The physiatrists and treatment team will spend time with you to clearly understand your problem and help you decide what treatment option will get you the results you are looking for. We offer a broad scope of treatment options for a variety of problems:
- Education & informed decision making: All patients are fully educated about the natural history, prognosis and treatment options available for their specific problem as well as given practical expert advice on the management of their symptoms.
- Exercise-based physical therapy: For many patients, specific exercise-based treatments are offered to improve strength and physical function and to reduce pain. The Spine Center has developed an intensive exercise-based program, often referred to as “boot camp” which is internationally recognized for its effectiveness and multiple clinical studies. Our program uses extensive testing of physical function to identify areas of the body in need of improvement. These areas are then the focus of an intense, supervised exercise program. Our patients’ hard work is often rewarded with a marked improvement of physical abilities and reduced pain.
- Spinal injections: After a comprehensive evaluation by your physiatrist, spinal injections may be offered for the management of pain. You will be educated about spinal injections and will be offered a variety of services including precise fluoroscopic-guided spinal injections of local anesthetics and corticosteroids.
Based on your needs, injections may be performed by your physiatrist, an interventional neuroradiologist or a pain anesthesiologists. At New England Baptist, all of our interventionalists are experts in performing a variety of spinal injections aimed at treating pain and symptoms.
Epidural and Nerve Root Blocks inject steroid and anesthetic medicine into the space next to the covering of the spinal cord and spinal nerves ("epidural" space). This procedure is typically used to relieve leg or arm pain that may be due to a disk herniation or spinal stenosis that has “pinched a nerve”. Technically, these arm symptoms are called cervical radiculopathy, and leg symptoms are called lumbar radiculopathy or sciatica.
Lumbar/Cervical Facet Joint Blocks inject steroid and anesthetic medicine into the outer capsule of the facet joint. The facet joints are located in the back of the spine where they help control the position and movements of the vertebrae. As people age, the facet joints become arthritic, and in some people these arthritic joints may become painful. Facet joint blocks help to reduce this pain, and are especially useful in older patients.
- Medications: Thoughtful, limited use of medications is offered for select patients.