Patient Education

North Jersey Interventional Spine Center would like to be your partner in health care. Feel free to ask your questions and share your concerns with us. We will work with you to develop a wellness program for the care and treatment you need.

We welcome you to our practice and look forward to caring for you.

North Jersey Interventional Spine Center provides a full range of medical services including the following:


Back Pain Prevention

At some point in their lives, the great majority of adults will suffer from significant low back pain, usually from an injury at work, at home or at play. Orthopedists, chiropractors, physical therapists, coaches and trainers all have helpful advice regarding back pain prevention. By following their directives, people can minimize the possibility of back injury, and keep themselves healthier in the process. ...


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Bursal Sac Injections

A bursal sac is filled with fluid that provides a cushion between muscles/tendons and bones to decrease friction and irritation. There are bursal sacs around most of the body's joints. When a bursal sac gets infected or inflamed, it can lead to a painful condition called "bursitis." Although often caused by repetitive movement or overuse of a joint during sports or intense physical activity, bursitis can also result from injury, or arthritis of a joint. ...


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Cervicogenic Headache

A cervicogenic headache is a headache that develops from structural abnormalities of the head, neck or spine. A cervicogenic headache may develop as a result of restricted blood flow through the neck and irritation to nerves along the path from the spinal cord to the brain. These abnormalities may be caused by head or neck injuries, infections, tumors or rheumatoid arthritis of the upper cervical spine. Similar to a migraine, this condition can vary in severity and is more common in women than men. ...


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Celiac Plexus Block

A celiac plexus block is an injection performed to relieve severe abdominal pain by blocking signals from the celiac plexus, a nerve bundle that supplies organs in the abdomen, including the stomach, intestines, liver, pancreas, adrenal glands and other organs around the midsection. The injection contains a local anesthetic or concentrated alcohol to produce immediate pain relief, as well as a medication such as a corticosteroid to provide longer-term respite from pain. Pain remedied by a celiac plexus block may be caused by conditions such as chronic pancreatis and cancer in other organs of the abdomen. ...


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Coccydynia

Coccydynia, also known as coccyalgia, refers to pain and inflammation of the coccyx (tailbone), the final segment of the spine, located between the buttocks. Patients suffering from coccydynia experience pain on the tailbone that is especially pronounced when sitting or when engaged in any activity that puts pressure on the site. Coccydynia is considerably more common in women than in men and it occurs most commonly in patients who are approximately 40 years of age. ...


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Discogram

A discogram is a diagnostic test performed to determine whether a patient's back pain is the result of a spinal-disc abnormality, and, if so, to pinpoint the disc causing the problem. A discogram is performed by injecting a special dye into the patient's spinal disc(s), and using fluoroscopy to view the area in greater detail. The injection creates pressure on the disc and, if the disc is damaged, causes pain. ...


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Lumbar Sympathetic Nerve Block

A lumbar sympathetic nerve block is administered to both diagnose and treat pain in the lumbar (lower) region of the spine. It is used to determine whether the lumbar sympathetic nerves, which carry pain impulses from the lower extremities, are the cause of the pain, and, in some cases, serves to eliminate that pain altogether. During the procedure, medication is injected into or around the lumbar sympathetic nerves on one side of the body. ...


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Degenerated Discs

Degenerated discs are a common back problem. The spinal discs, which are soft, gelatinous cushions that separate the vertebrae, wear down during the aging process. Because the discs function as between-the-bones shock absorbers, allowing the spine to bend and twist, this deterioration can result in serious back pain. As discs are damaged or wear away, the amount of space between the vertebrae gets smaller. As the space narrows, joints are placed under greater stress, resulting in further degeneration. ...


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Facet-Joint Injections

Facet-joint injections are both a minimally invasive treatment for back pain caused by inflamed facet joints, and a diagnostic tool for determining whether facet-joint inflammation is a source of pain. Four facet joints connect each vertebra to the vertebra above and below it. A facet-joint injection, administered into either the joint capsule or its surrounding tissue, combines a long-lasting steroid and a local anesthetic. ...


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Sympathetic Ganglion Block

A sympathetic ganglion block is a type of nerve block used in the treatment of severe or chronic pain. It involves the injection of an anesthetic medication that will numb the affected bundle of nerves, a cluster known as a ganglion. These nerves help the body react to stress and are responsible for the fight-or-flight response, a physiological reaction to situations perceived as being dangerous. If the nerves are damaged or compressed in any way, they can produce pain and other symptoms. ...


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Facet Joint Syndrome

Facet joint syndrome is a condition that occurs when the facet joints of the spine become damaged or worn out. The facet joints are the small joints located between the bones of the spine; they are lined with cartilage and synovial fluid that allows them to glide easily over each other. They are also intertwined with nerves that run from the spinal cord to the arms, legs and other parts of the body. The facet joints are in constant motion and provide the spine with flexibility that allows movement, and stability that keeps the back from moving too far forward or twisting too far. ...


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Lumbar Endoscopic Discectomy

A lumbar discectomy is a surgical procedure that is performed to remove herniated disc material from the lower back (lumbar), that is pressing on a nerve or the spinal cord. When this procedure is performed with the use of an endoscope, it is called a lumbar endoscopic discectomy. It is considered a minimally invasive procedure because only a small incision is necessary. In addition, the endoscope (a small metal tube with a camera and light on the end) provides direct visualization through magnified video images, as well as a passage way for the surgical tools, so the patient%u2019s muscles do not have to be torn or cut. As a result of the minimal damage to bone and muscle tissue, most people who have a lumbar endoscopic discectomy experience less surgical trauma, and a quicker recovery period, than those who undergo more-invasive traditional back surgery. ...


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Pain Management

An estimated 70 million Americans suffer from chronic pain. Chronic pain is a major medical condition distinctly different from and more complex than acute pain. Whereas acute pain is a normal sensation triggered in the nervous system to alert the body to possible injury, chronic pain is a state in which pain persists, for many months or years, beyond the normal course required by healing. The effects, both economic and personal, associated with chronic pain can be significant. They include loss of income; debt from costly medical treatment; impaired mobility; and anxiety and depression. ...


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Cancer Pain

The pain brought on by cancer is often a chronic state that persists for many months or years. The management of cancer pain typically involves numerous approaches designed to help cancer patients maximize their independence and capability.

Our doctors are well trained in the diagnosis and treatment of chronic muscle and nerve pain problems caused by cancer. During our consultations, we obtain a complete medical history and gather as much information as possible on a patient's pain. Our doctors work with each patient on a one-to-one basis to determine the best treatment plan for their individual pain, utilizing the most advanced techniques to relieve symptoms and allow comfortable participation in everyday activities. ...


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Lumbar Epidural Steroid Injection

A lumbar epidural steroid injection is a minimally invasive procedure for treating leg, buttock and lower back pain originating from the epidural space. The epidural space surrounds the dura, a membrane which protects the spinal cord and its nerves. The primary reasons for pain in this area are herniated or ruptured discs, stenosis, or sciatica all of which result in nerve compression. The pain may originate in any part of the lumbar region of the spine, including the coccyx, or tailbone, where it is referred to as caudal. ...


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Herniated Disc

A herniated disc (also called a ruptured or slipped disc) is a damaged "cushion" between two bones in the spine (vertebrae). Normally, the gelatinous discs between the vertebrae hold the bones in place and act as shock absorbers, permitting the spine to bend smoothly. When a disc protrudes beyond its normal parameters, and its tough outer layer of cartilage cracks, the disc is considered "herniated." ...


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Lower Back Pain

Lower back pain is the most common cause for a work-related disability and one of the main reasons for people staying home from work. The lower back is one of the most important parts of the body as it holds most of our body weight when we stand and is involved in movement when we bend or twist at the waist. Because of its pivotal role and frequent use, the lower back is susceptible to injury and chronic pain. Lower back pain is especially common in older adults who may have decreased bone strength and muscle elasticity. The spongy cartilage pads, called intervertebral discs, that allow for flexibility may wear away and weaken in an elderly person. ...


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Lumbar Percutaneous Discectomy

A lumbar percutaneous discectomy may be performed to remove herniated disc material that is pressing on nerves or the spinal cord. The goal of a lumbar percutaneous discectomy is to decompress the nerves by removing deviated disc material and disc fragments. It is a minimally invasive procedure that involves making a very small incision and inserting a tiny surgical needle between the vertebrae, into the middle of the disc. Disc material is removed and as a result, painful nerve pressure is relieved. ...


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Myofascial Pain

Myofascial pain syndrome is a chronic condition in which trigger points (muscle knots) develop in certain muscles, usually ones that have been injured or overused. Jobs and recreational activities that involve repetitive motions, in which muscles repeatedly contract, are common causes. Trigger points can also be caused by stress and anxiety. Myofascial pain is most common in middle-aged adults, although people of any age may be affected. ...


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Radiofrequency Rhizotomy

Radiofrequency rhizotomy, also known as neurotomy, is a minimally-invasive procedure for treating nerve pain in the spine. The procedure works by sending pulses of heat energy generated by radio waves to the affected nerves. The goal is to stop these nerves from processing pain signals from injured facet joints, the small joints located between the vertebrae. ...


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Piriformis Syndrome

Piriformis syndrome occurs when the piriformis muscle, which runs from the lower spine to the top of the thigh bone, presses on the sciatic nerve. As a result, it causes pain, tingling and numbness in the buttocks and, often, down the back of the leg. The pain often worsens as a result of sitting for a long period of time, walking, running, or climbing stairs. While piriformis syndrome may occur for no apparent reason or develop after regular physical activity, it is sometimes caused by a a traumatic injury, such as a car accident or a fall. ...


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Sacroiliac-Joint Steroid Injections

Sacroiliac-joint steroid injections help to diagnose and relieve lower-back pain caused by problems with one or both of the sacroiliac joints, which connect the spine's base (sacrum) to the pelvis's ilium bones. If one or both of the sacroiliac joints is inflamed (sacroiliac-joint dysfunction), a patient can experience pain in the buttocks and lower back that worsens when running or standing. Sacroiliac-joint dysfunction can be caused by osteoarthritis, traumatic injury, pregnancy, inflammatory joint disease, or underlying structural abnormalities. ...


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Post-Laminectomy Syndrome

Post-laminectomy syndrome is a condition in which a patient continues to experience pain and disability after a laminectomy, a type of spinal surgery. During a laminectomy, a piece of the layer of bone covering the back of the spinal cord (the lamina) is removed to eliminate compression on the spinal nerves. This surgery may be performed in conjunction with other back surgery, such as a discectomy, and is most often performed to relieve stenosis, a narrowing of the spinal column. The development of post-laminectomy syndrome is a complication of the procedure. Post-laminectomy syndrome is a type of failed back surgery, a broader category which includes chronic pain following any spinal surgery, including spinal fusion. ...


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Spinal Cord Stimulation (SCS)

Spinal cord stimulation (SCS) typically involves implanting an electronic device in the body to help relieve chronic back and leg pain. The device, called a "spinal cord stimulator" or "dorsal column stimulator," sends electrical impulses through wires/electrodes placed near the spinal cord; the impulses block pain signals from reaching the brain. SCS does not cure chronic pain, but usually lessens it by 50 percent and more by replacing a patient's feeling of pain with a tingling sensation. Before implantation, a patient is asked to go through a trial period with an external device; this allows pain levels to be evaluated, and determine whether they decrease when the device is used. ...


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Steroid Injections for Arthritis

Arthritis is a condition that causes, pain, swelling and stiffness in the joints. Treatment for arthritis may vary, but the main goal is to reduce inflammation and pain. Most patients may try several different treatment options before finding a method that works best for their individual condition. Steroid injections are an advanced treatment option for patients with arthritis and other sources of joint pain, that have not responded well to other treatments such as exercise and oral medications. These injections deliver relief directly to the source of the pain and are considered safe for nearly all patients. ...


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Sciatica

Sciatica is an inflammation of the sciatic nerve, the longest nerve in the body. The sciatic nerve stretches from the spinal cord to the end of each leg and may become inflamed for a number of reasons, including age-related changes in the spine, obesity, or a sedentary lifestyle. Sciatica usually develops gradually as the nerve is compressed over time. This results in pain along the nerve pathway, as well as numbness, tingling and muscle weakness in the affected area. ...


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Spinal Stenosis

Spinal stenosis is the narrowing in one or more areas of the spinal canal as a result of injury or deterioration of the discs, joints or bones of the spine. Most cases of spinal stenosis develop as a result of the degenerative changes that occur during aging. Osteoarthritis is the main cause of spinal stenosis, since this condition causes deterioration of cartilage in the area that leads to the bones rubbing against each other. As bones make repeated abnormal contact, bone spurs form, narrowing the spinal canal. ...


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Trigger-Point Injections

Trigger-point injections treat pain in areas that have developed trigger points, which are knots of muscle that form when muscles contract and but cannot relax. Trigger points are caused by injury to or overuse of the affected muscle; they can also be caused by stress and anxiety. They can irritate the nerves around them, which causes pain in other areas of the body. The chronic pain brought on by trigger points can also decrease the affected muscle's range of motion. ...


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Vertebroplasty

Vertebroplasty is a minimally invasive procedure administered to treat vertebral compression fractures with an injection of bone cement directly into the injured tissue. Compression fractures commonly occur as a result of osteoporosis, spinal tumors or injury, and can cause severe pain and limited mobility. They can also lead to abnormal spine curvature and increase a patient's risk for serious spinal complications. When deemed a viable alternative to spinal surgery, a vertebroplasty presents many advantages. Unlike more invasive procedures, a vertebroplasty requires almost no recovery period and results in almost no scarring or bleeding and very little discomfort. In addition, a vertebroplasty can be a method of prevention as well as treatment, since the bone is very unlikely to refracture in the area in which it has been cemented. ...


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Viscosupplementation

Osteoarthritis is a degenerative joint disease that can affect the knee. It causes the surface layer of cartilage to break down and wear away, and the joint's synovial fluid to lose its ability to lubricate. This combination causes pain, stiffness, limited joint motion, and inflammation in the knee. Osteoarthritis of the knee is often initially treated with pain relievers such as acetaminophen, nonsteroidal anti-inflammatory drugs and corticosteroid injections. However, these methods are not always effective, and can have adverse effects such as gastrointestinal problems, allergic reactions or kidney damage. ...


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