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Pain in the chest, shoulder, arm, or hand can significantly impact daily life and may result from conditions like nerve compression, herniated discs, osteoarthritis, or bursitis. At North Shore Pain Management, our expert team specializes in diagnosing and treating these complex pain conditions with advanced, personalized care. Through minimally invasive procedures and comprehensive treatment plans, we aim to reduce pain, restore function, and improve your quality of life. Let us help you find lasting relief and regain comfort.
Osteoarthritis
Intercostal Neuralgia
Post Herpetic Neuralgia
Complex Regional Pain Syndrome (CRPS)
Osteoarthritis
Advanced Osteoarthritis Treatment for Joint Pain Relief
Osteoarthritis is a degenerative joint disease that occurs when the protective cartilage between bones wears down over time, leading to joint pain, stiffness, and reduced mobility, while bursitis is the inflammation of the bursae—small, fluid-filled sacs that cushion the bones, tendons, and muscles near joints. Both osteoarthritis & bursitis commonly affect shoulders, elbows, hips, and knees, which can significantly impact daily activities. 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.
Shoulder Joint/Bursa Injections for Pain Relief
Shoulder joint injections are a minimally invasive treatment designed to reduce inflammation and relieve pain caused by conditions such as osteoarthritis, bursitis, rotator cuff injuries, and tendonitis. This procedure involves injecting a corticosteroid and/or anesthetic directly into the shoulder joint to decrease swelling, improve mobility, and restore function. At North Shore Pain Management, our expert team offers personalized shoulder joint injection treatments to help patients manage pain effectively and return to their daily activities with greater comfort and ease.
Intercostal Neuralgia
Effective Treatment for Intercostal Neuralgia
Intercostal Neuralgia is a chronic pain condition caused by irritation or damage to the intercostal nerves, which run along the ribs. This condition often leads to sharp, burning, or stabbing pain in the chest or upper abdomen, commonly resulting from surgery, trauma, or infections like shingles. At North Shore Pain Management, we offer advanced, personalized treatments—such as nerve blocks to effectively relieve intercostal nerve pain and improve daily function. Let our expert team help you find lasting relief.
Intercostal Nerve Block (INB)
What is an Intercostal Nerve Block (INB)?
An intercostal nerve block is an injection of local anesthetic (numbing medication) sometimes with a steroid medication, injected just under the rib, where the intercostal nerve lies. An INB is typically performed for pain in the area of your ribs that comes after having surgery in that area, a rib fracture, herpes zoster (shingles), or when the intercostal nerve becomes trapped.
How long does an INB injection take?
The injection 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?
Most people report that the stinging/burning of the numbing medicine is the most uncomfortable part of the procedure though everyone’s response to the pain is individual. As the injection is near a nerve, it is possible to get a temporary “electric shock” sensation that disappears immediately
What should I expect after the procedure and what are the side effects?
After the injection, you will feel numb in a band-like fashion that follows the rib(s). Your pain may be improved. It is important to keep track of how you feel for the remainder of the day. The steroid medication, when used, usually takes 2-3 days to have an effect, and usually peaks in about 2 weeks. You may feel lightheaded from the local anesthetic medication. This usually lasts a short time. Some tenderness around the injected area may occur for a couple of days after the injection. 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 pain medication as prescribed following the injection as needed. Please note how much pain medication you have taken, the amount of pain relief you received, as well as how long the pain relief lasted.
What should I do after the procedure?
No heat is to be used on or around the injected area for the remainder of the day. No tub, bath, or soaking in water (i.e. pool, Jacuzzi, etc.) for at least 48 hours. You may eat, drink, and take your medications as prescribed on the day of the procedure (both before and after) unless instructed otherwise by your physician. If you experience shortness of breath, contact your physician or go to the Emergency Room.
Post Herpetic Neuralgia
Effective Treatment for Postherpetic Neuralgia (PHN)
Postherpetic Neuralgia (PHN) is a chronic nerve pain condition that can develop after a shingles outbreak, causing burning, stabbing, or aching pain in the affected area. This condition occurs when nerve fibers are damaged, leading to persistent pain long after the skin has healed. At North Shore Pain Management, we offer advanced, personalized treatments to help reduce nerve pain, improve comfort, and restore quality of life. Let our expert team guide you toward lasting relief from PHN.
Epidural Steroid Injections for Pain Relief
Epidural Steroid Injections (ESIs) are a minimally invasive treatment designed to relieve inflammation and pain caused by nerve compression in the spine. By delivering corticosteroids directly into the epidural space, ESIs reduce inflammation around irritated nerves, providing relief for conditions like herniated discs, spinal stenosis, and sciatica. This procedure effectively alleviates pain in the neck, back, arms, and legs, improving mobility and overall quality of life. North Shore Pain Management offers personalized ESI treatments to help patients achieve long-lasting pain relief.
Complex Regional Pain Syndrome (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.Stellate Ganglion Block (SGB)
A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.
What is a Stellate Ganglion Block (SGB)?
A stellate ganglion block (SGB) is a sympathetic block in which a local anesthetic (numbing medication) is injected into the bone of the neck for pain located in the head, neck, chest, or arm. This may be caused by Chronic Regional Pain Syndrome, which is often a result of nerve injury causing adrenaline in the body to stimulate pain signals. It may also be caused by herpes zoster (shingles), or intractable angina or heart related chest pain.
How long does the SGB 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 physician must press on your neck using ultrasound guidance to locate the area to be injected. Many patients find this awkward and somewhat uncomfortable. The injection itself is done using a very small needle. Most people say the burning/stinging of the numbing medicine is the most uncomfortable part of the procedure, though everyone’s response to pain is individual.