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Our Services
Advanced Treatment
Discogram
A discogram is a diagnostic test performed to view and assess the internal structure of a disc and determine if it is a source of pain. A needle is inserted into the disc under fIuoroscopy (live x-ray). A saline solution and radiopaque dye are injected into the disc. A CT scan is usually performed on the painful disc after the dye is injected to obtain images of the dye distribution. This will reveal tears, scarring, disc bulges and changes in the nucleus of the disc. This procedure allows us to confirm a diagnosis and determine which disc or discs are the source of pain.
Radiofrequency Rhizotomy
Radiofrequency rhizotomy, is a therapeutic procedure designed to decrease or eliminate pain symptoms within spinal facets.
The procedure involves using a needle to carefully place a small electrode adjacent to the facet under x-ray guidance. An electric current is then used to cauterize the sensory nerves that innervate the facet joint(s). If successful, the pain relief following this procedure can last considerably longer than relief following local anesthetic and steroid blocks. This process can be used on any area of the spine--cervical, thoracic, or lumbar.
Before patients can be scheduled for a radiofrequency rhizotomy procedure, they generally must undergo a series of facet injections, medial branch blocks and/or discography tests to verify the exact source of their symptoms. These tests may require several visits.
Spinal Cord Stimulation
In spinal cord stimulation a small wire (called a lead) connected to a power source is surgically implanted under the skin. Low-level electrical signals are then transmitted through the lead to the spinal cord or to specific nerves to block pain signals from reaching the brain. Using a magnetic remote control, the patient can turn the current on and off, or adjust the intensity. The sensations derived from the stimulator are different for everyone; however, most patients describe it as a pleasant tingling feeling.
Before a spinal cord stimulation system is permanently implanted, a trial period is recommended. During this time, a temporary stimulator is surgically implanted to allow the patient to try the therapy for a short period of time. This trial period is important to determine if the therapy provides satisfactory pain relief and is a good way to find out if the patient is comfortable with the sensations of spinal stimulation.
Lysis of Adhesions (Epiduroscopy)
Epiduroscopy is a method of directly visualizing and treating the inside of the spinal column using direct vision. A small flexible fiberoptic catheter is inserted through a tiny incision and the areas of concern can be visualized on a video monitor. Adhesions, or scar tissue, that may be pulling on or irritating specific nerve roots can often be effectively treated using this device.
Inside
Energize Your Joints
Advanced and innovative injection therapy. For patients who suffer from daily knee aches and pains there is now an answer. Colorado Pain Specialists introduces "Joint Energy", an innovative injection therapy designed to dramatically improve knee health