Physical Medicine & Rehabilitation

Interventional Spine Care

Our spine specialists specialize in performing a range of interventional procedures tailored to address chronic neck and back pain. These procedures are designed to target the underlying causes of pain, providing targeted relief, and promoting healing. Some of the interventional treatments we offer include:

• Cervical epidural steroid injections for neck pain for disc herniation or cervical spinal stenosis, conditions that often result in neck pain radiating down the arms.
• Thoracic epidural steroid injections for upper and mid-back pain due thoracic disc herniation, spinal arthritis, or compression fractures in the thoracic spine.
• Lumbar epidural steroid injections for low back pain from conditions like lumbar disc herniation, spinal stenosis, or degenerative disc disease affecting the lower back.
• Facet joint injections are utilized to relieve pain caused by facet joint syndrome, a condition characterized by inflammation and degeneration of the facet joints in the spine.
• Nerve blocks are administered for various purposes, including alleviating pain resulting from conditions such as sciatica, diabetic neuropathy, or complex regional pain syndrome.
• Trigger point injections are commonly used to treat myofascial pain syndrome, a condition characterized by trigger points or muscle knots that cause localized pain and discomfort.
• Discography is typically performed to diagnose the source of back pain, particularly in cases of suspected discogenic pain or intervertebral disc pathology.
• Radiofrequency ablation may be employed to manage chronic back pain stemming from conditions such as facet joint arthritis or sacroiliac joint dysfunction.
• Cervical, thoracic, and lumbar radiofrequency neurotomy is used to disrupt nerve conduction in specific areas of the spine, providing long-lasting pain relief for conditions like facet joint pain or lumbar radiculopathy.
• Spinal cord stimulation implant is utilized to manage chronic neuropathic pain conditions, including failed back surgery syndrome, complex regional pain syndrome, or peripheral neuropathy.

Our dedication to offering a wide array of treatment options ensures that we can meet the unique needs of each patient, delivering personalized care and optimal outcomes. Additionally, our team stays abreast of the latest advancements in spinal care, ensuring that our patients receive the most effective and innovative treatments available.

Electrodiagnostic Medicine

Electrodiagnostic medicine plays a crucial role in our comprehensive approach to diagnosing and treating musculoskeletal conditions at The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division. Our experienced physiatrists utilize electromyography (EMG) and nerve conduction velocity (NCV) tests to assess the function of muscles and nerves, aiding in the accurate diagnosis of various orthopedic conditions.

EMG measures the electrical nerve impulses in muscles, identifying issues with nerve input or functioning, while NCV evaluates nerve function, pinpointing the location of nerve injuries. These tests are invaluable in diagnosing conditions such as carpal tunnel syndrome, sciatica, and other nerve abnormalities associated with pain or numbness.

By leveraging electrodiagnostic techniques, our physicians can tailor treatment plans to address each patient's specific needs effectively. Our commitment to utilizing advanced diagnostic tools ensures that patients receive precise diagnoses and personalized care, leading to improved outcomes and enhanced quality of life.