Physical Medicine specializes in the nonsurgical management of musculoskeletal pain, including neck and back pain. Our physiatrist, Dr. Cristian Jaliu, uses techniques that enable a patient to return to activity without surgery. Dr. Jaliu utilizes injection therapy procedures, and works closely with our physical therapist, Matt Kellar, to provide the best possible treatment plan to increase activity and restore function. The primary goal is to get the patient back to their everyday activities.
Injection Therapy is used to provide the patient with enough relief to bridge them from inactivity to physical therapy, and to treat acute pain flare ups when appropriate. Pain and functional issues can then be treated more effectively with coordinated exercises. Injection therapy is also done to identify specific pain generators, spinal and otherwise, to aid in obtaining an accurate diagnosis which is key in providing safe and effective care. Injection therapy involves the injection of anesthetic and anti-inflammatory steroid medications in order to diagnose and treat neck and back spinal nerve pain, neck and back joint pain, hip and pelvic joint pain, shoulder and knee pain, as well as muscle and ligamentous pain in various parts of the body.
Specific injections/procedures offered include, but are not limited to:
- Epidural steroid injections to the neck, mid back, low back to treat nerve irritation or nerve compression pain, such as caused by herniated discs and spinal stenosis.
- Facet joint injections done to the neck and low back to treat spinal pain stemming from degenerative joint disease and other arthritic conditions.
- Medial/doral ramus branch blocks to the neck and low back to diagnose joint pain that may be treated with a Radiofrequency ablation procedure (see below).
- Sacroiliac joint injections that treat Sacroiliac joint pain, which has been called “the secret cause of back pain”.
- Piriformis/sciatic nerve blocks used to diagnose and treat piriformis syndrome and sciatica caused from a non-spinal source, in the buttock region.
- Hip and Shoulder joint injections, sometimes needed to diagnose and treat hip and shoulder pain, that may mimic spinal pain, but is in fact pain caused by these joint systems.
- Myofascial trigger point injections used to diagnose and treat myofascial trigger points, which are “muscle knots” that cause pain along known referral patterns, and that are sometimes mistaken for spinal root nerve pain.
- Radiofrequency Ablation/Rhizotomy which uses heat to disable portions of the medial branch/dorsal ramus branch nerves. This can effectively treat neck and low back pain stemming from joint arthritis, and even deep muscular spasms for much longer durations than joint injections or blocks.