Understanding Shoulder Impingement Syndrome: Causes, Symptoms, and Recovery Shoulder Impingement Syndrome is a common cause of shoulder pain that occurs when the soft tissues in the shoulder joint are "pinched" during movement. When you lift your arm, the space between the acromion (the top edge of the shoulder [...]

Understanding Rotator Cuff Injuries: Causes, Symptoms, and Recovery The rotator cuff is a vital group of muscles and tendons that stabilize the shoulder joint, keeping the humerus (upper arm bone) securely in the shoulder socket. When these tissues are damaged through trauma, repetitive use, or aging, it can [...]

Osteoarthritis of the Shoulder - OverviewOsteoarthritis, also called degenerative arthritis, is a gradual breakdown of cartilage in the joints.Cartilage is a tough, flexible connective tissue that protects the ends of bones in the joints.Osteoarthritis of the shoulder can severely impact a person's lifestyle.Causes and Risk FactorsOsteoarthritis commonly develops as [...]

Biceps Tendonitis - Overview This is a problem with a tendon in your shoulder. Most often, it's the "long head of biceps" tendon. It travels from the front of your upper arm to the top of your shoulder socket. With this condition, the tendon becomes painfully inflamed or irritated. [...]

Subacromial Injection - Overview This injection goes into your shoulder. It can help reduce your shoulder pain. We use it to treat many conditions. It's used for adhesive capsulitis, rotator cuff tendinosis and impingement syndrome. Injection To start, you sit and expose your shoulder. Your skin is cleaned [...]

Joint Injection (Therapeutic, Shoulder) - OverviewThis outpatient injection procedure relieves pain in the shoulder and arm caused by arthritis, injury or disorder.PreparationIn preparation for the procedure, the shoulder is cleansed and sanitized. Local anesthetic is administered to numb the tissue at the injection site.The physician may choose from multiple [...]

Post-Laminectomy Syndrome - OverviewThis condition, also called "failed back surgery syndrome," is a type of chronic pain. It can develop in some people after spine surgery.CausesThis pain most often develops after a laminectomy procedure. This is the removal of bone at the rear of your vertebrae. The procedure is [...]

Patellar Tendinitis - Overview This is a pain you feel just below your patella (the bone we commonly call the "kneecap"). It's an injury to your patellar tendon, which connects the bottom of the kneecap to the shin bone. Causes You can injure your patellar tendon if you stress [...]

Osteoarthritis of the Knee - Overview Knee pain may keep you from being as active as you like. And it may come from a gradual breakdown of your knee's cartilage. That's a protective tissue on the ends of your bones. In a healthy knee, the bones glide smoothly against [...]

Osteoarthritis of the Hip - This type of arthritis, also called “degenerative joint disease,” is a breakdown of the cartilage in your hip joint. As this protective cartilage wears away, bone rubs against bone. Bony growths called “bone spurs” may form in the joint. Pain from osteoarthritis can [...]

Knee Pain - Overview Our knees take a lot of force. They support the weight of the body. They keep us upright and stable.They cushion us when we walk and run. So it's not unusual to feel knee pain at some time in our lives.Let's learn about knee pain, [...]

Inflammatory Arthritis of the Hip - Overview This type of arthritis, also called "degenerative joint disease," is a breakdown of the cartilage in your hip joint. As this protective cartilage wears away, bone rubs against bone. Bony growths called "bone spurs" may form in the joint. Pain from osteoarthritis [...]

Bursitis of the Hip (Trochanteric Bursitis) - OverviewThis is an irritation or swelling of the trochanteric bursa. This small, fluid-filled sac is found on the outer side of the femur. It acts as a cushion for the iliotibial band, a thick tendon in your leg.CausesTrochanteric bursitis can be caused [...]

Steroid Injection for Shoulder Bursitis - Overview This injection treats shoulder bursitis. That's an inflammation of a fluid-filled sac called a "bursa" in your shoulder. You have these sacs throughout your body. They are a cushion between bones and soft tissues. An inflamed bursa is painful. Preparation To begin, [...]

Steroid Injection for Trochanteric Bursitis of the Hip - Overview This injection treats a painful inflammation of a fluid-filled sac (called a "bursa") in your hip. You have these sacs throughout your body. They create a cushion between bones and soft tissues. The specific bursa we're treating is the [...]

Steroid Injection for Knee Pain (Fluoroscopic-Guided Method) - OverviewThis is an injection of steroid into the knee joint. We often use it to treat the pain and inflammation of knee arthritis.PreparationTo begin, we numb the tissue of your knee. We position your knee under a video x-ray device called [...]

Hip Joint Injection (Ultrasound or Fluoroscopic Method) - OverviewIf you have pain in your hip, your doctor may inject medicine into your hip joint. It can help your doctor find where your pain is coming from. It can also make your hip feel better.PreparationTo start, you lie on your [...]

Hip Joint Injection - Overview This is an injection of medicine that goes into your hip joint. We use it to treat pain and inflammation.We can also use it to find the source of your pain. Preparation To begin, we may give you medicine to help you relax. We [...]

Genicular Nerve Block (G Block) - Overview This outpatient procedure is an injection of anesthetic to the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Anesthetizing these nerves can disrupt the pain signals caused by degeneration of the knee. A [...]

Genicular Nerve Ablation (RF Neurotomy) - Overview During this outpatient procedure, the physician uses a radiofrequency device to heat up and disrupt the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Disrupting these pathways can provide long term relief from [...]

Piriformis Injection (Fluoroscopic Method)- Overview This is an injection of steroid medicine into the piriformis muscle. We use this injection to find and treat piriformis syndrome. That's a painful irritation of the sciatic nerve. It's caused by pressure from the piriformis muscle. Preparation To begin, we numb the [...]

Trigeminal Neuralgia (TN) - Overview This chronic disorder causes sudden bursts of intense, shooting pain in the face. These attacks are linked to a problem with the trigeminal nerve. This nerve begins as a thick root at the base of the brain.Then, it splits into three branches that extend [...]

Spondylosis - Overview This is a form of spine degeneration that happens to most people as they get older. It can affect any level of your spine from your neck to your lower back. And it can lead to pain and other issues. Let's take a moment to learn [...]

Spinal Stenosis - Overview Your spinal nerves travel through your spinal canal and exit through openings we call "foramen." If any of these spaces are too narrow, your nerves become compressed. We say you have "spinal stenosis." It's a problem that most often happens in the neck and lower [...]

Osteoarthritis of the Spine - Overview Your sacroiliac joints (we call them the "SI" joints) are the places where your hips meet your spine.These joints don't have a lot of flexibility, but they do move slightly as you move your body. And if SI joints become damaged or diseased, [...]

Osteoarthritis of the Spine - Overview If you have back or neck pain that doesn't go away, you may have osteoarthritis of the spine.Osteoarthritis is the most common form of arthritis. For many of us, it develops slowly as we age. And it can keep you from being as [...]

Occipital Neuralgia (Arnold's Neuralgia) - Overview This condition is a distinct type of headache caused by irritation or injury of the occipital nerves. These nerves travel from the base of the skull through the scalp. This condition can result in severe pain and muscle spasms. Causes Occipital neuralgia can [...]

Lumbar Radiculopathy (Sciatica) - OverviewThis condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a [...]

Herniated Disc - Overview Between the vertebrae of your spine are soft discs.They let your spine twist and bend. They absorb shocks. But if damaged, the disc's soft center can push through the disc wall. That's a herniated disc. This bulge presses against nerves in your spine. Causes A [...]

Facet Joint Syndrome - Overview This is a problem with the facet joints of the spine. These are the joints where one vertebra connects to another. They support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful. Anatomy Let's take [...]

Discogenic Pain - Overview This pain comes from one of your spinal discs. Those are the soft cushions that allow the bones of your spine to flex and twist. Discogenic pain is a common reason for chronic lower back pain. Causes What causes discogenic pain? We think it's linked [...]

Degenerative Disc Disease - Overview This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back. Disc Wall [...]

Compression Fractures of the Spine - Overview This is a collapse of vertebral bone. It can affect one or more vertebrae. Compression fractures typically develop in your mid or lower back. This can change the shape of your spine. Causes Most compression fractures develop because of osteoporosis. This is [...]

Cervical Facet Joint Syndrome -OverviewThis is a problem with the facet joints of the cervical spine. They are the joints found where one vertebra connects to another. Facet joints support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful in [...]

Vertebroplasty - Overview This minimally-invasive procedure is an injection of bone cement into a vertebra. It stabilizes a compression fracture of the spine. One or more vertebrae may need to be treated. Preparation In preparation for the procedure, you lie face down.You may be given medicine to make [...]

Thoracic Transforaminal Epidural Steroid Injection (Fluoroscopic Method) - Overview This injection treats the pain of an inflamed nerve in your thoracic spine. It relieves nerve swelling. If you have a herniated disc, spinal stenosis or some other problem that presses on a nerve, it may help you. Preparation To [...]

Thoracic Epidural Steroid Injection - Overview This outpatient procedure is an injection performed to relieve pain in the upper back. Preparation The patient sits or lies down to expose the back. The back is cleaned and sterilized, and a local anesthetic is administered to numb the tissue of the [...]

Selective Nerve Root Block (SNRB) in the Lumbar Spine - Overview This injection targets a painful nerve in your lumbar spine. It helps your doctor find which nerve is hurt by a herniated disc, spinal stenosis or some other problem. It may give you pain relief. Preparation To begin, [...]

TransLoc 3D™ SI JOINT FUSION SYSTEM - TransLoc 3D™ is the next evolution in fixating the sacroiliac (SI) joint. Incorporating CornerLoc’s patented and proven CornerLocing technology1 , together with state-of-the-art 3D printed titanium macro and microporosity in the new ultra-porous posterior titanium implant and lateral oblique compression screw, [...]

Sacroiliac Joint Steroid Injection - Overview This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint. Sacroiliac Joint Located The patient lies face down. A cushion [...]

Radiofrequency Neurotomy of the Thoracic Facets - Overview This procedure uses heat from radio waves to treat painful facet joints in your upper back. It eases pain that isn't helped by medications or physical therapy. Preparation To begin, you lie on your stomach. You may be given medicine to [...]

Radiofrequency Neurotomy of the Lumbar Facets - Overview This procedure uses heat from radio waves to treat painful facet joints in your lower back. It eases pain that isn't helped by medications or physical therapy. Preparation To begin, you lie on your stomach. You may be given medicine to [...]

Medial Branch Block (Cervical) - OverviewThis is an injection of numbing medicine that bathes the medial branch nerves. These nerves are attached to the facet joints of the spine. Disease or injury of these joints can cause pain in the medial branch nerves. This pain may travel through the [...]

Medial Branch Block - Overview This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may [...]

Lumbar Transforaminal Epidural Steroid Injection - Overview This outpatient procedure is an injection of asteroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The [...]

Lumbar Epidural Steroid Injection (Without Contrast) - OverviewThis injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.FluoroscopeThe patient lays face down. A cushion under the stomach area provides comfort and flexes the back.In this [...]

Lumbar Epidural Steroid Injection - OverviewThis injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.Patient PositioningThe patient lies face down. A cushion under the stomach area provides comfort and flexes the back.In this position, [...]

Kyphoplasty (Balloon Vertebroplasty) - OverviewThis minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine's natural shape. Some patients experience rapid pain relief after the procedure.PreparationBefore the procedure, you are anesthetized. The physician guides a needle through the skin of your back and into your fractured vertebra. [...]

Greater Occipital Nerve Block - Overview This injection treats one or both greater occipital nerves. These nerves branch out from the spine in your neck. They supply feeling to your scalp at the top of your head and over your ears. A greater occipital nerve block manages pain and [...]