Procedures

Dr. Root
has extensive training and experience

to provide you with the quality care you expect and deserve.

 

Dr. Root helps patients with pain caused by many conditions and injuries, including work injuries, spine problems, cancer and other chronic diseases.

 We Perform Electromyography (EMG) &
(NCS) Nerve Conduction Studies

Injuries or diseases that affect nerves and muscles can slow or stop the movement of these electrical signals. If you have pain, weakness or numbness in your back, neck or hands, measuring the speed and degree of electrical activity in your muscles and nerves can help us determine the most likely root cause. This process is called electrodiagnostic testing, which comprises of the EMG and NCS.

Dr. Root prescribes a safe and appropriate physical therapy program with specific pain-relieving modalities and an appropriate exercise program to restore your function and decrease your pain.


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 We Offer Innovative Interventional Pain Procedures, like:

Epidural Injections

(Cervical, Thoracic, and Lumbar)

An epidural steroid injection is an injection of local anesthetic (numbing medicine) and steroid medication (Kenalog or depomedrol) into the epidural space. The epidural space is located in the spine just outside the membrane that covers the spinal cord and nerve roots. This membrane is called the dural membrane. Nerves travel through the epidural space to the back and into the legs. Inflammation of these nerve roots may cause pain in these regions due to irritation from a damaged disc or from contact with the bony structures of the spine.

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Cervical, Thoracic and
Lumbosacral Nerve Root Blocks

A nerve root block is an injection of local anesthetic (numbing medicine) and steroid injected under X-ray guidance into the area where the nerve exits the spinal column. A nerve root block is usually ordered by your doctor for pain in the arm or leg that follows the path of a single nerve. A nerve root block may be diagnostic (a test to determine the source of your pain) and/or therapeutic (to relieve your pain). If you get a period of sustained pain relief from the injection, the block may be repeated. Sometimes the block is done to help identify whether or not surgery might be helpful and at what level such surgery might be most helpful.

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Spinal Cord and Peripheral Nerve Stimulation

Peripheral nerve stimulation is a technique in which electrodes are placed along the course of peripheral nerves to control pain. These devices are an extremely safe, efficient, and effective way to ameliorate a variety of severe neuropathic pain conditions.


Caudal Epidural Injections

Patients may experience relief within a half hour of the injection, but long-term relief is typically felt within 2-3 days after the procedure. Each caudal injection may last for several weeks to several months, and patients typically have varied results concerning the longevity of their pain relief. Physicians may recommend further treatments of this type in cases where the pain is chronic or recurrent.

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Sacroiliac Joint Injections

The purpose of a sacroiliac joint injection is two-fold: to diagnose the source of a patient’s pain, and to provide therapeutic pain relief. At times, these are separated and a patient will undergo a purely diagnostic or therapeutic injection, although often the two are combined into one injection.


Botox Injections for Headaches or Spasticity

Botox® (onabotulinum toxin A) was licensed specifically for the treatment of chronic migraine in July 2010 by the Medicines and Healthcare products Regulatory Agency (MHRA). Botox® has not been shown to be effective for any other headache type (e.g. episodic migraine, tension-type headache, cluster headache) as yet. This fact sheet outlines the evidence for the use of botulinum toxin in headache.


Trigger Point Injections

  • Piriformis Injection
  • Back Injection
  • Neck Injection
  • Extremity Injection

Joint Injections

(via Ultrasound if Indicated)

Used in the treatment of inflammatory joint conditions, such as rheumatoid arthritis, psoriatic arthritis, gout, tendinitis, bursitis, Carpal Tunnel Syndrome, and occasionally osteoarthritis.


Platelet Rich Plasma Injections

Compared to cortisone injections and other methods of treating osteoarthritis and tendon injuries, platelet-rich plasma therapy has a low risk of complications. Because the injections actually heal the affected areas, the relief from osteoarthritis pain can last for an extended period of time. The treatment can also provide long-term relief from hip pain, knee pain, elbow pain, foot pain, and other pain caused by inflamed connective tissue. Improvements in these conditions are typically noticeable after a few weeks, and the pain relief gradually increases as the tissue is repaired. Since the plasma is drawn from the patient’s own body, there is almost no risk of rejection from this procedure.

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Bone Marrow Aspirate Concentrate (BMAC)
Non-Controversial Stem Cell Injections

Once written consent is obtained, blood is drawn from your arm or from a bone marrow aspiration in the back of your hip region, and placed in a special processing unit, which separates platelets, white blood cells and serum from red blood cells. The platelets and white blood cells (including stem cells) are then concentrated and collected into a sterile syringe. Some of the blood is used to create an “activator” of the PRP/BMCC. The skin and soft tissue is anesthetized with local anesthetic, followed by injection of both the PRP/BMCC and activator into the tissue targeted for treatment. Depending on the size of the injured tissue, one or several needles are inserted to optimize placement of the product.


Diagnostic Medial Branch Block

(Cervical/Thoracic/Lumbar)

If this procedure has been suggested, there is strong evidence to suspect that the facet joints are the source of a patient’s pain. Benefit may be obtained from having these medial branch nerves blocked with an anesthetic to see if a more permanent way of blocking these nerves would provide long-term pain relief. Blocking these medial branch nerves temporarily stops the transmission of pain signals from the joints to the brain.


Cervical, Thoracic and Lumbar Medial Branch Radiofrequency Neurotomy

(Rhizotomy)

Procedure to reduce back and neck pain. Heat generated by radio waves is used to target specific nerves and temporarily interfere with their ability to transmit pain signals.


Intercostal Nerve Blocks

An intercostal nerve block is a block of nerves that lie underneath the lower edge of each rib. For certain types of injuries, e.g., rib fractures, nerve injuries to the chest wall, postoperative pain along the rib nerves (“intercostal nerves”), injection of a small amount of local anesthetic can significantly diminish pain.

Occipital Nerve Blocks

An occipital nerve block is an injection of a steroid or other medication around the greater and lesser occipital nerves that are located on the back of the head just above the neck area.

The steroid injected reduces the inflammation and swelling of tissue around the occipital nerves. This may in turn reduce pain, and other symptoms caused by inflammation or irritation of the nerves and surrounding structures. Typically, headaches over the back of the head, including certain types of tension headaches and migraine headaches, may respond to occipital nerve blocks.


Hip Joint Injections

Along with the numbing medication, time-release cortisone is also injected into these joints to reduce inflammation, which can often provide long term pain relief.


Lumbar Sympathetic Blocks

A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Normally these nerves control basic functions like regulating blood flow. In certain conditions, these sympathetic nerves can carry pain information from the peripheral tissues back to the spinal cord.

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