Implantable Spinal Cord Stimulators
(SCS's) are used to reduce pain with electrical stimulation to your nerves. The SCS is implanted in the epidural space of the spine, which sends electrical pulses to block pain messages to your brain. Patients have reported that up to 70 percent of their pain is reduced with the SCS.
Implantable Opioid Infusion Pumps
Implantable Opioid Infusion Pumps, also known as pain pumps, are used to reduce pain with controlled levels of opiates directly to the nerve, your source of pain. The pain pump is an implantable device used to control pain 24 hours a day, 7 days a week.
Diagnostic Nerve Root Blocks
Diagnostic Nerve Root Blocks use local anesthetics and steroid injections to interrupt pain transmission and reduce inflammation. This procedure is used to diagnose other pain problems and may be used as a preparatory to Neurolysis or permanent nerve blocks.
Developed by Dr. Gabor Racz, Transforaminal Adhesiolysis, also called Racz Procedure, is used to reduce scar tissue from the epidural space of the spine. This simple procedure involves a series of injections into the spine. The scar tissue loosened by this procedure will allow other medications to reach the nerves.
Radiofrequency Neuroablation is a procedure used to suspend the transmission of nerves, which may reduce your pain associated with that particular nerve. The needle is placed on and around your nerve tissue to deaden the nerve that sends pain signals to your brain. The procedure uses a radio frequency machine that conducts heat to a needle via electrical current.
Used to diagnose or confirm diagnosis, Discography uses fluoroscopic dye injected into your spinal disc. An x-ray is taken of your disc, which reveals a herniated or torn disc. After confirming a diagnosis, a treatment plan is developed and another procedure is scheduled for another time.
Intra Discal Electro Thermal Therapy (IDET)
Intra Discal Electro Thermal Therapy (IDET) is a new procedure used to treat herniated or torn spinal discs. Prior to the IDET, a discography procedure must be performed to confirm diagnosis. When an IDET is performed, a needle is inserted and a catheter is placed in the spinal disc. Afterwards, controlled levels of thermal heat are conducted through the catheter and into the disc. Thermal heat allows the disc wall to thicken its collagen and reduce a hernia or close tears as well as partially destroying the nerves that supply the disc thereby reducing the painful stimulus.
Epidural Steroid Injection
An Epidural Steroid Injection reduces inflammation and swelling of nerves in the epidural space of the spine, which surrounds the spinal cord. The procedure entails inserting the needle into the epidural space, which can cause slight discomfort. A local anesthetic is used for this procedure.
Percutaneous Vertebroplasty is used to treat fractures of the spine caused by osteoporosis, the loss of calcium from the bone. Primarily due to the aging process, osteoporosis results in compression fractures of the vertebral bodies of the spine. Now, through the use of fluoroscopic x-ray, a special substance, Methyl Methacrylate, is injected through a needle into the bone, hardening in a cement-like fashion to repair the fracture.
Percutaneous Electrical Nerve Stimulation
Percutaneous Electrical Nerve Stimulation, also known as acupuncture, is an ancient and modern procedure used to manage pain and other medical conditions without the use of oral medication. This procedure requires a thin stainless steel needle to be inserted under the skin at the proper acupuncture points. The needles can be connected to an electrical generator, sending tiny electrical impulses to the acupuncture points. After stimulation, life energies are rechanneled and the healing process begins. This procedure can be used as a medical treatment alone or as a supplement to your current treatment. TPMA is trained and licensed in both Western medicine and acupuncture. Please contact our office to learn more about this ancient, non-invasive procedure.
Implantable Peripheral Nerve Stimulators
Implantable Peripheral Nerve Stimulators are used to control chronic pain signals caused by the peripheral nerve. The peripheral nerve stimulator is implanted under the skin and is surgically placed to send electrical pulses to the problematic nerve directly.
Ashley M. Classen, D.O, F.A.O.C.A. & E. Jo Bailey, M.D.
1401 Henderson Street • Fort Worth, Texas 76102
Phone 817.332.3664 • Fax 817.334.0575