Severe Lower Back Pain Treatment in New Jersey:
Our State-of-the-Art Treatments
By integrating our philosophy of comprehensive, compassionate care with the most advanced state-of-the art treatments, the Freeman Pain Institute has achieved great success in providing patients with the pain relief they deserve. Our interventional procedures are founded on advanced training that incorporates the highest standard of care.
Some of the Freeman Pain Institute advanced interventional and severe lower back pain treatments include:
Minimally Invasive Spinal Procedures:
- Selective Endoscopic Laser Discectomy
- Percutaneous Discectomy
- Spinal Cord Stimulator Trials
- Intradiscal Electrothermic Therapy (IDET)
Interventional Spinal Procedures:
(Cervical/Thoracic/Lumbar)
- Transforaminal Epidural Steroid Injections
- Interlaminar Epidural Steroid Injections
- Caudal Epidural Steroid Injections
- Epidural Lysis of Adhesions
- Facet Joint Injections
- Radiofrequency Ablation / Neurotomy
- Sacroiliac Joint Injections / Blocks
- Sympathetic Blocks
- Intercostal Nerve Blocks
- Stellate Ganglion Blocks
Advanced Diagnostic Procedures:
- Provocative Discography (Cervical/Thoracic/Lumbar)
- Electrodiagnostic Studies (EMG/NCS)
- Medial Branch Blocks / Facet Blocks
- Selective Nerve Root Blocks
Orthopedic Joint and Muscle Treatments:
More on Specific Severe Lower Back Pain Treatments in our Edison, Union, or Newark NJ Facilities:
Selective Endoscopic Laser Discectomy
Selective Endoscopic Laser Discectomy is a minimally invasive spinal procedure used to treat pain caused by pinched nerves, bone spurs, degenerative disc disease as well as herniated discs. Using laser-assist technology, a small camera (endoscope) is placed in the spinal area for the removable of disc herniations, bone spurs as well as scar tissue. The procedure is performed on a same-day outpatient basis under local anesthesia in a surgical center setting.
Transforaminal Epidural Steroid Injections
This procedure is the targeted placement of an anesthetic and anti-inflammatory (steroid) solution in the epidural space where the disc and nerves are located. The purpose of this injection is to decrease inflammation and irritation around the disc and nerve roots before they exit the spine thereby reducing pain. The procedure may be repeated periodically, if necessary, and is an important part of treating conditions such as herniated discs, sciatic pain (radiculopathy), spinal stenosis and degenerative disc disease.
It can be performed in the cervical, thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
Interlaminar/Caudal epidural steroid injections
This procedure is the placement of an anesthetic and anti-inflammatory (steroid) solution in the epidural space where the disc and nerves are located. The purpose of this injection is to decrease inflammation and irritation around the disc and nerve roots before they exit the spine thereby reducing pain. The procedure may be repeated periodically, if necessary, and is an important part of treating conditions such as herniated discs, sciatic pain (radiculopathy), spinal stenosis and degenerative disc disease.
It can be performed in the cervical, thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This outpatient procedure is the targeted placement of an anesthetic and anti-inflammatory (steroid) solution in the epidural space where the disc and nerves are located. This is done using a specialized state-of-the-art catheter that is guided through the epidural space to the painful regions. The purpose of this injection is to decrease inflammation and reduce swelling and scar tissue around the disc and nerve roots, thereby reducing pain. Once the procedure is completed, the needle and catheter are removed and a band-aid is applied. The procedure may be repeated periodically, if necessary, and is an important part of treating conditions such as herniated discs, sciatic pain (radiculopathy), spinal stenosis, degenerative disc disease, post-laminectomy and failed spinal fusion syndrome. It can be performed in the cervical and lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This procedure consists of placement of an anesthetic and anti-inflammatory (steroid) solution in the joints of the spine called facet joints. The purpose of this injection is to decrease inflammation and irritation caused by the joints, thereby reducing spinal pain. The procedure may be repeated periodically, if necessary, and is an important part of treating such conditions as chronic spine arthritis, degenerative disc disease and facet syndrome. It can be performed in the cervical, thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This outpatient procedure consists of placing a small probe to the nerves that supply sensation to facet joints. Using radiofrequency energy, the transmission of pain from the facet joints is disrupted, thus providing long-term relief for spinal arthritic disorders. The procedure may be repeated, if necessary, and is an important part of treating such conditions as chronic spine arthritis, degenerative disc disease and facet syndrome It can be performed in the cervical, thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This procedure consists of placement an anesthetic and anti-inflammatory (steroid) solution in the joints of the lower spine and hip region called sacroiliac joints. The purpose of this injection is to decrease inflammation and irritation caused by the joints and surrounding ligaments, thereby reducing low back pain. This procedure may be done for diagnostic as well as therapeutic purposes.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This procedure consists of placement of solution (steroid/anesthetic) in specific joints for various arthritic or sports-related disorders. The purpose of this injection is to decrease inflammation and irritation caused by the joints and surrounding ligaments, thereby reducing pain and increasing function. This procedure may be performed for diagnostic as well as therapeutic purposes and may address arthritic disorders involving the hip, knee and shoulder as well as most other joints in the body. The injection may include a viscous solution, which may act as a lubricant and can be performed in a series.
Joint injections may be done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication if needed.
This procedure consists of placement of an anesthetic as well as a corticosteroid solution on the sympathetic nerves or ganglions that rest on the anterior aspect of the spine. The purpose of this injection is to diagnose and treat sympathetic-mediated pain, which may be seen in disorders such as complex regional pain syndrome (RSD), shingles (post-herpetic neuralgia) and trauma as well as other neurologic conditions. It can be performed in the cervical (stellate ganglion block), thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This in-office treatment consists of placing a small needle in the area of the inflamed, hyperactive or taut muscle called trigger point. The purpose of this procedure is to injection a solution (steroid/saline/lidocaine) into these tender regions to decrease inflammatory substances, reduce pain and relax muscle spasms. Trigger point injections may be repeated periodically, if necessary and are an important part of treating such conditions as fibromyalgia as well other myofascial pain disorders.
This in-office treatment consists of injection of the Botox toxin into areas of muscle spasm to reduce chronic resistant trigger points. This procedure is very safe and is used for many cosmetic treatments as well as for various pain disorders. Injection of the Botox into the muscle causes gradual relaxation of chronic spasms and trigger points not responsive to injections. Botox is also used for other conditions such as headaches and spasticity from a neurologic disorder (stroke).
This procedure consists of placement of an anesthetic/steroid solution to intercostal nerves in the thoracic, or rib, region. The purpose of this injection is to decrease inflammation and irritation around the nerve roots before they exit the spine, thereby reducing pain. An intercostal nerve block is used to treat pain secondary to conditions such as shingles, post-herpetic neuralgia and postsurgical incisional pain as well as other chronic pain disorders. All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This outpatient procedure consists of the placement of a small lead wire through a needle to the area of the spinal region to control your pain. By using this neurostimulation technology, this procedure blocks the pain impulses from reaching the brain. A trial procedure may be performed in which the outcome may be monitored for a period of three to five days. If successful, the permanent neurostimulator device would be considered. This procedure is an important part of treating chronic spinal pain seen with herniated discs, sciatic pain (radiculopathy), spinal stenosis, degenerative disc disease, post laminectomy syndrome as well as failed spinal surgery.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This procedure consists of placement of an anesthetic as well as a corticosteroid solution on the sympathetic nerves or ganglions (stellate ganglion) that rest on the anterior aspect of the cervical spine. The purpose of this injection is to diagnose and treat sympathetic-mediated pain. The procedure may be repeated periodically, if necessary, and is an important part of treating conditions such as complex regional pain syndrome (RSD), shingles (post-herpetic neuralgia) and trauma as well as other neurologic conditions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This outpatient procedure is the targeted placement of a saline and contrast solution into one or multiple discs in the spine. The purpose of this procedure is to determine if the disc is the exact source of your pain. Identifying the exact source of pain may lead to a minimally invasive disc procedure. Once the procedure is completed, a CT scan is performed to visualize the solution inside the disc, which may show tears and scarring as well as herniations. It can be performed in the cervical, thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
Electrodiagnostic Studies (EMG/NCS)
This outpatient procedure measures the electrical activity in the muscles and nerves. This diagnostic test serves to evaluate the integrity of the peripheral nerves that run throughout the body. It assists in the diagnosis of disorders such as peripheral neuropathy, entrapment disorders (carpal tunnel syndrome) and radiculopathy (pinched nerve) as well as many other nerve-related syndromes. It is used as an aid for Dr. Freeman in his approach to formulate a thorough and comprehensive treatment plan.
This procedure is a diagnostic test that consists of placement of an anesthetic solution to specific nerves in the spinal region. It may serve as a precursor to additional procedures or assist in the diagnostic process in addressing multiple nerve involvement. It can be performed in the cervical, thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This minimally invasive outpatient procedure consists of placing a small probe through a thin needle to the center of the disc. Radiofrequency energy produces small channels in the disc thereby decompressing (shrinking) the herniation/bulge away from the nerve. The procedure may be repeated periodically, if necessary, and may be an important part of treating back and leg pain from herniated discs and sciatic pain (radiculopathy) as well as degenerative disc disease. It can be performed in the cervical, thoracic or lumbar regions.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
Intradiscal Electrothermal Therapy
This minimally invasive outpatient procedure consists of placing a small electrothermal catheter into the disc, which is then advanced circumferentially to the area of the injury. Through heating technology, disc herniations are decompressed and the small nerve endings are cauterized, thereby relieving chronic low back pain. This procedure is a safe and effective alternative to major spinal surgery caused by disc herniations.
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
This in-office treatment consists of placing a small needle in the area of the inflamed, hyperactive or taut muscle called trigger points. The purpose of this procedure is to injection a solution (steroid/saline/lidocaine) into these tender regions to decrease inflammatory substances, reduce pain and relax muscle spasms. Trigger point injections may be repeated periodically, if necessary and are an important part of treating such conditions as fibromyalgia as well other myofascial pain disorders.
Severe Lower Back Pain Treatment in Edison, Union, or Newark New Jersey Areas
"Dr. Freeman is an outstanding physician. He takes time to explain the exact nature and extent of treatment. I like his personal approach and I highly recommend the Freeman Pain Institute."
M.S.
Highest Standards of Care:
All procedures are done under fluoroscopic guidance (X-ray-guided) to ensure proper placement of the medication and may be performed in an ambulatory surgical center, fluoroscopy suite or hospital setting.
Health Insurance:
Most Insurance are accepted.
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