Beyond Injury Care.

Interventional Pain Management

Coastal Health Group’s non-opioid interventional pain management offers patients proven, safe options for treatment of chronic and acute pain without the addictive and potentially debilitating side effects, including addiction, often associated with opioid-based pain management.

Interventional Pain Management has proven beneficial for:

  • Diabetic/peripheral neuropathy
  • Discogenic pain
  • Facet joint arthropathy
  • Facial pain
  • Failed back surgery syndrome
  • Herniated (“ruptured”) disc
  • Muscle strain
  • Osteoarthritis/ autoimmune arthritis
  • Pain associated with Auto-Related Injuries
  • Pain associated with Work-Related Injuries
  • Sciatica
  • Spinal pain (cervical, thoracic, lumbar, sacral)

Coastal Health Group’s current suite of interventional pain management services include:

Epidural Injections

Simply put, an epidural corticosteroid injection aims to reduce the pain so that you can resume normal activities and physical therapy programs. 

Patients with common problems such as chronic back and neck pain receive a short, painless outpatient procedure with a cervical epidural steroid injection. The injection reduces neck, shoulder, and arm pain caused by broken nerves or nerves in the cervical spine. Some diseases, such as herniated discs and spinal stenosis, compress the nerves and cause inflammation and pain. In addition, pain reduction allows for a better range of motion, and strengthening exercises can help restore weakened areas of the neck and shoulders.

Epidural Steroid Injections

Epidural Steroid Injections (ESIS) are a standard treatment for many forms of back and leg pain. They have been used for decades and are considered an integral part of the non-surgical treatment toolkit for managing sciatica and back pain. 

The procedure works through a small injection that acts on the spinal nerves to flush out proteins that cause swelling. Corticosteroid injections reduce inflammation and are effective when administered in painful areas. A lumbar epidural injection can help relieve pain, tingling, and numbness in the back, buttocks, and legs. In addition, it can provide immediate pain relief in the cervical spine region and improve other symptoms such as numbness, weakness, tingling, and lower limb pain.

Spinal Endoscopy

Spinal endoscopy can confirm a diagnosis of scarring around nerve roots, and allow removal or displacement of scarring.  Medications are delivered direct to affected nerves, relieving pain and other symptoms.

Facet Joint Block Injections

Facet joints are small, stabilizing joints in the spine and can become painful for various reasons. Common causes of pain in these joints are arthritis, injuries, mechanical stress, and normal wear and tear. In addition, even healthy facet joints can become inflamed and painful because of a variety of diseases such as osteoarthritis, degenerated intervertebral discs, spinal stenosis, and traumas such as a car accident. Facet joints also serve as a diagnostic procedure, providing immediate feedback and confirming the source of your pain.

Selective Nerve Root Block

Nerve blocks are used to reduce inflammation and pain. These injections provide useful information to determine the specific spinal nerve root that is the source of the pain.


Discography is a non-surgical back pain diagnostic procedure. It provides an “inside” look into the discs to determine if they are the source of your pain.

Radiofrequency Nerve Ablation

Radiofrequency ablation is a non-surgical, minimally invasive procedure in which targeted heat reduces or stops pain transmissions. If you suffer from recurrent pain and have experienced good relief from nerve-blocking injections, you may be a candidate for radiofrequency ablation. It is a technique that uses heat and radio signals to destroy the small nerves that emanate from the source of your pain.

Radiofrequency ablation’s main advantages include its ability to address the pain area and its high efficacy as a pain treatment method. In addition, it is generally considered a safe therapy with few reported complications

Intrathecal Pumps

A surgically implanted pump delivers pain medications directly to the precise location in the spine from which the pain originates.

Disc Annuloplasty

An annuloplasty is a minimally invasive outpatient procedure especially suited to patients who’ve had no success with other treatments and therapies and wish to avoid the pain and downtime of traditional spinal surgery.

Controlled levels of thermal heat are applied directly to the affected disc.

Trigger Point Injection

This outpatient procedure was developed to reduce and relieve back pain attributed to trigger points. These small knots form in muscles or fascia tissue leading to myofascial pain.

Sympathetic Nerve Blocks

A sympathetic nerve block can be used to treat pain resulting from Complex Regional Pain Syndrome (CPRS), Raynaud’s disease, and types of abdominal pain. This injection targets the sympathetic nervous system, which controls several involuntary body functions, including blood flow, heart rate and sweating.

Sacroiliac Joint Injection

A sacroiliac joint injection serves several purposes. By placing numbing medicine into the joint, the amount of immediate pain relief you experience will help confirm or eliminate the joint as a source of your pain.

Epidural Lysis of Adhesions/Neuroplasty

Epidural lysis of adhesions (LOA) has emerged as a popular treatment for spinal stenosis and failed back surgery syndrome.

Lumbar-Sympathetic Block 

A Lumbar-Sympathetic Block is an injection of pain medication that numbs the nerves of the sympathetic nervous system. Many pain specialists regard sympathetic nerve blockages as an effective method of controlling chronic pain. 

Therapies target the sympathetic nervous system, a series of nerves that extend along the spine and throughout the body that help control several involuntary bodily functions. A sympathetic nerve block involves injecting anesthetic drugs into the sympathetic nerves in the lower back and neck. 

The procedure can relieve pain from a wide variety of conditions, such as reflex sympathetic dystrophy (RSD) in the legs and feet, complex regional pain syndromes (CRPs), and shingles.

Lumbar Transforaminal Epidural Steroid Injections

Lumbar transforaminal epidural steroid injections are an effective method widely used in treating back pain because they can prevent patients from needing back surgery. Transforaminal epidural steroids injections are a popular non-surgical, minimally invasive treatment option for back and leg pain. They are used to relieve pain caused by irritated nerves in the lumbar spine. Lumbar epidural injections are also used to treat diseases that cause irritation and inflammation of the spinal nerve root associated with leg pain.

Patients who receive these injections report experiencing dramatic relief within a few days.

Prolotherapy for Spine Pain

Prolotherapy is an injection procedure used to treat injuries to connective tissue in the musculoskeletal system that cannot heal through rest or other non-surgical. It uses platelet-rich plasma (PRP) to provide natural healing therapy with quick results. The injection promotes healing in response to small tears in weakened tissue to alleviate pain and improve function. 

It involves injecting soft tissue with one or more proliferates designed to trigger local inflammation and stimulate the body’s collagen production at the injection site. The therapy aims to encourage the proliferation of collagen to promote the non-surgical repair of soft tissue and relieve pain.

Prolotherapy is an effective treatment for many orthopedic diseases such as injured ligaments, tendons, and unstable joints. It strengthens weakened tissue, improves function and stability, and reduces pain. We recommend it for patients who want to avoid surgery or are not eligible for surgery