Treatment for Back Pain
Patients receive comprehensive assessments for chronic back pain to determine if they are candidates for surgery. We also consider the use of non-invasive, pain-reducing procedures such as physical therapy or exercises, medications, steroid injections, or nerve blocks.
Surgical procedures include:
• Placement of spinal-cord stimulators
• Implantation of pumps to deliver morphine directly into the spine
• Percutaneous rhizotomy
• Dorsal root entry zone lesions
• Percutaneous cordotomy for cancer pain
Spinal cord stimulation can relieve chronic pain in the back, arms, or legs. It works by electrically stimulating the spinal cord. Instead of pain, a patient feels a tingling or buzzing sensation. The ideal patient for the spinal cord stimulator is one who has one of the following conditions and who has not responded well to more conservative therapies:
• Postlaminectomy pain
• Epidural fibrosis
• Degenerative disc disease
• Failed back surgery syndrome
• Complex regional pain syndrome
Neuroradiologists may use interventional techniques, such as image-guided injections, to diagnose and treat pain caused by compression syndromes, such as thoracic outlet and piriformis syndrome (extraspinal sciatica), previous trauma, tumor, infection, or inflammation.