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Office Based Procedures

Welcome to our health education page. Patients can find information and definitions to help them learn about specific or general medical topics and procedures. Below you can read more about each procedure and what prerequisites are in order to perform each procedure. Providers at North Shore Pain Management can also answer any questions you might have?

Epidural Lysis of Adhesions with Catheter Placement

Epidural Lysis of Adhesions with Catheter Placement
Also called Racz procedure, this procedure is performed to remove excessive scarring in the epidural space.

Facet Block

Facet Block
An injection of local anesthetic (numbing medicine) and steroid medication into a joint in the spine.

Intercostal Nerve Block (INB)

Intercostal Nerve Block (INB)
An injection of local anesthetic (numbing medication) sometimes with a steroid medication, injected just under the rib, where the intercostal nerve lies.

Lumbar Sympathetic Block (LSB)

Lumbar Sympathetic Block (LSB)
An injection of local anesthetic (numbing medicine) into or around the sympathetic nerves.

Occipital Nerve Block (ONB)

Occipital Nerve Block (ONB)
An injection of local anesthetic medication next to the greater and lesser occipital nerves, which are located just beneath the scalp in the back of the head.

Radio Frequency Lesioning (RFL)

Radio Frequency Lesioning (RFL)
An outpatient procedure using a specialized machine to interrupt nerve conduction on a semi-permanent basis.

Sacroiliac Joint Injection (SI)

Sacroiliac Joint Injection (SI)
The goal of a sacroiliac injection is to provide pain relief by reducing the inflammation at the SI joint.

Stellate Ganglion Block (SGB)

Stellate Ganglion Block (SGB)
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.

Transforaminal / Epidural Steroid Injection (TFE)/(ESI))

Transforaminal / Epidural Steroid Injection (TFE)/(ESI)
This is an outpatient procedure in which we inject steroid medication into the epidural space.

Trigger Point Injection (TPI)

Trigger Point Injection (TPI)
A trigger point is a tight band of tissue within a muscle, that when pressed upon, causes your typical pain.