Interventional Spine and Sports

As a physician, I am focused on helping you get back to movement through a variety of approaches. After coming to a diagnosis with a thorough evaluation, treatment may include physician directed physical therapy, medication management, or a variety of interventional procedures.

Spinal Procedures

  • These are precise injections into a specific foramen of the axial spine for sciatica type pain. I perform these in the cervical, thoracic, and lumbar spine. Please see @Epidural Injections for more information

  • Another approach to an epidural injection done through the interlaminar space. I perform these in the cervical and lumbar spine. Please see @Epidural Injections for more information

  • These are common diagnostic injections targeting specific the medial branches innervating a facet joint usually prior to an ablation procedure. I perform these in the cervical, thoracic, and lumbar spine. Please see @MBB/RFA for more info.

  • This is a common procedure used to treat axial spine pain coming from facet joints by ablating the medial branch. I perform these in the cervical, thoracic, and lumbar spine. Please see @MBB/RFA for more info.

  • Uncommon injections targeting a specific facet joint by directly performing an intra-articular injection. I perform these in the cervical, thoracic, and lumbar spine.

  • A common procedure used to target pain originating from the sacroiliac joint. Please see @Sacroiliac joint pain for more information.

  • This is an advanced, more invasive procedure, for severe pain associated from compression fractures of the spine. I perform these in the thoracic and lumbar spine.

  • This is an advanced, more invasive procedure, used to help determine whether a spinal cord stimulator is the right option for treating your pain.

  • This is an advanced, more invasive procedure, for treating axial back pain coming from the result of degenerative disk disease in the lumbar spine.

  • This procedure helps treat the effects of Chronic Regional Pain Syndrome in the lower extremities.

Services I offer:

Other MSK Procedures

  • A common injection putting medication directly into the hip joint itself.

  • A common injection putting medication directly into the knee joint itself.

  • A common injection putting medication directly into the shoulder joint itself.

  • A common injection putting medication directly into the elbow joint itself.

  • These injections can be done at a variety of tendon or muscular areas to treat pain coming from them. Common examples include pain from tennis elbow, hamstrings, shoulder impingement, hip bursitis, etc.

  • These injections target the small joints of the body as indicated including joints such as the 1st CMC joint, the ankle, etc.

Other Procedures/Services

  • Nerve Conduction Studies and Electromyography are a diagnostic test that can help in the diagnosis of weakness or numbness/tingling. Common diagnoses include carpal tunnel syndrome and radiculopathy. Please see @What is EMG/NCS for more information

  • I perform regenerative medicine injections using Platelet Rich Plasma (PRP). PRP can largely be used in any body part and is commonly used in knee injections, muscle/tendon/bursa injections, etc. Please read @Regenerative Medicine for more information.

  • These injections specifically target a nerve involved in your pain. Commonly targeted nerves include the median nerve in the carpal tunnel and the fibular nerve at the knee.

  • After coming to a diagnosis, I help formulate a strong referral to physical therapy for ongoing strengthening and rehabilitation for your condition.

  • I order and interpret common musculoskeletal images including MRIs of your spine, XRays of your joints, and more.

  • I may prescribe you medication to help manage your pain while you continue to work on your rehabilitation. I do not prescribe chronic opioids. Please read @medication options for more information on medications I commonly prescribe.

Image Guided Procedures

I use imaging for every single injection so that I can see exactly where the medicine ends up. This maximizes our intervention and makes sure the medication goes where it needs to. No guess-work involved. I use either fluoroscopy (X-Ray) or ultrasound for all of my procedures.

Spine

  • Low Back Pain

  • Lumbar Radiculopathy

  • Lumbar Disc Herniation

  • Degenerative Disc Disease

  • Lumbar Facet Syndrome

  • Lumbar Spinal Stenosis

  • Sacroiliac Joint Dysfunction

  • Myofascial Pain Syndrome

  • Cervical Radiculopathy

  • Cervical Disc Herniation

  • Cervical Facet Syndrome

  • Cervical Myelopathy

  • Piriformis Syndrome

  • Spondylolisthesis

  • Failed Back Surgery Syndrome

  • Thoracic Outlet Syndrome

  • Coccydynia

  • CRPS

Diagnoses I see

My goal is to help you move. If there are any musculoskeletal (bones, joints, muscles, tendons, ligaments, etc.) holding you back from doing that - I am there to help! While not a complete list, below are many of the common diagnoses I see.

Shoulder

  • Rotator Cuff Tendinopathy

  • Shoulder Impingement

  • Rotator Cuff Tear

  • Shoulder Bursitis

  • Adhesive Capsulitis

  • Biceps Tendinopathy

  • AC Joint Arthropathy

  • Labral Tear

Hip

  • Hip Osteoarthritis

  • Greater Trochanteric Pain Syndrome

  • Gluteal Tendinopathy

  • Hamstring Tendinopathy

  • Hip Flexor Strain

  • Femoroacetabular Impingement

  • Hip Labral Tear

  • Ischiogluteal Bursitis

Knee

  • Knee Osteoarthritis

  • Patellofemoral Pain Syndrome

  • Meniscal Tear

  • IT Band Syndrome

  • Patellar Tendinopathy

  • Medial Collateral Ligament Sprain

  • Pes Anserine Bursitis

  • ACL Tear

  • Baker's Cyst

Foot & Ankle

  • Plantar Fasciitis

  • Achilles Tendinopathy

  • Ankle Sprain

  • Stress Fracture

  • Morton's Neuroma

  • Posterior Tibial Tendon Dysfunction

  • Peroneal Tendinopathy

Elbow & Wrist

  • Lateral Epicondylosis

  • Medial Epicondylosis

  • Carpal Tunnel Syndrome

  • Trigger Finger

  • De Quervain's Tenosynovitis

  • Ulnar Nerve Entrapment

  • 1st CMC joint arthritis

General MSK

  • Fibromyalgia

  • Osteoporosis

  • Trochanteric Bursitis

  • Nerve Entrapment

  • Meralgia Paresthetica