Meet Our Specialists
Our interventional spine and pain physician, Dr. Daryoush Payman, is a leading practitioner of state-of-the-art techniques specializing in the use of minimally-invasive techniques to treat spinal disorders.
Answers to FAQs
What is interventional pain management?
Interventional pain management is a specialized field that uses minimally invasive procedures to diagnose and treat chronic pain. It often involves injections, nerve blocks, and other techniques to alleviate pain and improve function.
What types of injections are available?
Common types of spine injections include:
- Epidural steroid injections for Lumbar (Sciatica), Cervical, and Thoracic Spine
- Facet joint injections
- Nerve root blocks
- Sacroiliac joint injections
- Radiofrequency ablation (Rhizotomy)
- Hip joint injections
- Shoulder joint injections
- Knee joint injections
- Trigger Point injections
- Spinal Cord Stimulator Trial
Who is a candidate for spine injections?
Candidates typically include individuals suffering from chronic pain conditions, such as herniated discs, spinal stenosis, or sciatica, who have not responded to conservative treatments like medication or physical therapy.
What can I expect during the procedure?
During the injection, you will be positioned comfortably, and the area will be sterilized. A local anesthetic is often used to numb the site. The needle is then carefully inserted using imaging guidance (like fluoroscopy) to ensure accurate placement of the medication.
Are spine injections painful?
Most patients experience minimal discomfort during the procedure, primarily from the needle insertion. The use of a local anesthetic helps reduce pain. Discuss with your health care provider if a pre-procedural oral sedative is an option.
How long does the procedure take?
The actual injection varies on the procedure. Discuss with your physician depending on the procedure you are having. However, you should allow additional time for preparation and recovery.
What types of medications are used in the injections?
Common medications include corticosteroids to reduce inflammation and pain, as well as local anesthetics to provide immediate relief.
What are the potential risks and side effects?
While generally safe, risks can include infection, bleeding, nerve damage, or allergic reactions. Common side effects may include temporary soreness at the injection site.
How long does it take to see results?
Steroid injections usually start to take effect within 36 hours. However, if you experience immediate relief, this is only due to the local anesthetic, and these results are transient. Steroids are what will take the greatest role in helping to reduce inflammation. The duration of relief can vary widely. You will be scheduled to have a follow-up appointment within 2 weeks to discuss the results of the procedure and further treatment if warranted.
Will I need more than one injection?
Depending on your condition and response to treatment, multiple injections may be necessary. Your doctor will provide a personalized treatment plan.
Can spine injections help with my condition?
Spine injections can be effective for many patients, but results vary. Your healthcare provider will discuss the potential benefits and limitations based on your specific diagnosis.
What should I do before the procedure?
Pre-procedure instructions may include avoiding blood thinners for certain procedures. Always notify your doctor if you are taking any prescribed blood thinners, and you will be notified if there needs to be a temporary cessation before your specific procedure. Be sure to follow your doctor’s specific instructions.
What should I do after the procedure?
After the injection, you may be advised to rest and avoid strenuous activities for a short period. Patients are encouraged to maintain their baseline level of activity for the two weeks following the procedure. If you begin to experience significant relief, do not increase your activity level prior to your baseline. This will allow steroids to take full effect and avoid and further stress or injury which could hinder the optimal results. Your doctor will provide post-procedure guidelines.
How often can I receive spine injections?
The frequency of injections varies based on individual circumstances, but they are typically spaced several weeks apart to allow for recovery and assessment of effectiveness.
How do I schedule an appointment for spine injections?
To schedule an appointment, contact your healthcare provider’s office or the interventional pain management clinic directly to discuss your symptoms and obtain a referral if necessary.
This FAQ list should help patients understand interventional pain management and spine injections more clearly. If there are additional specific questions or concerns, patients are encouraged to consult with their healthcare provider.
