Chesterfield 636-519-8889

Depaul 314-895-8889

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©2016 by Midwest Pain Center

Treatments
Treatments

We offer a progressive program specifically designed to alleviate pain. We strive for maximum results with minimum number of treatments. To do this, we consider a broad spectrum of treatment options -- conservative medical therapies to the most advanced interventional techniques.
Your treatment plan will be personalized according to your diagnosis and health needs.
We work closely with your primary care physician, referring physician, and your ancillary health care professionals.

Kyphoplasty

The loss of bone and minerals causes the bone to become weak and sometimes a simple cough, sneeze, or sudden movement can cause a vertebral fracture. Vertebral augmentation is a minimally invasive procedure and has been proven to reduce the chronic pain associated with a compression fracture. During the procedure a needle is inserted through the skin into the painful vertebral body. Bone cement is then injected into the vertebral body to stabilize the fracture, much like a cast for a broken arm. This procedure is done under x-ray and usually takes less than an hour. Mild sedation can be used along with a local anesthetic. Most patients experience immediate pain relief within minutes to hours. This procedure can be repeated if new compression fractures develop.

Indications:

  • Compression fracture less than 6 months old

Stem Cell Injection

Stem cells are the most potent regenerative cells in the human body. These cells heal injured tissues by forming new ligament, tendon, cartilage, and other cells. The stem cells are harvested from bone marrow of the pelvis and spun to form a highly concentrated mix of healing cells. This mix is injected directly into the injured tissues under ultrasound or x-ray guidance. This treatment is much more potent than PRP. Regenerative medicine can be used to treat shoulders, elbows, knees, wrist and hand, hips, SI joints and ligaments, plantar fasciitis, golfer/tennis elbow, bulging disc, low back or leg pain.  Stem Cell therapy may not be covered by insurance.

Indications

  • Golfer's elbow

  • Tennis elbow

  • Arthritis of the knees

  • Plantar fasciitis

  • Achilles tendonitis 

  • Degenerative Disc Disease

  • Arthritis of the  knees, shoulders, elbows, ankels, etc.

  • Rotator cuff injury

  • Other spine disease/pain

Epidural Steroid Injection

An epidural steroid injection is a conservative treatment for spinal disease. A potent, anti-inflammatory medication is deposited into the epidural space in your back or neck around inflamed nerves. Generally 1-3 injections is most effective, usually scheduled about a week apart. This procedure can help relieve back, neck, leg, arm, or chestwall pain by reducing inflammation. An epidural injection can stop all the pain and break the pain cycle. This injection can also help your doctor diagnose the source of your pain.

Indications:

  • Lower Back Pain

  • Sciatica

  • Herniated Disc

  • Bulging Disc

  • Degenerative Disc Disease

  • Neck Pain

  • Nerve Pain

  • Postherpetic Neuralgia 

  • Spinal Stenosis

Trigger Point Injection

A trigger point is a tight, painful "knot" of muscle fiber. It can form where a muscle is strained or injured. A trigger point is very tender to the touch. Any muscle in the body can have one or more trigger points. Several injections may be needed in each trigger point to best relieve pain. Injecting a trigger point can help relax the affected muscle and relieve the pain. These injections may be given in sessions 1 to 2 weeks apart. Most patient's pain will step down with each injection. Stretching exercises and physical therapy, or chiropractic care will be recommended as part of the treatment plan.

Indications

  • Muscle Pain

Facet Joint Injection/Medial Branch Block

One or more facet joints, medial branch blocks, in your back or neck can become inflamed and this may cause pain. During a facet joint injection, medication is injected into the inflamed joints or the nueron is blocked with local anesthetic. This treatment helps reduce inflammation, relieve pain, and help diagnose the source of your pain.

Indications:

  • Lower Back Pain

  • Neck Pain

  • Arthritis of the lower back or neck

Synvisc and Gel-one

Synvisc-One and Gel-One are types of treatment called viscosupplement. These injections lubricate and cushion your knee joint to relieve pain and can allow you to move freely for more than 6 months. These viscosupplements are for people with knee osteoarthritis who have not received enough pain relief from diet, exercise, over-the-counter pain medication, or cortisone steroid injections.

Indications:

  • Arthritis of the knees

Radiofrequency Ablation of Facet Joints

This is a non-surgical, minimally invasive outpatient treatment to help alleviate pain and improve quality of life. A diagnostic facet joint injection or medial branch block would have been previously performed to confirm the location of the pain source. Radiofrequency energy is used to heat up targeted nerve tissue and interrupt pain signals. A needle is placed through the skin and guided into place using x-ray. An electrode is inserted into the needle to deliver the radiofrequency energy to the area that is causing pain. Most patients experience prolonged pain relief, usually lasting 10 months to years.

Indications:

  • Lower back or neck pain

  • Good, but "short lived" response to Facet  Joint Injection/Medial Branch Block

Spinal Cord Stimulation

Neurostimulation uses electrical impulses delivered through a very small catherer to stimulate your spinal cord. These tiny electrical pulses block the pain signal from reaching the brain. Because neurostimulation works in the area where the pain signals travel, mild electrical pulses (which are felt as bubbling) can be directed to specific sites where you are feeling pain. Before permanent placement, a trial is performed with the device. The leads are placed very simarly to an epidural steroid injection, taped down and removed after 5-7 days. Neurostimulation may give effective pain relief and may decrease the need for medications.

Indications:

  • Failed Back Surgery Syndrome

  • Peripheral Neuropathy

  • Peripheral Nerve Pain (for example: ulna nerve pain)

  • Lower Back or Leg Pain without surgical options

  • Chronic Regional Pain Syndrome (CRPS)

Platelet Rich Plasma (PRP)

PRP (Platelet Rich Plasma) injections harnesses the body's own natural healing power to stimulate repair of damaged tissue. Your own blood is drawn and spun, concentrating platelets and healing proteins which are injected directly into the damaged tissue using ultrasound or x-ray guidance. The natural occurring healing proteins in the blood repairs and regenerates tissue.​  PRP may not be covered by insurance.

Indications

  • Golfer's elbow

  • Tennis elbow

  • Arthritis of the knees

  • Plantar fascitis

  • Achilles tendonitis 

  • Degenerative Disc Disease

  • Arthritis of the  knees, shoulders, elbows, ankels, etc.

  • Rotator cuff injury

  • Other spine disease/pain 

Sacroiliac Joint Injection

Steroid injections can be used to restore normal movement of the SI joint, reducing pain and inflammation. There are generally two components to the injection given; local anesthetic to reduce pain in the joint, and an anti-inflammatory agent such as a corticosteroid. This injection can also be used as a diagnostic tool, in that if immediate pain relief is felt following the procedure, it can be safely concluded that the SI joint is the source of the patient's pain. 

Indications

  • Sacroilitis (inflammation of  one or both SI joints)

  • Traumatic injury to joint or ligaments (crash, fall, blow to the hip)

  • Structuarl asymmetry

  • Degenerative osteoarthritis

  • Pregnancy-related sacroiliac joint dysfunction

  • Pain in lower back, groin, pelvis, buttocks or thighs

  • Referred sensation in lower extremity (pain, tingling, numbness or weakness)