Nova Surgical Institute may use a Cervical Ganglion Block to determine if the source of spinal pain or back pain stems from sympathetic nerves. This test will determine whether or not the pain in areas of the body such as hands, arms or shoulders is a result of nerve damage or malfunction of the nerves in the neck adjacent to spine. After performing this test, our doctors will work with you to determine the best treatment to alleviate or manage the pain.

When the nerve roots are irritated due to inflammation or a herniated disc, you may experience neck pain, back pain, or shoulder pain. Nova Surgical Institute can help to reduce this pain, by performing a Cervical Epidural Injection which involves injecting an anti- inflammatory medicine directly into the epidural space surrounding the cervical region of the spine. The decrease in inflammation will result in relief from pain while the damaged nerve or disc is healing.

When nerve roots are irritated due to inflammation or a herniated disc, you may experience neck pain, back pain, or shoulder pain. Nova Surgical Institute can help to reduce this pain, by performing a Cervical Epidural Injection which involves injecting an anti- inflammatory medicine coupled with a steroid directly into the epidural space around the irritation. The decrease in inflammation will result in relief from pain while the damaged nerve or disc is healing.

Our doctors will perform a Discogram when needed to determine which disc of the spine is damaged and whether or not it is the source of a patient’s back pain or neck pain. This diagnostic procedure will provide us with the road map to discovering whether or not a disc has been structurally damaged, and if so, if that damage is responsible for your pain or discomfort.

The injection of medication (often a steroid) into the Occipital Nerve, located just above the neck, is known as an Occipital Nerve Block. This short procedure typically requires a local anesthetic, and takes just moments. Used as a way to reduce back pain and neck pain, this swift procedure has been used with great success to treat tension and migraine headaches.

The Trigeminal Nerve sends several nerve branches all over the head, face and upper neck. Pain in the face, commonly called Trigeminal Neuralgia (shock-like pain in the face) can be relieved via this short and minimally invasive procedure. Nova Surgical Institute will determine if this block will assist with your pain management.

An Infrascapular Nerve Block may be recommended by our doctors to alleviate neck, shoulder or back pain caused by an irritation of this nerve. Like all nerve block procedures, this outpatient treatment can be used to treat mild to severe spinal pain and/or other discomfort.

An Intraoperative Arthrogram may be used by Nova Surgical Institute to determine if there is an inflammation of the soft tissue surrounding the joints that is causing back pain or neck pain. This procedure will allow to determine the best course of treatment to assist the patients with pain management.

Back pain is often caused by internal disc disruption, a condition that California Back & Pain Specialists will help you to treat. As an alternative to spinal fusion, Dr. Singh can perform this warming treatment after Discograms or other X-rays reveal the source of the discomfort.

An Epidurogram may be required by California Back & Pain Specialists to assess the condition of the epidural space in your lumbar region. Typically performed before a steroid injection, this dye and imaging procedure will ensure that the medication can be properly delivered to the area of your spine responsible for your back pain.

If determined that patient requires surgery to repair or restore nerve tissue in lumbar region which have been damaged, and cannot be repaired by other methods, our doctors may perform Lumbar Neuroplasty. Typically an outpatient procedure, this surgery is designed to minimize back pain and improve quality of life.

An Epidural Myelogram involves the injection of special dye into the epidural space surrounding your spine, coupled with an X-ray. This procedure may be used to provide us with a clear picture of spinal problems. This procedure can be used to determine countless problems within the spine, ranging from a herniated disc to infection, to inflammation of the spine.

Steroids have been proven to alleviate inflammation and pain of the joints in the spine. If our doctors will determine that steroid joint injections will help with pain management, our doctors will recommend this course of treatment for back pain.

Unlike other types of injections, Hyalgan Joint Injections are not a pain medication, nor a steroid. Instead Hyalgan is a substance similar to a naturally occurring substance found in the body, which essentially works as a joint lubricant, to reduce joint pain.

These anti-inflammatory steroid injections are used to reduce pain caused by joint pain and swelling which frequently occurs in arthritic patients. We will work with you to determine whether this course of treatment can help reduce pain.

Painful areas in the muscle, caused by knots that form when the muscles do not relax, may be treated by Trigger Point Injections (TPI). Our doctors may use this course of treatment to render the trigger point inactive, thus achieving sustained relief or alleviating back pain completely.

Radiofrequency Thermal Coagulation involves burning the nerves (via heat and electricity) in the facet joint to reduce pain for several months all the way up to a year. Our doctors has years of experience in providing patients with this course of treatment to reduce neck and back pain.

An Epidurogram will be performed in order to assess the structure and condition of the epidural space in and around spine. This imaging technique will allow Nova Surgical Institute to make sure that medications to reduce the pain are delivered to the source of the pain properly.