This is a procedure that is performed for individuals with knee pain that is resistant to other treatments. During this procedure, the 3 main nerves that supply the knee are actually blocked for relief of knee pain. If the nerve block is successful, a rhizotomy or radiofrequency ablation is performed during which the nerves are cauterized. The nerves that supply the knee joint (genicular nerves) only supply the joint itself. They are not necessary for walking or standing. The pain relief from this procedure can be profound and allow people to walk with minimal knee pain for 8-12 months. The genicular nerves eventually regrow and the pain may return. The procedure can be repeated at that time if necessary.
We are available to provide this service upon requesting individuals after a work related injury.
Our providers are experienced at taking extensive histories, reviewing prior records and performing thorough physical examinations to arrive at the proper diagnosis and treatment for each person who entrusts us with their care.
Trigger Point Injections are used to treat pain from muscle tightness and sometimes from fibromyalgia. Trigger points are tight tender muscles that cause pain at the area and sometimes will refer pain to other areas. This source of pain has to be treated by loosening the tight muscle. Trigger point injections accomplish this by the injection of sterile fluid, usually lidocaine, along with the movement of a very small needle to loosen up the muscle. They are the injection equivalent of a super deep tissue massage and are covered by most insurances.
Currently only indicated for knee pain, this is the injection of a naturally occurring substance called hyaluronic acid. Hyaluronic acid is a gel-like substance that the cartilage cells make in the knee and other joints. This medication decreases knee pain by blocking some chemicals that cause pain and inflammation. Hyaluronic acid also provides some cushioning and lubrication due to its thick viscosity. These injections are like an oil change for the knee.
