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Spine Injection Therapy

Injection therapy is intended to be a means to an end. The goal is to provide the patient with enough pain relief to bridge from inactivity to physical therapy, where back problems can be better treated with special exercises. For years, spine physicians have used cortisone injections, epidural steroid injections, trigger point injections and nerve blocks to relieve pain, including low back pain, in the spine.

Epidural Injections

Epidural injections of cortisone may reduce the inflammation and/or swelling of the nerves in the epidural space resulting in decreased pain, tingling and numbness. The procedure involves inserting a needle of a long lasting steroid (cortisone) through the skin and deeper tissues into the epidural space. The epidural space is the area surrounding the spinal cord and the nerves coming out of it. One or more injections may be needed to relieve symptoms.

Facet Injection

injection therapy for low back pain

The facet joints act as the hinges in our back, connecting all the vertebral bones in our back yet still allowing us to bend and twist with ease. The illustration above shows a facet injection in progress.

Sometimes from injury or age, these joints can become irritated or they can develop bone spurs, which makes movement painful. To relieve pain symptoms and restore range of motion, the spine physician may inject medication into the facet joint. The medicine in a way can act like WD40 on a rusty door hinge, restoring movement. Typically injections are done as a way to bridge the patient to therapy so the therapist can help the patient retain mobility after the effects of the medication wear off.

Trigger Point Injections

Trigger points are painful tissues in and around muscles. Pressure can cause an aching or sharp pain sensation. Trigger point injections are the administration of a local anesthetic and steroid medication in the muscles where pain is occurring. The injection may relieve spasms of the muscle and may last from weeks to months.

injections to relieve low back pain

Sacro-Iliac (SI) Joint Injections

A long lasting steroid (cortisone) is injected into the sacro-iliac joint to help decrease inflammation and/or swelling of tissue in the joint space. As a result, patients may experience reduced pain and other symptoms caused by inflammation of the joint. The sacro-iliac joint is located in the low back area. The procedure involves inserting a needle through the skin and deeper tissues into the SI joint. More than one injection may be needed for symptom relief.

Rhizotomy

Rhizotomy is where the physician may use heat or cold to intentionally damage the ability of a problematic nerve to telegraph pain signals to the brain.
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SPECIALTY CENTERS
  • Spine
    • The Spine Center are referred back and neck pain patients across the New England States.
  • Hand & Wrist
    • The Hand & Wrist center deals with both surgical and nonsurgical treatment of conditions and problems.
  • Joint Replacement
    • The Joint Replacement Center provides the most modern treatment options for knee, hip, and shoulder replacement
  • Pediatric Orthopedics
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    • The Foot & Ankle Center involves clinical teams that specialize in foot and ankle surgery.
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    • The Shoulder & Elbow Center includes orthopedic surgeons and therapists who specialize in shoulder and elbow.
  • Sports Medicine
    • The Sports Medicine Center helps those with sports-related injuries recover quickly to return to activity.
  • Trauma & Fracture
    • The Trauma & Facture center works closesly together with Rhode Island Hospital's trauma specialists to identify injuries.
  • Oncology
    • Our orthopedic oncology center includes the expertise of a specialist in oncology and reconstructive surgery.
  • Cartilage Repair Center
    Cartilage Repair
    • The Cartilage Repair Center offers state-of-the-art treatment of joint cartilage lesions
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Home Remedy Book
  • Home Remedy Book
    • Have back or neck pain? Learn what causes symptoms and the home remedies that relieve pain. University Orthopedics mails out Home Remedy Books to residents throughout the New England area.
About Us

University Orthopedics in Providence, Rhode Island, is a regional referral center for patients with back and neck pain, joint pain, sports medicine problems, shoulder pain, hand problems, hip and knee pain, and foot and ankle injury. University Orthopedics utilizes fellowship-trained, sub-specialized physicians to treat a variety of orthopedic problems.

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    Providence, RI 02905
    Phone: 401-457-1500

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    Phone: 401-884-1177