Procedures

spine

Lumbar, or Lower Spine

Our professionally trained staff of physicians specialize in Total Pain Medicine and Total Spinal Micro Surgery and are qualified to conduct a variety of procedures based specifically on your area of pain. These procedures include but are not limited to:

  • Intravenous sympatholytic block: lower limb
  • Intravenous sympatholytic block: upper limb
  • Tendon injection
  • Trigger point injection
  • Brachial plexus block
  • Brachial plexus catheter insertion
  • Intercoastal block: diagnostic
  • Joint injection: knee
  • Paravertebral block
  • Stellate ganglion block: diagnostic
  • Steriod injection: epidural, lumbar
  • Zygapophysial (facet) nerve block
  • Facet joint injection, cervical
  • Facet join injection, lumbar
  • Facet joint injection, thoracic
  • Ganglion impar block: diagnostic
  • Intercoastal block: neurolytic
  • Lumbar sympathetic block: diagnostic
  • Radiofrequency thermocoagulation of facet nerve, cervical
  • Radiofrequency thermocoagulation of facet nerve, lumbar
  • Radiofrequency thermocoagulation of facet nerve, thoracic
  • Steriod injection: epidural, cervical
  • Superior hypogastric plexus block: diagnostic
  • Coeliac plexus block: neurolytic
  • Ganglion impar block: neurolytic
  • Spinal cord stimulator insertion: temporary
  • Spinal nerve root sleeve injection
  • Stellate ganglion block: neurolytic
  • Spinal cord stimulator implantation: long term

Information on the Lumbar or Lower Spine

The Lower Spine is often referred to as the Lumbar, which pertains to the abdominal portion of the torso between the diaphragm and the pelvis. The lumbar region consists of 5 vertebrae and is the largest and strongest of the spinal column’s movable parts. It bears the most body weight and provides the most flexibility.

There are several muscles in the lower back that assist with rotation, flexibility and strength. This combination makes the lumbar region susceptible to injury, especially lifting heavy objects, or lifting while twisting. This is why low back pain is so common.

Additionally, in between each lumbar vertebra a nerve root exits. These nerve roots come together again to form the Sciatic Nerve, the largest single nerve in the human body. The Sciatic Nerve runs through the back of each leg and into the feet. A disorder of the lower back can affect a nerve root, such as a spinal disc herniation, and cause pain that radiates along the Sciatic Nerve down into the foot.