Spinal Conditions



Disc pain can be caused when the discs degenerate or sometimes herniate. Painful spinal discs are usually first treated by injecting a synthetic cortisone (steroid) preparation around the outside of the discs. This space is the epidural space and the procedure is called an epidural steroid injection (ESI). It works best if there is radiation applied for the pain in legs or arms, but can work if there is only pain in the spine. If there is a steroid intolerance, this step can be skipped. The next step is typically to place medication inside the center of the disc. The first medication used is Platelet Rich Plasma Therapy (PRP). Platelets initiate healing, and are taken from the patient’s own blood. A more advanced treatment that can be placed into the disc is stem cell therapy, these stem cells are taken from the patient’s own body, usually from fatty tissue.

Treatment Options:

  • Stem Cell Therapy
  • Platelet Rich Plasma Therapy (PRP)
  • Epidural Steroid Injections (ESI)
  • Spinal Cord Stimulation


The first step in our process for treating painful spinal joints is to inject medication into the joints, either steroid or non-steroid medication can be used. If the joint injection does not last long enough, or if the joints are too narrowed to accept medication, a Medial Branch Block (MBB) may be performed to test for arthritis pain. An MBB involves local anesthetic being placed on the small nerves going to the facet joint, which causes the joint to become numb, much as a dentist numbs your teeth. If relief is obtained for 4-6 hours, a radio-frequency neurotomy is recommended. This is a procedure where the small nerves to the joint are cauterized.

Treatment Options:

  • Steroid (cortisone) Injections
  • Platelet Rich Plasma (PRP)
  • Non-Steroid Injections
  • Radio-Frequency Neurotomy
  • Spinal Cord Stimulation