leg (mimicking sciatica).
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Hypogastric Plexus Block
A hypogastric plexus block (also known as a superior hypogastric plexus block or sympathetic block) is a minimally invasive procedure used to manage chronic pelvic pain. The hypogastric plexus is a complex network of nerves located in the lower abdomen (hypogastric region) that plays a significant role in transmitting pain signals from organs in the pelvic area to the brain.
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Injections
Injections can be used to treat a series of conditions. Each injection provides different purposes and involves different risks, benefits, and side-effects.
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Kyphoplasty (Vertebroplasty)
Most compression fractures of the spine are attributed to osteoporosis. Kyphoplasty is a procedure that stabilizes the fracture, helps restore the height of the collapsed vertebral fracture and reduces the associated pain.
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Lumbar Epidural Steroid Injections (LESI)
A lumbar epidural steroid injection (LESI) is an injection of corticosteroids (similar to cortisone) into the space just outside the covering (the dura) of the spinal cord in your lower back. Because the injection is outside (epi) the dura, it is called an epidural injection.
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Lumbar Facet Joint Injections (Medial Branch Blocks)
These injections are performed as a diagnostic test when it is thought that a facet joint or joints is part of the process that is causing the pain. A small amount of a local anesthetic is injected into the joint or over the medial branch nerve to see if this will temporarily relieve your back pain.
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Lumbar Sympathetic Blocks
The lumbar sympathetic block is a therapeutic procedure utilized for pain conditions that are sympathetically mediated (i.e. Complex Regional Pain Syndrome, Phantom Limb Pain, or even Cancer Pain). Additionally, the sympathetic block may be for diagnostic or prognostic purposes as well.
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Medication Management
There are a wide variety of different medications that can help to control your pain. The doctors at Capitol Pain Institute work closely with you to choose the right medication.
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Minimally Invasive Lumbar Decompression (MILD)
The MILD procedure is an outpatient treatment that helps to relieve pressure and stenosis of the spine. Similar to a hose or a drinking straw with a “kink”, the spinal canal can become restricted and narrow, causing tension on the nerves living in that space. By restoring the integrity of the spine, the MILD procedure provides pain relief, increased mobility and improvements in a patient's overall daily life.
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NSAIDs
Non-steroidal anti-inflammatory drugs are remarkably effective in controlling chronic pain that is associated with inflammation – especially arthritic pain – as well as other non-inflammatory conditions such as fibromyalgia and headaches. NSAIDs are mostly available over-the-counter and are often the 1st line of therapy for patients.
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Peripheral Nerve Stimulation (PNS)
Peripheral nerve stimulation, also known as PNS, is an advanced pain management technique that targets the peripheral nerves responsible for transmitting pain signals to the brain. Unlike some conventional treatments, PNS offers a more targeted and personalized approach to pain relief, focusing on the specific areas causing distress.
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Platelet Rich Plasma
Platelet Rich Plasma is an advanced regenerative medicine therapy that utilizes the body’s own natural healing mechanisms to heal injured soft tissue, including tendons, muscles, and ligaments.
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Radiofrequency Ablation
Radiofrequency ablation (RFA) is a medical procedure that uses high-frequency electrical current to cauterize or ablate structures within the body.
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Restorative Neurostimulation
Restorative neurostimulation is designed to address the underlying cause of mechanical low back pain by helping patients restore neuromuscular control of the multifidus muscle.
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Sacroiliac Joint (SIJ) Fusion
The sacroiliac joint is the largest joint in the body. It serves to connect the spine/tailbone with the pelvis and lower extremities. Sacroiliac joint pain arises from a variety of reasons including osteoarthritis (degeneration), laxity of its ligaments, trauma, and injury.
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Sacroiliac Joint Injections
A sacroiliac joint injection is generally indicated for buttock pain, which may radiate to the thigh or lower leg.
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Spinal Cord Stimulation
Spinal Cord Stimulation (Neuromodulation) is a treatment that controls pain by using electrical current to treat a nerve – like a “digital drug.” With this treatment, small electrodes are placed under the skin and close to a nerve that carries pain signals. The electrical current then interferes with the pain signal reaching the brain, resulting in significant relief of pain and improvement in activity levels and quality of life.
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Stem Cell Therapy
Adult stem cells are derived from the patient’s bone marrow. Next, a unique solution containing platelet-rich plasma and the harvested stem cells is created and then injected into problematic regions such as degenerated joints, ligaments, herniated discs, muscles, etc. These stem cells circulate throughout the body and play an integral part in regenerating and thus healing organs and tissues at the cellular level.
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Transforaminal Injection
A transforaminal epidural steroid injection (TFESI) is an injection of corticosteroids (similar to cortisone) into the space just outside the covering (the dura) of the spinal cord in your lower back. Because the injection is outside (epi) the dura, it is called an epidural injection. A transforaminal epidural steroid injection may be performed at a single level or at multiple levels.
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Trigger Point Injections
A trigger point injection is generally indicated to treat painful areas of muscle or knots of muscle that can form in any muscle of the body. During this injection, medication is placed into the trigger point to help alleviate the localized pain, as well as the referred pain from this trigger point. The medication injected is generally a combination of steroids and anesthetics.
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Vertiflex
The Vertiflex Superion Procedure offers a minimally invasive surgical option for those with lumbar spinal stenosis. Unlike traditional open surgeries, the Vertiflex Superion Procedure involves only a small incision and can be performed on an outpatient basis. This means you can typically return home the same day and experience a shorter recovery time.
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