Pain in the middle part of your back can crimp your lifestyle just as much as low back pain. When you find that you are getting no relief from other methods, there are some that you can obtain from an interventional pain treatment.
- Trigger Point Injection (Intramuscular)
Many times the pain felt in the middle of your back is from a knot in your muscles. This knot can often be felt. On occasion, some people experience a knot that will not relax. When treating this problem, a doctor will inject a local anesthetic, and a corticosteroid into the trigger point. The anesthetic helps provide nearly instant relief and the steroid helps reduce the inflammation. This only takes a couple of minutes and it will usually cause the muscles to relax, bringing about pain relief.
- Thoracic Facet Joint Injection
The thoracic facet joints are those joints in your spine that enable your back to be flexible. These joints normally move against each other without pain. Nerves are also located in these joints.
A thoracic facet joint injection is an x-ray guided injection given to provide relief. It consists of a local anesthetic for immediate relief, and a corticosteroid to reduce inflammation and pain. The anesthetic will provide relief almost instantly, and the steroid may take a day or two. This injection may provide relief for about three months. It is an outpatient procedure, and you can go to work the next day.
- Thoracic Radiofrequency Ablation (Thoracic RF)
This outpatient treatment can usually be completed in just a few minutes. The area is first numbed, and then a needle is inserted into the area to be treated. It will be guided by the use of real-time x-rays to ensure that the right area is treated. It is also used to ensure that other nerves are not going to be affected.
The doctor will stimulate the nerve to ensure it is the correct one. This stimulation is apt to cause the original pain to be felt. Once assured, the area will be numbed, and then a radiofrequency will be applied to the catheter, which will heat the area and destroy the nerve. Other nerves may also be treated at the same time. You may need to take a few days off after this treatment, which can last anywhere from three to 18 months.
- Thoracic Selective Nerve Root Blocks
Another option for middle back pain is to be given an injection that reduces inflammation. The patient is given a medication to relax through an IV.
The doctor’s needle is guided by real-time x-rays. Once at the desired position, the doctor will inject a little dye, so that the nerves can be seen more easily. This procedure differs from an ablation in that no nerves are destroyed. Instead, the injection consists of a numbing medication along with cortisone.
At the Lower Back Pain NY centers, we conduct careful diagnosis to ensure that the best treatment will be provided. We have several centers in New York City to make it easy for you. Contact us today to get your questions answered, or to make an appointment.