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Injections

Injections are a nonsurgical treatment option used to provide relief from neck, hip and back pain.
What are Injections?
Injections deliver medication directly to the source of the pain which may provide more relief than using oral medications. There are several different types of injections used for pain relief.

Two common types of injections are epidural steroid injections and facet joint injections.

What are Injections?
What are Injections?
An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. An epidural steroid injection is performed to help reduce pain and inflammation. Steroids are injected directly into the epidural space, which is a fat-filled area between the bone and the protective sac of the spinal nerve. The injection delivers pain-relieving medication directly to the site of inflammation. Pain relief typically begins in less than a week and lasts anywhere from several days to a few months.
Conditions Treated with Epidural Steroid Injection
Patients with pain in the arm, neck, and back may benefit from ESI. Epidural steroid injections can help treat pain caused from:
Possible Side Effects of Epidural Steroid Injections
As with most medical procedures, there are potential risks associated with epidural steroid injections. Although these side effects are relatively rare, it is important to discuss with your doctor.
  • Infection at the injection site
  • Bleeding around or near injection site
  • Allergic reaction which may cause itching, drop in blood pressure, swelling, or wheezing
  • Nerve damage
  • Dural puncture happens when an inadvertent puncture in the dura mater which results in the leakage of cerebrospinal fluid (CSF) into the epidural space. The loss of CSF may result in headaches due to the loss of the cushion of the CSF
Facet Joint Injection
Facet Joint Injection
Facet joint injections work by reducing the inflammation and irritation in the facet joints of the spine that are causing pain. The facet joints are located between each vertebra of the neck and along the spine. These joints are responsible for making your spine flexible and enabling it to bend and twist.

Facet joint injections can do more than treat pain. They can also help your doctor diagnose an underlying condition. If a facet joint injection works to block your pain, this can be valuable information for your doctor.

Conditions Treated with Facet Joint Injection
Facet joint injections can help treat pain caused from:
Possible Side Effects of Facet Joint Injections
As with most medical procedures, there are potential risks and side effects associated with facet joint injections. Although these side effects are relatively rare, it is important to discuss with your doctor.
  • Allergic reaction which may cause itching, drop in blood pressure, swelling, or wheezing
  • Infection at the injection site
  • Bleeding around or near injection site
  • Discomfort at the point of the injection
  • Nerve or spinal cord damage
Why Choose Injections for Pain Relief?
Epidural steroid injections and facet joint injections are very similar, differing only in the location of where the medicine is injected. In an ESI, the medication is injected into the epidural space whereas in facet injections, it is injected directly into the facet joint. Injections are a great option for providing rapid pain relief. With this, patients can become active again and resume their normal daily activities.
Why Choose Injections for Pain Relief?
Epidural steroid injections and facet joint injections are very similar, differing only in the location of where the medicine is injected. In an ESI, the medication is injected into the epidural space whereas in facet injections, it is injected directly into the facet joint. Injections are a great option for providing rapid pain relief. With this, patients can become active again and resume their normal daily activities.
Contact Our Team
If you suffer from debilitating pain you may be a candidate for injections. Request an appointment with our pain specialists located in The Woodlands to learn more about epidural steroid injections and facet joint injections to find out if it’s the right choice for you.
Contact Our Team
If you suffer from debilitating pain you may be a candidate for injections. Request an appointment with our pain specialists located in The Woodlands to learn more about epidural steroid injections and facet joint injections to find out if it’s the right choice for you.
Learn more about some of the common causes of abdominal pain that we treat at our office in The Woodlands.
The pelvic region of the body is located between the abdomen and the thighs (below the belly button and above the legs.) The pelvis protects internal organs including the bladder, intestines, and reproductive organs and supports the hip joints.

Chronic abdominal pain is noticeable but not crippling pain that lasts for more than a few days. It may also appear on and off over the course of several months. This type of persistent, nagging abdominal pain may be caused by a condition that needs to be treated, but is not an emergency and won’t go away on its own.

Reproductive Conditions
Chronic pelvic pain in women may be caused by:

  • Endometriosis - when uterine tissue grows in other parts of the body, including the pelvis, causing pain and scarring
  • Fibroid tumors - non-cancerous growths in or on the uterus

In men, it may be caused by prostatitis (inflammation of the prostate).

In men or women, chronic pelvic pain may be due to irritable bowel syndrome (IBS), interstitial cystitis (a common bladder problem) or another condition of the digestive tract.

Pudendal Neuralgia
The pudendal nerve is the main nerve in the pelvis that supplies sensation to the lower buttocks, anal region, and genital region of both men and women. Pudendal neuralgia is a condition that occurs when this nerve is damaged or irritated. Symptoms of pudendal neuralgia include pelvic pain that feels like a burning, shooting, or prickling sensation. Pain may develop suddenly or gradually and may be constant but worse while sitting down. Other symptoms may include numbness in the pelvic region, pain during sex, and feeling a swelling sensation in your buttocks and genital regions.
Tailbone Pain
The tailbone, also known as the coccyx, is the small, triangular bone at the bottom of the spine. Tailbone pain is usually caused by trauma to the area resulting from

  • a fall
  • a blow to the area
  • repetitive friction in the area – from bicycling, for example
  • prolonged sitting on a hard surface
  • joint degeneration
  • injury to a woman’s tailbone during childbirth

Symptoms of tailbone injury include severe, localized pain and tenderness and possibly bruising.

pain doctor houston

Pain Management Specialists
in The Woodlands

Pain Management Center of Houston is a multi-faceted pain management practice that is focused on providing pain relief to patients in The Woodlands and surrounding areas. Our goal is to help patients find the cause of their ongoing pain so that we can not only provide relief, but treat the source of the pain.

Start your path to pain relief, a better future, and a more promising quality of life.

pain management doctor houston
What is Radiofrequency Ablation?
After identifying which spinal nerves are causing a patient’s back pain, the doctor performs radiofrequency ablation to deactivate the part of those nerves that are signaling pain. Guided with x-ray imagery, the doctor guides a tiny probe into the spinal area until it is positioned next to the targeted nerve. Electrical pulses are passed through the probe, heating it up and destroying the part of the nerve that was sending pain signals to the brain. The targeted nerves still function, they’re just unable to transmit pain sensations.

There is a numbing agent given to the local area being treated. The patient remains awake during the procedure that usually takes less than an hour. Patients are able to go home the same day.

What is COOLIEF* Radiofrequency Ablation?
Like other radiofrequency ablation procedures, COOLIEF* disrupts pain signals. Unlike other radiofrequency ablation procedures, COOLIEF* uses water-cooled technology. Water is circulated through the probe at the same time the nerves are being heated. This creates a larger treatment area that leads to better, long-term pain relief and ensures that pain-transmitting nerves being targeted are not overheated, which protects surrounding muscle tissues from side effects like inflammation. COOLIEF* is simply a better version of a proven pain-relieving procedure.
What is Radiofrequency Ablation?
After identifying which spinal nerves are causing a patient’s back pain, the doctor performs radiofrequency ablation to deactivate the part of those nerves that are signaling pain. Guided with x-ray imagery, the doctor guides a tiny probe into the spinal area until it is positioned next to the targeted nerve. Electrical pulses are passed through the probe, heating it up and destroying the part of the nerve that was sending pain signals to the brain. The targeted nerves still function, they’re just unable to transmit pain sensations.

There is a numbing agent given to the local area being treated. The patient remains awake during the procedure that usually takes less than an hour. Patients are able to go home the same day.

What is COOLIEF* Radiofrequency Ablation?
Like other radiofrequency ablation procedures, COOLIEF* disrupts pain signals. Unlike other radiofrequency ablation procedures, COOLIEF* uses water-cooled technology. Water is circulated through the probe at the same time the nerves are being heated. This creates a larger treatment area that leads to better, long-term pain relief and ensures that pain-transmitting nerves being targeted are not overheated, which protects surrounding muscle tissues from side effects like inflammation. COOLIEF* is simply a better version of a proven pain-relieving procedure.