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Non-Surgical Spine Treatments

At CRMC, our spine team works together. Our interventional spine specialists work together with one goal in mind: helping you get back to the life you love. We start with the most gentle approach possible, prioritizing non-surgical, non-narcotic treatments to relieve your pain and restore mobility.

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Injections, Treatments & Non-Surgical Therapies

Adventure Studios John Linn 2023

Neck (Cervical)

Cervical Epidural Steroid Injection (ESI)
Reduces inflammation and discomfort in the neck.
Watch Video | Understand the Process

Cervical Facet Joint Injections
Targets small joints in the neck to relieve stiffness and pain.
Watch Video | Understand the Process

Cervical Medial Branch Block
Numbs small nerves near neck joints to test or reduce pain.
Watch Video | Understand the Process

Cervical Medial Branch RF Neurotomy
Uses heat to block neck pain signals from joint nerves.
Understand the Process

Upper & Mid-Back (Thoracic)

Thoracic Epidural Steroid Injection (ESI)
Relieves pain and swelling in the upper back.
Watch Video | Understand the Process

Thoracic Facet Joint Injections
Treats pain from irritated mid-back joints.
Understand the Process

Thoracic Medial Branch Block
Numbs tiny nerves to find or relieve upper back pain.
Understand the Process

Thoracic Medial Branch RF Neurotomy
Disrupts upper back pain signals using heat.
Understand the Process

Lower Back (Lumbar)

Lumbar Epidural Steroid Injection (ESI)
Reduces nerve inflammation in the lower back
Watch Video | Understand the Process

Lumbar Facet Joint Injections
Targets painful joints in the low back
Understand the Process

Lumbar Medial Branch Block
Numbs nerves connected to painful lower back joints.
Understand the Process

Lumbar Medial Branch RF Neurotomy
Blocks lower back pain signals from joint nerves.
Understand the Process

Selective Nerve Root Block
Pinpoints or relieves pain from a specific spinal nerve.
Watch Video

Kyphoplasty
Minimally invasive procedure to stabilize fractured spine bones.
Watch Video |

“I was struggling with constant pain in my back and both hips and taking 600 milligrams of Ibuprofen three times a day. After the spine injection, I have no pain and am no longer taking medications.” Ralph G., Longville, MN
“I was suffering in pain and found no reprieve from other options I tried. Dr. Horowitz’s recommended injection provided the most relief. I am no longer in pain and feel good most of the time.” Joseph G., Brainerd, MN

Common Questions About Spine Treatments

How long until I feel better after a procedure?

The time until you feel better after a procedure varies. Some patients experience immediate relief, often due to the local anesthetic used during the procedure. Typically, it takes 7-10 days for the steroid medication to take effect, resulting in significant relief. After radiofrequency ablation, soreness is common for the first day or two, with most patients reporting relief within five to 10 days.

What more can you tell me about steroid injections?

Steroid injection frequency depends on the cause of the issue and individual response. We tailor treatment plans to each person, considering their condition and medical history. Evaluations at follow-up visits determine treatment effectiveness. If injections don’t work, we explore other safe options. Our goal is to alleviate pain and discomfort. Injection discomfort varies; we strive to personalize each procedure for the best experience.

What do I need to know about the day of my procedure?

Our specialists are fellowship trained, board certified physicians who provide state-of-the-art care tailored to your needs. If you have anxiety or fear about needles or procedures, please let our staff know. We strive to make your experience as comfortable as possible, offering relaxing medications if needed.

Most injections involve numbing the skin with local anesthetic, making them relatively comfortable. However, some procedures may be more uncomfortable, and we can administer additional medications for your comfort. Your safety is our top priority, and we can discuss sedation options if you prefer to be sedated during the procedure.

You will receive a phone call from our scheduling office the day before your procedure with your specific arrival time. We do our best to accommodate your schedule, but please understand that we may not always be able to accommodate all requests. If you have travel limitations, please let our staff know in advance.

What can you tell me about injections and my other medications?

For safety reasons, we may reschedule your procedure if you are currently on an antibiotic for an active infection. It is best to complete the antibiotic treatment and ensure the infection has resolved before undergoing a procedure. However, if you are taking an antibiotic for a chronic condition with no active infection, the procedure may proceed as planned. Please contact our nursing staff if you have any concerns or questions about your medications.

Regarding blood-thinning medications, please do not make any changes without consulting our nursing staff. Some procedures may require you to stop these medications, but the decision is specific to each procedure and type of blood thinner. We will guide you through this process and seek permission from your doctor if needed.

If you have pre-diabetes or diabetes, we will check your blood sugar upon arrival. For safety, we may reschedule your procedure if your blood sugar is above 200, as the steroid used during the injection can raise your blood sugar further. We recommend eating a light, non-sugary meal before your procedure to help maintain normal blood sugar levels. Additionally, we advise monitoring your blood sugars closely for the first few days after the injection and contacting your doctor if they are consistently elevated.

Do you prescribe narcotic pain medications?

Our practice focuses on the interventional treatment of painful spinal conditions. We do not provide chronic pain management services, including the prescription of narcotic pain medications.

Do you treat Fibromyalgia?

We do not offer treatments for Fibromyalgia, as this type of pain does not typically respond well to injections. Generalized pain disorders like Fibromyalgia often require a multidisciplinary approach, including cognitive therapies, non-opioid medications, physical therapy, and exercise. These treatments are typically provided by conventional pain management clinics, which we do not offer.

I’m still having pain after my injection, what should I do?

If you are still experiencing pain after your injection, it is important to understand that most injections may take seven to 10 days to reduce your pain. This is due to the nature of the medications and their mechanism of action in your body. However, if you are experiencing worsening pain after your injection, please call our office and speak to our nursing staff. They will help determine if you should be evaluated in clinic and discuss the next course of action. If it is outside our clinic hours, we recommend being seen in the Emergency Department for evaluation.

Request a Spine Consult

Send us your request online or call 218-545-1001 to schedule.