Effective Pain Management Therapies, Tailored To Meet Your Needs

Our physicians are 100% invested in your health and well-being. For this reason, we offer therapies that address every aspect of your pain, resolving longstanding and short term problems so you can enjoy your life more fully.

Our Advanced Therapies Include:

  • Spinal Cord Stimulation: Spinal cord stimulation treats chronic pain that has not responded to other treatments. Your physician will insert soft, thin wires with electrical tips placed through a needle in your back, near the spinal column, to deliver electrical currents that reduce discomfort. We provide both Burst DR as well as Dorsal Root Ganglion Stimulation to meet all of our patients’ needs. Both Dr. Gullo and Dr. Mirchandani are excited to offer these options here at Willamette Pain and Spine.
  • PRP Injections: Platelet-rich plasma is a portion of the patient’s own blood that contains a high platelet concentration. Treated platelets release powerful healing substances which are then injected into the affected muscle, tendon, or joint, and promotes healing and reduction of pain.
  • Kyphoplasty: The surgical filling of an injured or collapsed vertebra. This procedure restores original shape and configuration and relieves pain from spinal compression.
  • Radiofrequency Ablation: (or RFA) is a procedure used to reduce pain. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area. This is done after the patient has shown a positive response to two Medial Branch Blocks.

Epidural steroidal injections:

Willamette Pain and Spine offers Interlaminar, Transforminal, and Caudal Epidural Steroid injections in the cervical, thoracic, and lumbar spines.

  • The interlaminar approach: involves placing a needle into the back of the epidural space to deliver the steroid to a broad area.
  • Caudal injections: allow for needle placement in the sacral hiatus, a bony opening above the tailbone. With both approaches, medication will cover both sides and several segments of the spinal cord, for maximum efficacy. This procedure can only be performed in the lumbar region.
  • Transforaminal injection: If your physician finds nerve block to be useful in your pain management plan, he may use a transforaminal injection, in which your physician places medication alongside the nerve as it exits the spine, entering the epidural space from the side. This approach can be useful for diagnostic purposes, specific nerve targeting, as well as reduced pain and nerve function.

Additional Joint and Nerve Block Treatments:

  • Facet Joint Interventions: These injections can both help to diagnose the cause and location of pain, as well as provide relief. They are applied to the facet joints or small joints at each spinal segment that offer stability and a guided range of motion. Because facet joints are often affected by spinal arthritis or back injury, our clinic offers injections at cervical, thoracic, and lumbar points to help ease discomfort. We can target specific facet joints using the medial branch block technique, or eliminate pain completely with a radiofrequency ablation, which removes the functionality of the painful nerve through the use of radiofrequency electrical energy.
  • Sacroiliac Joint Interventions: The sacroiliac joint connects the sacrum to the pelvis on both sides of the body, providing support to the spine. Our clinic offers sacroiliac joint injections to help ease pain and inflammation in this area, which often manifests as lower back discomfort. In some cases, a lateral branch nerve block injection, or injection of a local anesthetic or anti-inflammatory medication, may be necessary to both diagnose and treat sacroiliac joint pain.

Nerve Root Injections:

 Nerve root injections can be used to diagnose and/or treat pain in a specific area. A selective nerve root procedure involves the use of fluoroscopic (X-Ray) guidance and a long-lasting steroid such as cortisone. By removing sensation from the nerve, your physician can determine if it is irritated. This procedure can help to reduce pain and inflammation in the cervical, thoracic, or lumbar regions.

Types of the procedure include:

  • Sympathetic Block Injections: Injections of this type provide a local anesthetic in or around your body’s sympathetic nerves. These nerves, located on either side of the spine, help to regulate blood flow and other automatic functions as well as carry pain signals to the spinal cord from peripheral tissues.
  • Lumbar Sympathetic Block can remove sensation in the sympathetic nerves that serve the leg on the side the injection is performed to reduce pain, swelling, and improve mobility. Similar procedures that treat pain and stiffness in other areas of the body include;
  • Stellate Ganglion Block, which is applied to nerve tissue in the neck to reduce pain in the arms and face;
  • Celiac Plexus Block, administered to the celiac plexus of nerves in the upper abdomen to address pain in that area;
  • Superior Hypogastric Plexus Block injected into the back and used to control pelvic pain that does not respond to oral medication.

Auxiliary Treatments:

 Depending on the severity of pain and your individual needs, additional treatment may be required. Willamette Pain and Spine offers the following auxiliary options:

  • Therapeutic Botox Injections: Botox injections, also known as botulinum toxin injection therapy, can help treat involuntary muscle contractions in the eyes, neck, face, limbs, voice box, and bladder and reduce or eliminate associated pain. This treatment can be very helpful in treating intractable headaches and migraines as well.
  • Occipital Nerve Block: This injection of steroid or other medication is placed around both the occipital nerves at the back of the head, above the neck, to reduce pain, inflammation, and irritation. This treatment can be very helpful in reducing headache.
  • Trigger Point Injection: Trigger points are knots of tense muscle that can cause discomfort in the immediate area and radiate pain to other regions of the body. Your physician will insert an injection containing a local anesthetic, saline, and often a corticosteroid into the trigger point to help ease pain and stiffness.

At Willamette Pain and Spine, we are proactive about pain management solutions. Our team is ready to investigate multiple pain management techniques to ensure that your experience is a positive one.