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Treatments - North Texas Comprehensive Spine and Pain Center
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Treatments and Procedures



We are not using methylprednisolone in our practice.  We do not buy the medications from compounding Pharmacy.  We buy medications directly from the manufacturers.  We are using Kenalog (Triamcinolone ) in our practice, which we buy from Bristor-Myers Company.  At present we (our patients) do not have any risk from epidural Steroid injections.  Remember safety is our number one priority.

Conservative Management

  • Aerobic exercises, massage, stretching
  • Behavioral Modification (psychological evaluation to include pain coping skills, biofeedback, hypnosis, relaxation techniques
  • Coadjuvant pain medications including NSAID’s, muscle relaxants, and nerve pain medications, with carefully selected dosages
  • Non-surgical spinal decompression
  • Physical and Occupational  Therapy
  • Use of treatment modalities including TENS/Ultrasound hot/cold packs therapy


Back / Neck Pain

  • Trigger Point Injections
  • Epidural Steroid Injections
  • Selective Nerve Root Blocks
  • Facet joint injections / Medial Branch Blocks
  • Sacroiliac Joint Injections
  • Piriformis Block
  • Radiofrequency Ablation
  • Discography
  • Percutaneous Laser Discectomy
  • Intradiscal Electrothermal Therapy (IDET)
  • Vertebroplasty / Kyphoplasty
  • RACZ Lysis of Adhesions
  • Spinal Cord Stimulation

Cancer Related Pain

  • Intrathecal Pain Pumps
  • Celiac Plexus Block

Other Procedures

  • Botulinum toxin (Botox) injections
  • Bursa injections
  • Caudal epidural steroid injection with or without catheters
  • Cervicothacic (stellate ganglion block)
  • Diagnostic Nerve Blocks
  • Facet joint injections
  • Joint injections, including steroid and viscosupplementation (hyalgan)
  • Lumbar Discography
  • Lumbar, thoracic and cervical epidural steroid injections
  • Medial branch blocks
  • Peripheral nerve stimulation
  • Radiofrequency Ablation
  • Radiofrequency rhizotomy
  • Sacroiliac joint injection
  • Spinal cord stimulation
  • Sympathetic ganglion blocks
  • Trigger point injections
  • Vertebroplasty & Kyphoplasty

Interventional Procedures

  • Botulinum toxin neuromuscular injections
  • Disc Decompression
  • Discography
  • Epidural steroid injection (ESI)/Caudal ESI
  • Facet joint injections
  • Gasserian/sphenopalatine ganglion blocks
  • Intradiscal Electrothermal Therapy (IDET)/Biacuplasty (Transdiscal radiofrequency)
  • Intrathecal Pump
  • Intra-articular, bursal, and trigger point injections
  • Lumbar & Cervical Radiofrequency ablation
  • Medial branch nerve block
  • Nucleoplasty/Disc Decompression
  • Osteopathic Manipulative Medicine
  • Racks catheter
  • Sacroiliac joint injection
  • Selective Nerve Root Block/TFESI
  • Spinal Cord Stimulator
  • Sympathetic Blocks/Neurolytics
  • Vertebroplasty/Kyphoplasty