What We Do

We offer a variety of services to treat your pain and restore your quality of life.

List of Services

  • Cervical Epidural Steroid Injections:

    Cervical steroid injections are a medical procedure used to treat pain and inflammation in the neck, specifically in the cervical spine. The cervical spine refers to the seven vertebrae that make up the neck. These injections involve the delivery of a corticosteroid medication into the space around the spinal cord and the nerves in the cervical region. Typically, a local anesthetic is also included in the injection to provide immediate pain relief. The corticosteroid medication has anti-inflammatory properties and helps reduce swelling and irritation of the nerves, discs, and surrounding tissues in the cervical spine. This can alleviate pain caused by various conditions including:

    • Cervical radiculopathy: This refers to the radiating pain caused by the compression or irritation of the nerve roots in the neck, often resulting from a herniated disc or spinal stenosis.
    • Cervical disc degeneration: Over time, the cervical discs can undergo wear and tear, leading to pain and inflammation.
    • Cervical spine stenosis: This condition involves the narrowing of the spinal canal in the neck, causing pressure on the spinal cord and nerves.
    • Cervical spondylosis: It is a tern used to describe degenerative changes in the spine, including bone spurs and osteoarthritis.
  • Genicular block and radiofrequency ablation (RFA):
    Genicular block

    Genicular nerve radiofrequency ablation (RFA) is a minimally invasive procedure used to provide longer-term pain relief for chronic knee pain caused by osteoarthritis or surgery. This can be used to control knee pain when someone is not a candidate for total knee arthroplasty. Genicular nerves are sensory nerves that innervate the knee joint. RFA uses radiofrequency energy to heat and disrupt the nerves responsible for transmitting pain signals. A specialized needle and electrode are inserted near the target nerves, and then radiofrequency energy is applied to generate heat and ablate the nerves. Patients can expect six months to six years of pain relief depending on the severity of the condition.

    Genicular block
  • Lumbar transforaminal epidural steroid injections:

    Lumbar transforaminal epidural steroid injections are minimally invasive procedures used to relieve pain and inflammation in the lower back caused by conditions that affect the spinal nerve roots. A combination of local anesthetic and corticosteroid medication is injected. The local anesthetic provides immediate pain relief, while the corticosteroid aims to reduce inflammation and decrease nerve irritation over a more extended period. The corticosteroid medication helps reduce inflammation and suppresses the immune response, alleviating inflammation and subsequent pain.

  • Radiofrequency ablation (Cervical, thoracic, and lumbar):

    RFA is a minimally invasive procedure used to alleviate chronic pain by interrupting pain signals transmitted by nerves. It is commonly used to treat pain arising from the cervical (neck) and lumbar (lower back) regions of the spine and in limited instances, the thoracic region. RFA can provide significant pain reduction or complete elimination in many cases. The procedure is commonly used to treat conditions such as chronic back pain, chronic neck pain, and arthritis pain.

    During an RFA procedure, a specialized needle and electrode are inserted near the affected nerve under the guidance of imaging techniques like fluoroscopy or ultrasound. The electrode emits a high-frequency current that generates heat. This heat creates a lesion and ablates the target nerve disrupting the transmission of pain signals. The pain relief achieved with RFA can be long-lasting, often ranging from several months to several years. This procedure has transformed spine care and can provide relief without the need for surgery.

  • Stellate ganglion block:

    Post-Traumatic Stress Disorder (PTSD):

    A stellate ganglion block is a medical procedure that involves injection a local anesthetic into the stellate ganglion, a cluster of nerves located in the neck. The stellate ganglion is involved in the body’s “fight or flight” response and plays a role in regulating the autonomic nervous system. Research studies have shown that an overactive sympathetic nervous system, which is responsible for the body’s stress response, contributes to the symptoms of PTSD. By blocking the stellate ganglion, the sympathetic activity can be reduced, leading to a decrease in the symptoms associate with PTSD.

    stellate gangloin block

    Long COVID:

    Long COVID refers to a range of persistent symptoms that some individuals experience after recovering from an acute COVID-19 infection. These symptoms can include fatigue, brain fog, shortness of breath, and various neurological and autonomic dysfunctions. While the underlying cause of long COVID are still not fully understood, research suggests that dysregulation of the autonomic nervous system (ANS) plays a role. The stellate ganglion is part of the ANS and by blocking the ganglion the procedure helps regulate the uncontrolled autonomic activity and alleviates the symptoms associated with long COVID.

    Complex regional pain syndrome (CRPS):

    Stellate ganglion blocks are used to treat individuals with CRPS, a chronic condition characterized by severe pain, swelling, and changes in skin color and temperature. This block interrupts the abnormal sympathetic nerve activity associated with CRPS and provides pain relief.

    Sympathetically Maintained Pain:

    Stellate ganglion blocks can be used to manage pain originating from sympathetic nerves, Examples include pain caused by nerve injuries, phantom limb pain, and postherpetic neuralgia (nerve pain after shingles).

    Vascular conditions:

    Stellate ganglion blocks can be utilized in the treatment of certain vascular conditions like vascular insufficiency, thoracic outlet syndrome, acute frostbite, etc. It can also be useful for the treatment of Raynaud’s disease, which causes narrowing of blood vessels in response to cold temperatures or stress. By blocking sympathetic nerve activity, blood flow to the affected area can be improved.

    Excessive sweating (hyperhidrosis):

    Stellate ganglion blocks have been used to treat excessive sweating in the upper extremities by inhibiting the sympathetic nerves responsible for regulating sweat production.

  • Trigger point injections:
    Trigger point injections

    Trigger point injections are a medical procedure used to alleviate pain and muscle tension associated with trigger pints. Trigger points are specific areas of muscle that can become tight, tender, and painful. They often develop as a result of muscle overuse, injury, or stress. The injection aims to relieve pain and promote muscle relaxation by inactivating the trigger point and reducing inflammation. These injections can be beneficial for various conditions including muscle pain and tension (often in throughout the back), fibromyalgia, myofascial pain syndrome, and temporomandibular joint (TMJ) disorders.

    Trigger point injections

Contact Us

If you or a loved one is seeking relief from acute or chronic pain, we encourage you to
schedule a consultation with our experienced team at Tree City Anesthesia and Pain. We
are here to help you regain control and live a life free from debilitating pain. We look
forward to serving you and assisting you on your pain management journey.