Coolief Procedure – Hip

Chronic hip pain can be addressed with a procedure known as Cooled Radiofrequency Thermocoagulation, otherwise known as the Coolief Procedure. In this case, three of the nerves surrounding the hip are blocked under local anesthetic and then a needle attached to a radiofrequency device, a cooled radiofrequency device, is placed at the appropriate levels.... MORE

Ganglion Impar Block

The ganglion of impar is an interesting block that is utilized to treat pain of the rectal region. This pain can be debilitating to patients on a daily basis. So by placing a needle through the coccygeal joint to the undersurface of the sacrum, we are able to reach this area and block this nerve to provide pain relief.... MORE

Genitofemoral Nerve Block

The genitofemoral nerve block is also another nerve block that is utilized for chronic pain syndromes. For patients who have testicular pain that is not due to a structural... MORE

Intraarticular Coccyx Injections

Coccydynia, or tailbone pain as it is commonly known, can also be treated with intervention. Particularly if conservative means, physical therapy or pain avoidance by using a donut don’t help. In this case we can actually place a needle into the coccyx joint under direct fluoroscopic guidance and turn off the pain signals at this location.... MORE

Intrarticular Hip Injections

Intraarticular hip injections are utilized for patients who have degenerative joint disease of the hip or osteoarthritis. This hip pain can be resolved with a simple application or injection of steroid to inside the joint capsule. This is accomplished by taking the patient to the operating room, and under direct fluoroscopic guidance, visualizing the joint space and placing the needle directly into the joint space. This injection can also be done under ultrasound guidance in the clinic setting as well.... MORE

Radiofrequency Thermocoagulation

Another treatment for the SI joint is a radiofrequency thermocoagulation, or simply just burning the nerves that innervate the SI joint. We can accomplish this, again, in the safety of the operating room, under sedation, under fluoroscopic guidance, so we can see exactly where the needles are being placed. After proper placement of the needles, that is attached to a computer and we are able to lesion the nerve for about 90 seconds, and that should last a patient for pain control up to 6 to 8 months.... MORE

SI Joint Injections

The SI joint injection is used to treat SI joint dysfunction, or SI joint pain. Under direct fluoroscopic guidance, in the safety of the operating room, a needle is placed into the inferior pole, or the lower portion of the joint. At that area, we are able to inject local anesthetic and steroids to provide pain control.... MORE