The team at CHOICE Pain & Rehabilitiation prescribes a very wide range of medications to manage and control pain. Most medications are taken by mouth, but some are given as patches on the skin, and some are given by other routes.


Pain Injection treatments offered at CHOICE:

Adhesiolysis - Surgery performed to remove or divide adhesions so that normal anatomy and organ function can be restored and painful symptoms can be relieved.

Epidural Blood Patch - An injection of your blood into the epidural space (near the spinal column)

Botox Injections - Botox injections are a group of medications that use various forms of botulinum toxin to temporarily paralyze muscle activity. Botulinum toxin injections block certain chemical signals from nerves, mostly signals that cause muscles to contract.

Celiac Plexus Block - An injection of pain medication that helps relieve abdominal pain. The celiac plexus is a bundle of nerves that surrounds the aorta, the main artery into your abdomen.

Epidural Nerve Block (cervical, thoracic, lumbar, caudal) - Corticosteroid injections are used to decrease pain and inflammation caused by a herniated disc or other back problems. Epidural nerve block treatments safely offer substantial pain relief without surgery.

Facet Block - An injection of local anesthetic into a painful facet joint in the spine. A facet block is usually a mixture of anesthetic (lidocaine) and an anti-inflammatory medication (cortisone) injected into the joint.

Hypogastric Plexus Nerve Block - An injection of local anesthetic around a set of particular nerves in the back used for pain in the abdomen or pelvis. Hypogastric plexus blocks are used to treat pain caused by overactive nerves called sympathetic nerves.

Ilioinguinal Nerve Block - The ilioinguinal nerve provides sensation to the upper portion of the skin of the inner thigh and pelvis. Ilioinguinal nerve block with local anesthetic and steroids is useful for both evaluating and managing groin pain.

Intercostal Nerve Block - An injection of medication that helps relieve pain in the chest area caused by an infection or a surgical incision. Intercostal nerves are located under each rib.

Joint Injection - A local anesthetic injected into a joint for immediate pain relief, which can anesthetize the joint and block the pain.

Lumbar Sympathetic Block - An injection of local anesthetic into or around the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back.

Medial Branch Nerve Block - An injection of a strong local anesthetic on the medial branch nerves that supply the facet joints. The facet joints are part of the bony framework of the spine and due to a variety of acute and chronic conditions, the facet joints can become inflamed and painful.

Occipital Nerve Block - An injection of a steroid or other medication around the occipital nerves, which are located on the back of the head just above the neck area. The steroid reduces the inflammation and swelling of tissue around the occipital nerves, reducing pain and other symptoms caused by inflammation or irritation of the nerves and surrounding structures.

Paravertebral Nerve Block - An injection of local anaesthetic into a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is used for not only intra-operative and post-operative analgesia but also as a sole anaesthetic technique for carrying out various procedures.

Peripheral Nerve Block - An injection of a local anesthetic with a steroid into the proximity of the injured nerve to decrease the conduction of pain signals along the nerve. Peripheral nerve blocks are generally done to control pain arising from a nerve, also known as a neuralgia. Nerve injury can be caused by trauma, compression, ischemia, or toxic exposure to a nerve.

Radiofrequency Neurolysis (including pulsed RF) - A technique that uses high frequency radio waves to produce a heat lesion. The lesion created can safely inactivate a nerve that is responsible for transmitting pain. This technique is most commonly applied to treat spinal pain caused by facet joint disease.

Spenopalatine Ganglion Nerve Block - The Sphenopalatine Ganglion (SPG) is a group of nerve cells located behind the nose that is linked to the trigeminal nerve, the main nerve involved in headache. If local anesthetics (or numbing medications) are applied to block or partially block the SPG, this can be helpful in reducing head and facial pain.

SI Joint Injection - An injection designed to diagnose and treat pain and inflammation from sacroiliac joint dysfunction. Either too much or too little movement in one of the sacroiliac joints can cause lower back pain or leg pain.

Spinal Cord Stimulation - Spinal cord stimulation is a therapy that masks pain signals before they reach the brain. A small device is implanted in the body to deliver electrical pulses to the spinal cord. It helps patients better manage their chronic pain symptoms.

Stellate Ganglion Nerve Block - An injection of local anesthetic around a set of particular nerves in the neck typically used to alleviate pain in the arms or shoulders. Stellate ganglion blocks are used to treat pain caused by overactive nerves called sympathetic nerves.

Suprascapular Nerve Block - An injection of local anaesthetic for relief of acute shoulder pain. The suprascapular nerve provides sensory innervation to the shoulder joint. It is also useful for the diagnosis and treatment of chronic shoulder pain.

Sympathetic Nerve Block - An injection of numbing medicine around the sympathetic nerves in the low back or neck causing the sympathetic nervous system in that area to temporarily switch off in hopes of reducing or eliminating pain. The sympathetic nerves run on the front surface of the spinal column and not in the spinal canal with the nerves that provide sensation and strength to your legs.

Trigeminal Nerve Block - An injection of medication that helps relieve facial pain. Trigeminal nerves are responsible for sensations in your face and for helping you bite, chew and swallow. Blocking these nerves can help you stop feeling facial pain.

Trigger Point Injections - Trigger point injection (TPI) is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Trigger points may irritate the nerves around them and cause pain. An injection of medication can make the trigger point inactive and the pain is alleviated.

Contact us to learn more about pain management options offered by Dr Shockley at CHOICE Pain and Rehabilitation Center in Hyattsville, MD.


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