No referral needed Call 253-627-2666 for an appointment.
Spine Procedures
At Cascade Interventional Pain Center, Jay Iyengar, M.D. specializes in performing the following procedures:
Cervical, Thoracic and Lumbar Epidural Steroid Injection An Epidural Steroid Injection is an injection of steroid into the epidural space to decrease nerve irritation from herniated discs, narrowed spinal canal and nerve root canals. Epidural steroids could be very effective for control of nerve pain due to nerve irritation from any of the above causes.
Cervical, Thoracic and Lumbar Transforaminal Epidural Steroid Injection Transforaminal ESI (epidural steroid injection) is a more selective injection technique into the Epidural space targeting the area where the nerves emerge from the nerve root canals. The transforaminal approach allows more targeted placement of the medication.
Cervical, Thoracic and Lumbar Selective Nerve Root Injection Selective
Nerve Root Injection is similar to the Transforaminal Epidural Steroid
Injection except that the spread of the contrast and steroid is limited
to the nerve root without spreading into the epidural space.
What
is a Selective Nerve Root Injection? Cervical and Lumbar Medial Branch Block/ Facet Injection A MBB (Medial Branch Block)/ Facet Injection is an injection under x-ray guidance that targets either the nerve supplying the facet joint or the facet joint itself.
Cervical, Thoracic and Lumbar Facet Rhizotomy A Cervical,
Thoracic, or Lumbar Rhizotomy is a procedure that destroys facet nerves
by using heat generated by radio-frequency energy to decrease chronic
pain emanating from the facet joints.
What is
Facet Rhizotomy? Cervical, Thoracic and Lumbar Discography Discography is a diagnostic procedure that confirms or denies the disc(s) as a source of the patient's pain.
IDET (Intra-Discal Electrothermal Therapy) Intradiscal Electrothermal Therapy (IDET) is a minimally invasive procedure in which controlled levels of thermal energy (heat) is applied to a broad section of the affected disc wall for discogenic back pain.
Percutaneous Disc Decompression Percutaneous disc decompression is a procedure performed to remove intradiscal tissue, which may relieve painful pressure on the surrounding nerves.
