Interventional Pain Treatments

Neurological Associates of West Los Angeles

Neurology Specialists located in Santa Monica, CA

When your pain persists despite conventional medical therapies, it’s time to consider interventional pain treatment. Interventional therapies performed by Edward J. O’Connor, MD, FAAN, and Russ Shimizu, MD, at Neurological Associates of West Los Angeles are unique and highly effective because they target the nerves sending pain signals to your brain. To learn whether you’re a good candidate for interventional pain treatment, call the office in Santa Monica, California, or book an appointment online today.

Interventional Pain Treatments Q & A

How does interventional pain treatment work?

No matter where pain originates in your body, nerves carry the message through the spinal cord to your brain. Interventional pain treatments target the nerves at the spinal cord and stop pain messages from reaching your brain. When your brain doesn’t get the message, you don’t feel the pain.

What types of injections are used in interventional pain treatment?

Injections containing steroids, anesthetics, or both are frequently used in interventional pain treatments. The doctors at Neurological Associates of West Los Angeles are experts in administering many types of therapeutic injections, such as:

Sympathetic nerve block

The doctors at Neurological Associates of West Los Angeles perform a sympathetic nerve block by targeting the nerve responsible for your pain, then injecting a steroid to relieve inflammation and an anesthetic to block the nerve signals. Sympathetic nerve blocks can relieve pain caused by conditions such as:

  • Complex regional pain syndrome (CRPS)
  • Pelvic pain
  • Phantom limb pain
  • Acute pancreatitis
  • Pancreatic cancer
  • Postherpetic neuralgia

A sympathetic nerve block can also help alleviate excessive sweating.

Selective nerve root block

A selective nerve root block is performed in the same way as a sympathetic nerve block, but the injection specifically targets an irritated or inflamed nerve root. Selective nerve root blocks are often used to relieve lower back and leg pain due to:

  • Sciatica
  • Herniated discs
  • Spinal stenosis
  • Cervical and lumbar radiculopathy
  • Failed back surgery syndrome

Selective nerve root blocks can deliver rapid pain relief from chronic back pain.

Chemodenervation with Xeomin®

Xeomin is a medical grade form of the botulinum toxin. When a small amount is injected into muscles, it blocks nerve signals that trigger muscle contraction. As Xeomin temporarily relaxes or paralyzes the muscle, it helps relieve chronic pain.

Chemodenervation is used to treat:

  • Spasticity
  • Cervical dystonia
  • Severe headaches and migraines
  • Myofascial pain
  • Sciatica
  • Pudendal neuralgia
  • Trigeminal neuralgia
  • Thoracic outlet syndrome

All injections are image-guided, which means that your doctor uses a real-time X-ray (fluoroscopy) to see the nerves and place the needle in a precise location.

What procedures are used in interventional pain treatments?

The doctors at Neurological Associates of West Los Angeles have extensive experience performing interventional procedures. They may recommend thermal or cooled radiofrequency ablation to destroy a small area of a nerve, effectively stopping pain signals.

They also offer minimally invasive procedures such as kyphoplasty and vertebroplasty. These procedures stabilize spinal fractures caused by osteoporosis and relieve the associated pain by injecting a cement-like substance into the compressed vertebra.

If you’re ready to get relief from your pain, call Neurological Associates of West Los Angeles or book an appointment online today.