TriCities Spine

320 Bristol West Blvd., Suite 2B, Bristol, TN 37620 | Phone: 423.844.6407
TriCities Spine is a subsidiary of Bristol Neurosurgical Associates, the practice of Jim C. Brasfield, MD.

 
           
             
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Injection Therapy

 

TriCities Spine

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 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

The facet joints act as the hinges in our back, connecting alll 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.

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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.

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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Need more information on back and neck pain?
Click here to view resource books on spine problems, what causes back pain, what causes neck pain and when to see the doctor.

 

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 Exercise Library

TriCities Spine Exercise Library

Stretching and exercising provide ample benefits to back and neck pain sufferers: pain relief, strengthening, increased flexibility, and more. Select the above image to view our Exercise Library.

Anatomy Library

TriCities Spine Anatomy Library

Medical illustrations and descriptions may help you to understand what causes back or neck pain. Select the above image to view our Anatomy Library.

Medical Animations

TriCities Spine Medical Animations

In addition to the illustrations featured in our Anatomy Library, you will find interactive, step-by-step video presentations that explain spine conditions and the available treatment procedures.

Nonsurgical Treatment

Nonsurgical Treatment at TriCities Spine

Our nonsurgical emphasis in treating back and neck problems is often successful in helping people return to activity without surgery. Select the above image to learn more about Nonsurgical Care.

A Team Approach

A Team Approach to Back & Neck Pain Treatment

TriCities Spine provides all the specialists, diagnostic, and rehabilitation facility, all under one roof. Select the above image to learn more about our team approach to the treatment of back and neck pain.

Details of Spine Problems

Details About Spine Problems

Our Spine Problems resource describes the symptoms, causes, and treatment options for spine conditions affecting the back and neck. Select the above image to view our Spine Problems section.