Discography, also called a “discogram” is an invasive diagnostic test that helps your doctor examine intervertebral discs of your spine and find which ones are damaged.

more info

Spine Pain Diagnostics and Pain Management. SAPNA, Fairfax VA

It is important to understand that phenomenon of pain is a complex medical issue. Diagnostics and treatment of chronic pain syndromes often require a multidisciplinary approach provided by different specialists.

more info

Dorsal Root Ganglion

Dorsal Root Ganglion Block (also known as “paravertebral block” or “nerve root block”) is an injection of local anesthetic and steroid hormones (cortisol) directly into your root ganglion.

more info

epidural steroid injection

An epidural steroid injection can be used to confirm the source of the pain and to achieve therapeutic relief. Common conditions for which this procedure can be performed include disc herniation and others.

more info

facet joint injection

Facet injections are used to confirm the source of pain, and to treat your pain if it is caused by facet joints’ problems such as facet arthritis, degeneration, hypertrophy or facet edema.

more info


LVertebroplasty and kyphoplasty are mini-invasive procedures that are performed for painful progressive vertebral compression fractures (VCF).

more info

plasma injection

Platelet-rich plasma (PRP) is plasma protein derived from the patient’s own blood that goes through centrifuging to remove red blood cells.

more info

rf rhizotomy ablation

Rhizotomy is a surgical procedure that destroys problematic nerve roots that carry pain signals to the brain. For spinal joint pain, most common RFA procedure is the facet rhizotomy.

more info

Sacroiliac joint injection

A sacroiliac (SI) joint injection is a treatment to help patients with pain in the buttocks, lower back and hips. It involves two medications – one to numb the joints and a steroid to decrease swelling and reduce pain.

more info

Selective Nerve Root Block

Lumbar selective nerve root block is a number of conditions can contribute to significant low back pain due to foraminal stenosis.

more info

Trigger-point Injections in spine pain clinic

Myofascial trigger points are tender points in muscles, which involve the muscle and fascia (the connective tissue around the muscle) and feel like a nodule, a knot, or a band under the skin.

more info

Spinal Cord Stimulator

Spinal cord stimulation is an invasive procedure that is used for nerve pain due to the post-laminectomy syndrome, radiculopathy, complex regional pain syndrome (CRPS), phantom limb pain, or neuropathy that is resistant to medications and minimally-invasive, injection-based treatments.

more info

Targeted Drug Delivery (TDD)

Targeted Drug Delivery (TDD) or Pain Pump is a safe, proven, and effective treatment option for patients with chronic pain. This method provides medication directly to a patient’s spinal cord.

more info

Pain Treatments

There are several ways to classify pain, the easiest one and the most understandable include acute, chronic and complex types of pain.

Acute pain starts suddenly and lasts no longer than six months. It occurs when some tissues are damaged and nervous system is “informing” the brain about it. If there are no reasons any more – this pain goes away.

Chronic pain occurs when the nervous system is “active” for a long time (more than six months) and it could continue even when the illness or injury that caused it has healed. Often this pain starts as acute and continues as a chronic later. However, in some cases, there could be no clear reason for the pain.

Chronic pain is harder to cure and could become a major personal problem for a very long time, even during many years. There are many kinds of chronic pain according to anatomical, etiological and other principles. So nowadays doctors more often unite them into chronic pain syndrome that is one of the most serious problems in adults. Chronic pain leads to many problems in patients, such as insomnia, reduced activities, bad mood, exhaustion etc. So many people are searching for the best choice to fight this condition and it’s a real challenge for health care providers.

Chronic pain syndrome treatment methods vary and depend on the cause and affected part of the body. Extremely relevant problem is back pain, because of the modern lifestyle. Spine pain treatment has its specificities in each part of the spine and that’s why medical technique should be chosen very individually.

Nowadays range of therapeutic approaches allows finding the right individual variant for every person, who is suffering from a chronic pain syndrome. Pain relief, and separately spine pain relief, could change the quality of patients life a lot.