Patrick H. Waring, M.D.|701 Metairie Road, Metairie, LA|(504) 455-2225

Treatments & Procedures

Lumbar Transforaminal Epidural Steroid Injection

The lumbar spine area is the most common source of low back pain and sciatica. Narrowing, spinal stenosis, or lumbar disk herniation may cause irritation or inflammation of the nerves as they leave the spine area. These conditions can be treated by precise placement of a small amount of numbing medicine and steroid under X-ray guidance.

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Cervical Transforaminal Epidural Steroid Injection

The cervical spine is the most common source of neck pain and a very common cause of arm pain. Disk herniation in the neck and degenerative changes may cause irritation or inflammation of the nerves as they leave the spine area. These conditions can be treated by precise placement of a small amount of numbing medicine and steroid under X-ray guidance.

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Cervical Epidural Steroid Injection

The cervical spine is the most common source of neck pain and a very common cause of arm pain. Disk herniation in the neck and degenerative changes may cause irritation or inflammation of the nerves as they leave the spine area. These conditions can be treated by precise placement of a small amount of numbing medicine and steroid under X-ray guidance.

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Caudal Epidural Steroid Injection

The lumbar spine area is the most common source of low back pain and sciatica. Narrowing, spinal stenosis, or lumbar disk herniation may cause irritation or inflammation of the nerves as they leave the spine area. These conditions can be treated by precise placement of a small amount of numbing medicine and steroid under X-ray guidance.

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Lumbar Facet Medial Branch Blocks

The lumbar facet joints are the tiny joints in the low back that allow people to bend and twist their low back area. These joints are also common sources of low back pain. The lumbar medial branches are the tiny nerves that supply these joints. The placement of a small amount of numbing medicine and steroid on these nerves using X-ray guidance can relieve the low back pain that comes from facet joint dysfunction.

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Cervical Facet Medial Branch Blocks

The cervical facet joints are the tiny joints in the cervical spine that allow people to bend and twist their neck area. These joints are also common sources of neck and upper back pain. The cervical medial branches are the tiny nerves that supply these joints. The placement of a small amount of numbing medicine and steroid on these nerves using X-ray guidance can relieve the neck pain that comes from facet joint dysfunction.

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Lumbar Facet Radio-Frequency Denervation

The lumbar facet joints are the tiny joints in the low back that allow people to bend and twist their low back area. These joints are also common sources of low back pain. The lumbar medial branches are the tiny nerves that supply these joints. After patients have shown 80-100% temporary relief from lumbar medial branch blocks, they are candidates for the radiofrequency procedure. Under careful X-ray guidance, small radiofrequency cannulae are placed very close to the tiny lumbar medial branch nerves and heat energy is used to destroy the nerves. Because the tiny nerves eventually grow back, the pain relief usually lasts 8 months to a year.

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Cervical Facet Radio-Frequency Denervation

The cervical facet joints are the tiny joints in the neck that allow people to bend and twist their neck area. These joints are also common sources of neck and upper back pain. The cervical medial branches are the tiny nerves that supply these joints. After patients have shown 80-100% temporary relief from cervical medial branch blocks, they are candidates for the radio-frequency procedure. Under careful X-ray guidance, small radio-frequency cannulae are placed very close to the tiny cervical medial branch nerves and heat energy is used to destroy the nerves. Because the tiny nerves eventually grow back, the pain relief usually lasts 8 months to a year.

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Discography



The intervertebral disks are the cushions that sit between the vertebrae of the spine. They are often a source of spinal pain. Your doctor may have ordered discography to help determine which if any of your disks are causing your low back or neck pain. Generally, discography is a diagnostic tool and not for spine pain therapy. A needle is carefully inserted into the disk with x-ray guidance. The disk is then filled with a contrast agent to look for disk damage and determine if the disk is painful or not. Surgical planning often considers the result of this test.

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Sacroiliac Joint Arthrogram



The sacroiliac joint is the joint between the sacrum and the iliac bone. This joint is responsible for low back pain in about 15% of patients who have low back pain. After contrast dye is placed into the joint under X-ray guidance, a small amount of numbing medicine and steroid is injected. Near complete relief of the patient’s pain may then indicate that this joint is the source of the low back pain.

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Platelet Rich Plasma Therapy (PRP)

Platelet rich plasma (PRP) is a concentrated blood sample that contains high levels of platelets, a critical component of the wound healing process. Platelets contain growth factors that are responsible for stimulating tissue generation and repair.

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Pain Intervention Center

701 Metairie Road ·
Metairie, Louisiana 70005
Call us to schedule an appointment:
(504) 455-2225