Spinal Procedures

What do these entail? How do these procedures work to relieve pain and improve function?

Spinal procedures are minimally invasive treatments designed to target the source of back or neck pain with precision. Using advanced imaging guidance, our physicians can deliver medications or perform targeted interventions directly at the site of pain or nerve irritation. Common procedures include epidural steroid injections, facet joint injections, medial branch blocks, radiofrequency ablation, and sacroiliac joint injections.

These procedures work by reducing inflammation, calming irritated nerves, or interrupting pain signals. The goal is not only to relieve pain but also to restore function, helping patients return to daily activities, physical therapy, or exercise programs with less discomfort. Because these procedures are performed on an outpatient basis, most patients are able to go home the same day.

Overview Area

Am I a candidate for this procedure? (What are the general indications?)

You may be a candidate for spinal procedures if you have ongoing back, neck, or radiating arm or leg pain that has not improved with conservative measures such as rest, medications, or physical therapy. Conditions that often respond well include herniated discs, spinal stenosis, arthritis of the spine, sciatica, or facet joint pain.

Candidates are typically those seeking to avoid or delay surgery, or those who need relief to participate more effectively in rehabilitation and strengthening programs. A consultation with our specialists, including a review of your imaging, medical history, and symptoms, will determine which procedure, if any, is best suited to your needs.

What should I expect before, during, and after the procedure? (Preparation, the procedure itself, recovery time, potential side effects)

Before: Your physician will review your medical history and imaging studies and explain the procedure in detail. You may be asked to adjust certain medications (such as blood thinners) before your procedure. You’ll also receive instructions about eating, drinking, and arranging for someone to drive you home.

During: Most spinal procedures are performed under local anesthesia with or without light sedation. Using fluoroscopy (live X-ray) or ultrasound guidance, the physician places a small needle precisely at the target area and delivers medication or performs the treatment. The procedure typically lasts 15–45 minutes.

After: You may experience temporary soreness at the injection site, but most patients resume light activity the same day or the following day. Pain relief may occur quickly or develop over several days to weeks, depending on the procedure. Your doctor will provide specific recovery guidance and may recommend follow-up treatments or physical therapy to maximize results.

Potential side effects: Most side effects are mild and short-lived, such as soreness, bruising, or temporary numbness. Rare risks, such as infection, bleeding, or nerve irritation, will be reviewed with you in advance so you feel informed and confident about your care.

Second Detail Section:

What are the potential benefits and risks of each procedure?

How long does the relief typically last?

What is the recovery process like?

Will I need multiple treatments?

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