Interventional Procedures for Back Pain

Back pain affects countless Oklahomans in Tulsa and surrounding areas. As one of the most common reasons for doctor visits, work absences, and disability claims, back pain impacts nearly everyone at some point in their lives. Understanding the signs and symptoms is the first step toward finding relief.

Muscle ache
Shooting or stabbing pain
Pain that radiates down your leg
Limited flexibility or range of motion of the back

Back pain can come on suddenly and last less than six weeks (acute), which may be caused by a fall or heavy lifting. Back pain that lasts more than three months (chronic) is less common than acute pain. Access Pain Solutions is the number one place in Tulsa to treat chronic back pain.

Back pain often develops without a specific cause that your doctor can identify with a test or imaging study. Conditions commonly linked to back pain include:

Arthritis

A common cause of back pain, arthritis of the joints in the vertebrae (facet joints) usually develops as we age. The vertebral bones slowly degenerate over time and can pinch nerves or other supportive tissue to cause inflammation and back pain. Depending on the amount of degeneration and the location of arthritis, you may experience back pain in your low back, upper back, hips, as well as radicular symptoms in the legs.

Disc Disease

The cartilaginous discs between our vertebral bones degenerate as we age, resulting in a loss of disc space between the vertebrae. Spinal stability may decrease, and the vertebrae react by increasing bone growth (called bone spurs). These growths may put pressure on the spinal roots causing inflammation, or the spinal cord to cause back pain. Several treatments are available, depending on the location and amount of degeneration.

Failed Back Surgery Syndrome (FBSS)

Some patients may experience chronic back pain after surgery, aka post-laminectomy syndrome. The factors that contribute to FBSS include residual or recurrent disc herniations, scar tissue buildup, persistent compression on spinal nerves, & altered joint stability or mobility. Depending on the severity of the condition, various treatments are available.

Fibromyalgia

Common syndrome where the person has whole body pain with “tender points” of pain in the joints, muscles, tendons, and other soft tissues. The cause of Fibromyalgia is unknown, but often mimics other chronic back pain problems. Triggers for Fibromyalgia may include emotional or physical trauma, infections, activity, weather, anxiety, or stress.

Muscle Pain

Muscle pain, aches, spasms, or tightness may result from damage to the muscles or nearby soft tissue. Pain may be perceived at a location other than the original stimulus (referred pain).

Radicular Nerve Pain

Peripheral nerves in the extremities may cause back pain if they are either inflamed or compressed when they enter the spinal column. Osteoarthritis or disc herniations may cause numbness/tingling, burning, or shooting pain from the spinal column down the affected extremity.

Vertebral Fractures

Stress fractures as a result of trauma or osteoarthritis of the vertebrae may lead to vertebral fractures. Symptoms of fractures vary greatly on the severity and location of the fracture but may include: achy and dull sensation, muscle weakness or spasms, numbness/tingling, or paralysis in severe cases.

Treatment Options at Access Pain Solutions

We offer comprehensive treatment approaches including:

Epidural

Cervical, Thoracic, and Lumbar Epidural Steroid Injections
Epidural Blood Patch
Caudal Injection Catheter
Racz Lysis of Epidural Adhesions
Cervical, Thoracic, and Lumbar Selective Nerve Root Block

Paravertebral

Occurring pain adjacent to the vertebra or along the spinal column.

- Cervical, Thoracic, and Lumbar Facet
- Cervical or Thoracic Disc or Subjective Postural Injections

Peripheral Nerves

A network of 43 pairs of motor and sensory nerves connecting to the brain and spinal cord to the entire human body.

Brachial Plexus
Greater Occupial Nerve Block Single
Intercoastal Nerve Block
Other Peripheral Nerves
Ilioinguinal and Hypogastric Plexus Nerve Block
Trigeminal Nerve Block
Sciatic Nerve Injections

Soft Tissue Joints

Tendon/Ligament/Ganglion Cyst Injection
Small Bursa Joint Injection
INT Bursa Joint Injection
Major Bursa Joint Injection
Hardware Block
Trigger Point Injection
SI Joint Injection

Sympathetic Nervous System

Celiac or Hypogastric Plexus Injection
Lumbar or Thoracic Sympathetic Block
Sellate Gaglion

Spinal Cord Stimulators

Percutaneous Implant of Neurostimulator Electrode
Incision Place Neurostimulator
Revision or Removal Neuro Electrode
Revision or Removal Neuro Receiver
Spinal Cord Stimulator Complex
Spinal Cord Stimulator Simple

Sympathetic Nervous System

Celiac or Hypogastric Plexus Injection
Lumbar or Thoracic Sympathetic Block
Sellate Gaglion

Advanced Procedures

Spinal Cord Stimulator Trials
Stimwave Trials
Intrathecal Pain Pump, Trials, and Implants
Spinal Cord Stimulator Implants
Vertebroplasty
Kyphoplasty
SI-bone
Discseel

Neurolytic

Cervical Botox Injection
Radiofrequency Other Peripheral Nerve
Cervical Radiofrequency Thermocoagulation
Thoracic Radiofrequency Thermocoagulation
Radiofrequency Stellate
Radiofrequency Celiac Plexus

Pain Stimulators

Pain can often be treated with minor electrical stimulation applied to the nerves. This modifies and blocks nerve activity, which can greatly reduce the number of pain receptors that reach the brain. All this is done without the need for invasive surgery or medication.

Surgery

Although we do our best to avoid surgical procedures, we do recognize surgery as a treatment option when necessary. Surgery isn’t typically our first option, but if the pain does not subside after months of treatment we can make arrangements for the procedure and assist with the following recovery process.

Take the First Step To Freedom From Pain

Don’t let pain hold you back any longer. Take the first step toward lasting relief by contacting Access Pain Solutions. Complete the form below to request a callback, and our compassionate team will be in touch to discuss your needs and schedule your appointment.