Pain Management

Breaking the pain cycle to help you heal

Ascension St. John pain management doctors are skilled anesthesiologists for selective nerve and muscle injections to treat pain symptoms.

Pain management

For a pain management consultation, call 918-872-6890.

At St. John Clinic Pain Management, we understand chronic pain affects your entire life. Our doctors and care team is dedicated to delivering individualized care to our patients. We specialize in pain management solutions using a balanced approach of outpatient procedures, alternative therapies, and medication management.

All new patients receive an initial examination and consult by one of our providers. An extensive review of existing medical records and imaging ensures we have an understanding of your medical history.  We listen to understand your health concerns and how your quality of life is affected. Together, we deliver care that is right for you. Individualized treatment plans focus on giving you a better understanding of your pain cycle and the triggers that make it worse. We help you manage and control your pain, so your body can heal.

Our care team is very experienced and communicate with your primary care doctor for your total health and well-being. Procedures include:

Botox Injection

This treatment is frequently used for migraines that may not respond well to other migraine therapies. Botox is made from a highly purified botulinum toxin protein, which is then diluted with sterile saline for injection. Seven key muscle groups in the head and neck are targeted, with 31 total injections per treatment. Each treatment takes approximately 15 minutes, and may be repeated every 91 days, if beneficial.

Bursa Injection

Helps soothe joint pain caused by arthritis, bursitis and other painful inflammatory diseases. The provider will insert a thin needle into your bursa (a small, fluid-filled sac that cushions joints) to inject a mixture of anesthetic and steroid. Pain relief has been reported within 30 minutes after injection but may take two or three days for the steroid to reduce inflammation.

Caudal Epidural Steroid Injection

Used to treat lower back, rectal, or groin pain. This injection will be administered at the base of the spine with local anesthetic and a long-acting steroid. The injection helps give relief over the next several months.

Epidural Steroid Injection

A minimally invasive procedure used to help reduce arm, back, neck and leg pain caused by inflammation in the spinal nerves. An anesthetic and corticosteroid is delivered by injection into the epidural space of the spine. It is used to treat spinal stenosis, spondylosis, herniated disc, degenerative disc, and sciatica.

Facet Joint Injection

A small amount of local anesthetic and/or steroid mediation is used to anesthetize and block pain and reduce inflammation in the facets joints located in the cervical, thoracic or lumbar area.

Greater Occipital Nerve Block

Used to diagnose and treat headaches or neck pain associated with occipital neuralgia. A local anesthetic and long-acting steroid are injected to reduce nerve inflammation and decrease pain. Pain relief can be felt shortly after the procedures or up to 24 to 36 hours following procedure.

Lumbar Discogram

Performed to diagnose and help find the cause of chronic back, hip, buttock, and leg pain that may be originating from a disc.

Medial Branch Nerve Block

Medial branch blocks (MBBs) are a minimally-invasive, non-surgical diagnostic and/or therapeutic injections for arthritis-related neck and back pain. An exciting aspect of this pain relief modality is that, if successful, a more long-term treatment option called radiofrequency ablation of the medial branch may be employed.

Radiofrequency Ablation (RFA)

This procedure uses an electric current produced by a radio waves to heat up a small area of nerve tissue, which decreases pain signals from that specific area. The heat transmitted through a needle is used to destroy the nerve, effectively interrupting pain signals and providing pain relief. The treatment has been known to provide pain relief for up two years.

Selective Nerve Root Block

A selective nerve root block (SNRB) is an injection that delivers medication into the space around spinal nerve roots. The goals of this treatment are to determine the location of a specific spinal nerve root suspected of causing the pain and, secondarily, to provide relief of back, leg or other pain caused by the irritated spinal nerves. A SNRB may also be used therapeutically for the treatment of specific types of disc herniation.

Shoulder, Knee, Hip, Ankle Injection

Intra-articular (joint) injections are used to treat inflammatory conditions within joints. Typically, a local anesthetic and a corticosteroid are used in these injections. The goal is to reduce inflammation, providing comfort for the patient.

Spinal Cord Stimulation/Dorsal Column Stimulation Therapy

Spinal cord stimulation uses low voltage stimulation of the spinal nerves to block pain, helping patients better manage pain and potentially decreasing their pain medication. It may be an option if you have long-term (chronic) leg or arm pain and have not found relief through traditional methods. A small battery-powered generator implanted in the body transmits an electrical current to the spinal cord. The result is a tingling sensation instead of pain. By interrupting pain signals, the procedure has shown success in returning some people to a more active lifestyle.

Transforaminal Epidural Steroid Injection

A transforaminal or selective nerve root block is an injection of local anesthetic and steroid under X-ray guidance into the area where the nerve exits the spinal column.

Trigger Point Injection

Trigger point injections are used to treat painful spasms or muscle “knots.” Once trigger points are identified, injections of local anesthetic can be placed into the muscle. A corticosteroid may also be used along with the anesthetic, if appropriate. The goal of TPI is to inactivate or release the trigger point. The procedure takes a few minutes, and results should be seen within minutes to hours of the procedure.

We are located in the same building as St. John Urgent Care Memorial in Tulsa, Oklahoma.

For a pain management consultation, call 918-872-6890.

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