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Interventional Pain Procedures

Pain Specialists of Nevada strives to provide long lasting relief of your chronic pain condition by performing interventional pain procedures when other treatments fail. Below is a list of interventional procedures performed by our physicians and their in-depth descriptions. 

Epidural Steroid

Injections

Steroids are potent anti-inflammatory medications. The goal of an epidural steroid injection is to place this medication near the area of injury or pathology within the spine.

Sacroiliac Joint

Injections

The sacroiliac joints, or SI joints, exist on both sides of the lower back, joining the spine to the pelvis. These joints are susceptible to injury, either by chronic stress or acute injury.

Facet Joint Procedures

The zygapophysial joints, also called the facet joints, are common sources of pain, either from degenerative arthritic conditions or from acute injury. 

Spinal Cord

Stimulation

In this procedure, one or two wires (leads) are placed into the epidural space to provide electrical stimulation of the spinal cord, acting to interfere with the transmission of pain. 

Trigger Point

Injections

Occasionally, a specific muscle may generate pain due to sustained contraction and subsequent localized ischemia. While this type of pain is usually secondary to another problem, it can occur primarily.

Sympathetic Nerve Interventions

The sympathetic nervous system may be involved in specific pain syndromes. These include complex regional pain syndrome, atypical facial pain, and microvascular ischemia.

Visceral Pain Procedures

Abdominal and pelvic pain is mediated by nerves that coalesce with specific ganglia near the lumbar spine. The well-defined location of these ganglia allow for interventions designed to alleviate chronic abdominal or pelvic pain.

Peripheral Joint Injections

As a pain-alleviating treatment to delay eventual surgery or to augment physical therapy, injections of local anesthetic and steroid may be performed into or around specific joints. 

What Our Patients Say

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Tim E.

"Dr. Helmi is the finest pain management doctor that I have worked with while dealing with chronic pain in my back. He and his staff are attentive to my needs, and I believe Dr. Helmi is always looking for better techniques and better practices for treating his patients. I think that Dr. Helmi and his staff really work hard at being the best."
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