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Beverly: 978-927-7246
Woburn: 781-927-7246
Pain in the hip, knee, leg, or foot can significantly impact mobility and daily activities, often resulting from conditions like arthritis, tendonitis, nerve compression, or injuries. At North Shore Pain Management, we specialize in diagnosing and treating these types of pain with advanced, personalized care plans. From joint injections and nerve blocks to minimally invasive procedures, our treatments are designed to reduce pain, restore function, and improve your overall quality of life. Let us help you find lasting relief and regain your mobility.
Osteoarthritis
Meralgia Paresthetica
CRPS
CRPS Spinal Cord Stimulation
Piriformis Syndrome
Osteoarthritis
Advanced Osteoarthritis Treatment for Joint Pain Relief
At North Shore Pain Management, we offer personalized, non-surgical treatments for osteoarthritis, including joint injections, and pain management strategies designed to reduce inflammation, relieve pain, and improve joint function for long-term relief.
Hip and Knee Joint/Bursa Injections for Pain Relief
Hip and knee joint/bursa injections are minimally invasive treatments designed to relieve pain and inflammation caused by conditions such as osteoarthritis, bursitis, and joint injuries. By delivering a corticosteroid and/or anesthetic directly into the affected joint/bursa, these injections reduce swelling, alleviate discomfort, and improve mobility. At North Shore Pain Management, our expert team offers personalized hip and knee joint injection therapies to help patients manage pain effectively, restore function, and enhance their quality of life.
Meralgia Paresthetica
Comprehensive Care for Meralgia Paresthetica
Meralgia Paresthetica is a chronic pain condition caused by compression or irritation of the lateral femoral cutaneous nerve, resulting in numbness, tingling, burning, or pain in the outer thigh. Often linked to obesity, tight clothing, or prolonged sitting, this condition can significantly impact daily comfort and mobility. At North Shore Pain Management, we specialize in diagnosing and treating Meralgia Paresthetica with advanced, personalized therapies, including nerve blocks and minimally invasive procedures, to relieve pain and restore your quality of life.
Lateral Femoral Cutaneous Nerve Block for Effective Pain Relief
A Lateral Femoral Cutaneous Nerve Block is a minimally invasive procedure designed to relieve pain, tingling, or burning sensations in the outer thigh caused by Meralgia Paresthetica or other nerve compression conditions. This treatment involves injecting a local anesthetic and anti-inflammatory medication near the lateral femoral cutaneous nerve to block pain signals and reduce inflammation. At North Shore Pain Management, our expert team provides personalized nerve block treatments to help patients achieve long-lasting relief, improve mobility, and restore their quality of life.
CRPS
Advanced Treatment for Complex Regional Pain Syndrome (CRPS)
Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that typically affects the arms, legs, hands, or feet following an injury or surgery. It is characterized by severe, persistent pain, swelling, and changes in skin color or temperature. At North Shore Pain Management, we specialize in diagnosing and treating CRPS with advanced, personalized pain management solutions designed to reduce symptoms, improve function, and restore quality of life. Let our expert team help you manage CRPS and regain comfort.Lumbar Sympathetic Block (LSB)
This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.
What is a Lumbar Sympathetic Block (LSB)?
A lumbar sympathetic block (LSB) is an injection of local anesthetic (numbing medicine) into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on either side of the spine, in the lower back. Normally, these nerves control basic functions like regulating blood flow. In certain conditions, these sympathetic nerves can carry pain information from the peripheral tissues back to the spinal cord. A LSB is performed to block the sympathetic nerves that go to the leg on the same side as the injection. This may, in turn, reduce pain, swelling, color, sweating and other unusual changes in the lower extremity and may improve mobility. It is done as a part of the treatment of Reflex Sympathetic Dystrophy (RSD), Sympathetic Maintained Pain, Complex Regional Pain Syndrome and Herpes Zoster (shingles) involving the legs. Certain patients with neuropathy or peripheral vascular disease may also benefit from lumbar sympathetic blocks.How long does the LSB injection take?
The injection procedure takes about 10 minutes.What are the pre-requisites in order to perform this procedure?
You may need to stop taking certain medications several days before the procedure, especially anticoagulant or “blood thinning” medications, as well as other prescription and/or over the counter medications, including herbal and vitamin supplements.Will the injection hurt?
The procedure involves inserting a needle through skin and deeper tissues. We will numb the skin and deeper tissues with a local anesthetic using a very thin needle before inserting the actual block needle. Most of the patients also receive intravenous sedation that makes the procedure easier to tolerate.What should I expect after the procedure and what are the side effects?
Immediately after the injection, you may feel your lower extremity getting warm. In addition, you may notice that your pain may be gone or quite less. You may also notice some temporary weakness or numbness in the leg, although this is actually not a desired effect of a lumbar sympathetic block.What should I do after the procedure?
We advise the patients to take it easy for a day or so after the procedure. Perform the activities that you can tolerate. Some of the patients may go for immediate physical therapy. Unless there are complications, you should be able to return to your work the next day. The most common thing you may feel is soreness in the back at the injection site.CRPS Spinal Cord Stimulation
Advanced Treatment for Complex Regional Pain Syndrome (CRPS)
Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that typically affects the arms, legs, hands, or feet following an injury or surgery. It is characterized by severe, persistent pain, swelling, and changes in skin color or temperature. At North Shore Pain Management, we specialize in diagnosing and treating CRPS with advanced, personalized pain management solutions designed to reduce symptoms, improve function, and restore quality of life. Let our expert team help you manage CRPS and regain comfort.Spinal Cord Stimulation
What is a Spinal Cord Stimulation?
Spinal Cord Stimulation is a procedure in which an insulated lead or wire with electrodes is placed in the epidural space, much like having an epidural steroid injection, and stimulates the spinal cord with extremely small amounts of electricity which can blunt/block pain signals from various parts of the body. You will not feel any electrical sensation once the lead is placed correctly in the spine. It is a procedure for those who have failed conservative and injection therapies. Indications may include failed back or neck syndrome/post-laminectomy syndrome, complex regional pain syndrome, neuropathic pain, diabetic neuropathy, etc. This procedure starts with a 7 day trial period at which time you will have the ability to “test drive” the device before deciding if the treatment is beneficial.
Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, ams and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.
Will the procedure hurt?
Most people report that the stinging/burning of the numbing medicine is the most uncomfortable part of the procedure though every person’s response to any procedure is individual. Patients usually receive IV sedation which will relax you for the procedure but you are not asleep.What should I expect after the procedure and what are the side effects?
Pain relief may take a couple days to notice and until then you may have some discomfort in your back from the procedure. There are no side effects but you may experience a tingling or buzzing sensation during a 7-day trial which can be adjusted with a hand-held remote.
What should I do after the procedure?
Some localized tenderness may be experienced for a couple of days after the procedure. Using an ice pack with a barrier such as a towel between the skin and ice, three or four times a day will help this. You may take your prescribed pain medications after the injection. It is important that you keep track of the amount of pain relief you received as well as how much more functional you are.
Spinal Cord Stimulator Implant
The permanent implantation may be performed while the patient is under sedation or general anesthesia. First, one or more permanent leads are inserted through an epidural needle or a small incision into the predetermined location in the epidural space.Piriformis Syndrome
Effective Treatment for Piriformis Syndrome
Piriformis Syndrome is a condition where the piriformis muscle in the buttock irritates or compresses the sciatic nerve, causing pain, tingling, or numbness in the buttocks and down the leg. Often mistaken for sciatica, this condition can result from muscle strain, overuse, or prolonged sitting. At North Shore Pain Management, we specialize in diagnosing and treating Piriformis Syndrome with advanced, personalized care, including nerve blocks, and minimally invasive procedures. Our goal is to relieve your pain, restore mobility, and improve your quality of life.
Piriformis Injections for Sciatic Nerve Pain Relief
Piriformis injections are a minimally invasive treatment designed to relieve pain caused by Piriformis Syndrome, a condition where the piriformis muscle compresses the sciatic nerve. This procedure involves injecting a local anesthetic and anti-inflammatory medication directly into the piriformis muscle to reduce inflammation, relax the muscle, and alleviate sciatic nerve pain. At North Shore Pain Management, our expert team provides personalized piriformis injection treatments to help reduce pain, improve mobility, and restore your quality of life.