Orthopedic Pain Management

Ensuring your comfort

Ensuring your comfort is an integral part of our Orthopedic Care Network. At Lancaster Regional Medical Center’s Interventional Spine Associates, our physiatrists focus on non-surgical pain management techniques for patients with joint and muscle conditions like sore shoulders, back and neck pain, tendonitis, and pinched nerves, as well as complex orthopedic, sports and work-related injuries. We offer a host of options, such as: 

  • Trigger point injection  An injection which uses a small needle and anesthetic to break up spasm in tight muscles. These taut bands of muscle, or “trigger points,” can be painful, and can carry pain which sometimes can resemble the pain of a pinched nerve.  
  • Hip joint injection  Injection of anesthetic and steroid into the hip joint.  This joint can become inflamed and/or arthritic and is often the source of groin and leg pain.  
  • Peripheral joint injections  Injection of anesthetic and steroid into other peripheral joints, such as the knee or shoulder.  
  • Cervical and lumbar transforaminal/interlaminar epidural steroid injection, caudal epidural steroid injection, selective nerve root blocks  Injection of steroid and anesthetic around nerve roots in the spinal canal, which may be compressed or “irritated” from disc herniation or arthritic stenosis.Cervical and lumbar zygopophyseal (facet) joint injection: Injection of local anesthetic and steroid into one or more of the small joints in the spine. These joints can become arthritic, and are often responsible for back or neck pain.  
  • Cervical and lumbar medial branch block  This injection is similar to a facet joint injection, but the medication is placed outside the joint space, directed to the nerves that supply the facet joints, called the medial branches. If these blocks temporarily alleviate pain, the patient may be a candidate for medial branch radiofrequency ablation, which is a more permanent procedure to interrupt the pain carried by the medial branches.  
  • Medial branch radiofrequency ablation   If either a facet joint injection or a medial branch block provides only temporary relief of pain, the patient is a candidate for radiofrequency ablation. This procedure uses radiofrequency energy to deaden the small medial branches supplying the facet joints. Pain relief of approximately 8-12 months is expected.