pain management near syracuse ny from crouse medical practice


What is Interventional Spine and Pain Management?

Pain when diagnosed and treated correctly at the onset, will hopefully not end up becoming chronic debilitating pain. Interventional spine and pain management is a pain medicine subspecialty, where the focus is to use the latest interventional techniques including the use of Ultrasound, C arm or X ray image guidance to target the possible source of pain precisely. If we can identify the source of pain, then we can better adjust the usual conservative treatment options such as medications, physical therapy, modalities etc., to provide the best possible care for early resolution of pain. The goal is to avoid narcotics as the main source of pain relief both short term or long term.

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Conservative Management First

At Crouse Interventional Spine and Pain Management we use a conservative non-narcotic approach to diagnosing and treating pain. We start with a thorough clinical examination, before we make any treatment plan. Then conservative treatment with non-narcotic medications, physical therapy and other such modalities are tried. We strive to monitor the progress constantly and make adjustments as necessary to achieve the goal of pain control without narcotics. If there is no improvement then we implement a program of diagnostic and therapeutic interventions which may include injections.

We have the ability to offer multidisciplinary treatment options when treating patients’ acute or chronic pain.

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Conditions We Treat

  • Sciatica
  • Low back pain
  • Neck pain
  • Failed back surgery syndrome
  • Herniated discs
  • Complex regional pain syndrome
  • Painful peripheral neuropathy (from diabetes or other causes)
  • Painful nerve injuries
  • Painful herpes zoster (shingles)
  • Post herpetic neuralgia
  • Chest pain
  • Post-mastectomy pain
  • Headaches
  • Bone pain (Vertebral body compression fractures)
  • Cancer pain

Multi-disciplinary treatment options:

Crouse Medical Practice has specialists in neurology, neurosurgery, spine surgery, psychologists, physical therapists and chiropractors under one group. We can offer multi-disciplinary treatment options including:

  • Physical Therapy
  • Occupational Therapy
  • Use of treatment modalities including TENS/Ultrasound/hot packs/cold therapy
  • Behavioral Modification (psychological evaluation to include pain coping skills, biofeedback,
    relation techniques)
  • Manipulative Therapy (Adjustments through osteopathic, physical or chiropractic therapy)
  • Aerobic exercise, massage, stretching
  • Co-adjuvant pain medications including NSAID’S, muscle relaxants, and nerve pain medications.
  • Neurology evaluation – EMG, Nerve conduction studies.
  • Neurosurgery evaluation
  • Orthopedic spine evaluation.


Interventional Treatment Options Available

  • Epidural steroid injections – Cervical, Thoracic, Lumbar, Caudal.
  • Trans foraminal epidural injections
  • Spine Facet joint injections
  • Spine Medial branch blocks
  • Diagnostic Nerve Blocks
  • Sacroiliac joint injection
  • Joint injections – Hip, Knee, Shoulder and others
  • Bursa injections
  • Trigger point injections
  • Radiofrequency Ablation for spine joints and peripheral nerves
  • Coolif procedure for Knee pain
  • Lumbar Sympathetic block
  • Stellate ganglion block
  • Vertebroplasty & Kyphoplasty
  • Discography
  • Disc Decompression
  • Neurolytic blocks for cancer pain
  • Peripheral nerve stimulation
  • Spinal cord stimulation (trial and permanent implant)
  • Referral to specialists for surgical options if necessary.

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Interventional Spine and Pain Management